Download Exam 4: NUR104/ NUR 104 (New 2024/ 2025 Update) Foundations of Nursing Review | Q&A and more Exams Nursing in PDF only on Docsity!
Exam 4 : NUR10 4 / NUR 10 4 (New 2024/ 2025
Update) Foundations of Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
True or False If you're giving an elderly patient 2 units of blood, they CAN get fluid overload Answer: True
QUESTION
Steps when inserting peripheral IV Answer: insert IV, look for flashback in hub, and then advance the hub over the needle
QUESTION
· Steps in starting a peripheral IV Answer:
- Wash hands
- Regular Gloves
- Clean the site
- Apply tourniquet and feel for vein
- insert IV, look for flashback in hub, and then advance the hub over the needle (steps on the test)
QUESTION
What regulates thirst?
Answer:
QUESTION
What can a provider order to check if there is damage to the pituitary gland? Answer:
- a 24 hour urine collection
QUESTION
If your patients hematocrit is 20% is it high or low? Answer:
QUESTION
If your patient says "I don't want to do chemo anymore" what do you as the nurse do? Answer: "Can you tell me more about it?" or report to provider
QUESTION
Stages of Death and Dying Answer:
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Can a patient receive hospice care in a hospital setting? Answer: Yes, if they make a statement saying they cannot you as the nurse must provider further education
QUESTION
hospice care Answer: treatment of the terminally ill in their own homes, or in special hospital units or other facilities, with the goal of helping them to die comfortably, without pain
QUESTION
pallative care Answer: Taking care of the whole person- mind, body and spirit/heart/soul. Views death as natural and personal experience
QUESTION
If you have a Jehovah's Witness patient who has an order to hang blood what will you do? Answer:
- Confirm the order/infusion with the patient prior to administering
QUESTION
ESR normal range Answer: Men - 0 - 17mm/hr Over 50 yrs, 1-20 mm/hr
Women - 1 - 25mm/hr over 50 yrs, 1-30 mm/hr
QUESTION
Prealbumin normal range Answer: 12 - 50g/dl
QUESTION
Albumin normal range Answer: 3.1-4.3 g/dl
QUESTION
Total protein normal range Answer: 6.0-8.0 g/dL
QUESTION
pH normal range Answer: 7.35-7.
QUESTION
Creatine
QUESTION
Normal HCO Answer: 22 - 26 21,20,19,18,17... (Acid) 27,28,29,30,31.. (Alkalotic)
QUESTION
Normal calcium levels Answer: 8.5-10.5 mg/dL
QUESTION
Normal Magnesium Answer: 1.5-2.0 mEq/L
QUESTION
Normal sodium levels Answer: 135 - 145mEq/L
QUESTION
normal potassium levels
Answer: 3.5- 5
QUESTION
Normal platelet count Answer: 150,000-300,
QUESTION
Isotonic Fluids Answer: 0.9 Normal Saline Lactated RIngers **5% Dextrose in water 5% Dextrose in 0.225 saline
QUESTION
Why would a patient have Isotonic fluid ordered? Answer: to increase extracellular fluid, due to surgery, diarrhea, blood loss, dehydration, vomitting
QUESTION
hypotonic solution Answer: .45 of saline .22% saline .333% saline
QUESTION
What are signs that your IV has infiltrated? Answer:
- Swelling, redness, edema, warm to touch
QUESTION
How long can you have blood out of the blood bank before administering? Answer: 4 hours
QUESTION
If you check the blood to administer to a patient and both nurses do not agree on the blood type, what do you do? Answer:
- Return blood back to blood bank within 30 minutes
QUESTION
What do you need to do prior to infusing blood? Answer:
- obtain baseline vital signs
QUESTION
What do you do as a nurse when you infuse blood? Answer:
- Baseline vital signs BEFORE starting the blood
- UAP can do the vital signs for you
- verify blood
- stay with the patient for the first 15 minutes after the infusion starts to look for any adverse reactions
QUESTION
If during a blood infusion, the patient complains of pain at the site during infusion, what will you do? Answer: STOP THE INFUSION!!! then you can open saline and assess based on facility policies
QUESTION
What type of fluid would a patient with severe hyponatremia most likely be started on? Answer: Hypertonic Fluids
QUESTION
A patient with cerebral edema would most likely be order what type of solution? Answer: 3% Saline
QUESTION
A patient is being admitted with dehydration due to nausea and vomiting. Which fluid would you expect the patient to be started on? Answer: 0.9% Normal Saline
Answer: 22 - 26
QUESTION
What lab values would you expect in a patient with ESRD? Answer:
- Expect lab values high before dialysis and more normal after
QUESTION
What regulates the Antidiuretic hormone (ADH) Answer:
QUESTION
Do you think someone with ESRD would have a high or low BUN? Answer:
QUESTION
If the patient has experienced damage to their pituitary gland what would you expect it to affect? Answer:
- The amount of ADH is secretes (antidiuretic tells the body to hold onto fluid)
QUESTION
Which patient would more likely have metabolic alkalosis? (pulling out acids) Answer: the answer is NOT
- the patient with nausea for a few days (until you throw up or vomit no acids have left yet)
QUESTION
What would you expect to see in a patient experiencing third spacing/intravascular space to transcellular compartment? Answer:
- These patient's skin is weeping, they may have a chuck or towel under skin where their cells are leaking
QUESTION
Diuretics can result in changes to which electrolytes? Answer:
- Expect to see potassium low
