NUR113 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
\Q\.What do you do for a patient recovering from surgery or procedures like an EGD? -
ANSWER-✔Monitor for aspiration
Monitor vital signs
Assess for respiratory distress
Assess swallowing
Assess range of motion
Assess level of consciousness
\Q\.How do you take care of an infant with GERD? - ANSWER-✔Elevate head while feeding
Keep baby sitting up
Do not occlude airway
Tummy time
\Q\.What complications could develop from GERD in an adult? - ANSWER-✔Barrett's esophagus
Dyspepsia (indigestion)
Regurgitation (may lead to aspiration or bronchitis)
Water brash (hypersalivation)
,Dental caries (severe cases)
Dysphagia
Odynopagia (painful swallowing)
Globus (feeling of something in back of throat)
Pharyngitis
Coughing, hoarseness, or wheezing at night
Chest pain
Pyrosis (heart burn)
Epigastric pain
Generalized abdominal pain
Belching
Flatulence
Nausea
\Q\.Thiazide diuretics - ANSWER-✔Decrease potassium and magnesium, absorb calcium
Hydrochlorothiazide
\Q\.Loop Diuretics - ANSWER-✔Non potassium-sparing
Think Lasix "L" for Loop= non-potassium sparing
Furosemide, bumetanide, torsemide
\Q\.Osmotic dieuretics - ANSWER-✔Filtered at glomerulus; increasing the osmolarity of the
glomerular filtrate thereby attenuating the tubular reabsorption of water; effects the entire
tubule
,must be administered as an i.v. infusion; does not cross the GI tract or BBB
Mannitol
Urea
Glycerin
Isosorbide
\Q\.How do you measure the effectiveness of diuretics? - ANSWER-✔Check renal function
Daily weights
\Q\.What is insensible water loss? - ANSWER-✔Water loss that cannot be measured
Skin, lungs, stool
\Q\.What is the Chovstek sign and Trousseau sign? Who is at risk for them? - ANSWER-✔1)
Chvostek sign --> Tapping on facial nerve elicits twitching of nose and lips
2) Trousseau sign --> Inflation of blood pressure cuff leads to carpal spams
3) Alcoholics are at risk due to low potassium and magnesium
\Q\.How do you prevent CAUTI? - ANSWER-✔Bag below bladder
No dependent loops/kinks
Don't allow bag to touch floor
Don't break closed system
Perform peri/cath care daily
, \Q\.What reasons do you usually put an indwelling catheter in? - ANSWER-✔Urine retention
Surgery
Immobilization
\Q\.How soon do you remove an indwelling catheter? - ANSWER-✔As soon as possible
Advocate for removal
\Q\.How do you collect urine specimen with an indwelling catheter? - ANSWER-✔Clamp tubing
Clean port with alcohol or CHG prep
Use needle and 10 cc syringe to draw specimen
Label that it came from port
\Q\.How do you collect a voided specimen? - ANSWER-✔Mid-stream or "clean catch"
\Q\.What type of order for culture or antibiotic would you see for CAUTI? - ANSWER-✔Lactic
acid before antibiotics
\Q\.What are some nursing interventions for renal calculi (kidney stones)? - ANSWER-✔Pain
meds
Strain urine
Reduce calcium intake
Avoid purines
Push fluids/ increase fluid intake
\Q\.Osmosis - ANSWER-✔Diffusion of water through a selectively permeable membrane
CORRECT ANSWERS
\Q\.What do you do for a patient recovering from surgery or procedures like an EGD? -
ANSWER-✔Monitor for aspiration
Monitor vital signs
Assess for respiratory distress
Assess swallowing
Assess range of motion
Assess level of consciousness
\Q\.How do you take care of an infant with GERD? - ANSWER-✔Elevate head while feeding
Keep baby sitting up
Do not occlude airway
Tummy time
\Q\.What complications could develop from GERD in an adult? - ANSWER-✔Barrett's esophagus
Dyspepsia (indigestion)
Regurgitation (may lead to aspiration or bronchitis)
Water brash (hypersalivation)
,Dental caries (severe cases)
Dysphagia
Odynopagia (painful swallowing)
Globus (feeling of something in back of throat)
Pharyngitis
Coughing, hoarseness, or wheezing at night
Chest pain
Pyrosis (heart burn)
Epigastric pain
Generalized abdominal pain
Belching
Flatulence
Nausea
\Q\.Thiazide diuretics - ANSWER-✔Decrease potassium and magnesium, absorb calcium
Hydrochlorothiazide
\Q\.Loop Diuretics - ANSWER-✔Non potassium-sparing
Think Lasix "L" for Loop= non-potassium sparing
Furosemide, bumetanide, torsemide
\Q\.Osmotic dieuretics - ANSWER-✔Filtered at glomerulus; increasing the osmolarity of the
glomerular filtrate thereby attenuating the tubular reabsorption of water; effects the entire
tubule
,must be administered as an i.v. infusion; does not cross the GI tract or BBB
Mannitol
Urea
Glycerin
Isosorbide
\Q\.How do you measure the effectiveness of diuretics? - ANSWER-✔Check renal function
Daily weights
\Q\.What is insensible water loss? - ANSWER-✔Water loss that cannot be measured
Skin, lungs, stool
\Q\.What is the Chovstek sign and Trousseau sign? Who is at risk for them? - ANSWER-✔1)
Chvostek sign --> Tapping on facial nerve elicits twitching of nose and lips
2) Trousseau sign --> Inflation of blood pressure cuff leads to carpal spams
3) Alcoholics are at risk due to low potassium and magnesium
\Q\.How do you prevent CAUTI? - ANSWER-✔Bag below bladder
No dependent loops/kinks
Don't allow bag to touch floor
Don't break closed system
Perform peri/cath care daily
, \Q\.What reasons do you usually put an indwelling catheter in? - ANSWER-✔Urine retention
Surgery
Immobilization
\Q\.How soon do you remove an indwelling catheter? - ANSWER-✔As soon as possible
Advocate for removal
\Q\.How do you collect urine specimen with an indwelling catheter? - ANSWER-✔Clamp tubing
Clean port with alcohol or CHG prep
Use needle and 10 cc syringe to draw specimen
Label that it came from port
\Q\.How do you collect a voided specimen? - ANSWER-✔Mid-stream or "clean catch"
\Q\.What type of order for culture or antibiotic would you see for CAUTI? - ANSWER-✔Lactic
acid before antibiotics
\Q\.What are some nursing interventions for renal calculi (kidney stones)? - ANSWER-✔Pain
meds
Strain urine
Reduce calcium intake
Avoid purines
Push fluids/ increase fluid intake
\Q\.Osmosis - ANSWER-✔Diffusion of water through a selectively permeable membrane
