NUR 185 test 1 Hondros exam questions and answers (100% correct and graded A+)
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Course
NUR 185
Institution
NUR 185
NUR 185 test 1 Hondros exam questions and
answers (100% correct and graded A+)
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest
muscles to breathe, pulse ox of 87 on room air, pink frothy sputum. What
intervention would you implement first? - CORRECT ANSWER O2 at 2...
NUR 185 test 1 Hondros exam quest ions and answers (100% correct and graded A+) Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest muscles to breathe, pulse ox of 87 on room air, pink frothy sputum. What intervention would you implement first? - CORRECT ANSWER O2 at 2 Liters/Min Caring fo r pt. who is intubated and receiving mechanical ventilation. What action by the nurse would decrease the patient's incidence of developing ventilator associated pneumonia? - CORRECT ANSWER Put head of bed at 30 -45 degrees. The nurse is administering ac etylcysteine (muca -mist) as nebulizer treatment to patient. Which should the nurse have available for adverse effect on the patient? - CORRECT ANSWER Suction equipment Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid), Co2 -50 Bicarb -28, PO2 -70 Resp. Acidosis, what orders do you anticipate carrying out? - CORRECT ANSWER Apply O2 and give med -neb treatment. You have 4 patients in a long term care facility. Which would you check first? - CORRECT ANSWER COPD patient with resp rate of 30, O2 of 87 and on 3 Liters of O2 complaining of dyspnea. Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was not at hosp. when this occurred. Wife appears angry and states "What have you all done to him?" What woul d be your response as a nurse? - CORRECT ANSWER Explain to the patient why the patient had to be intubated, continue to update patient's wife on condition and plan of care, I'm sorry that you walked in on him like that, I understand this must have been very frightening. Patient has SOB, edema in legs and face and has the following labs: BUN -95 (high), Creatinine of 9.2, Potassium of 6.0 (high). What are you going to do - CORRECT ANSWER Give Kexolate, prepare the patient a central line for dialysis. C ardiac monitoring. Working with a UAP , what task can be delegated? - CORRECT ANSWER Instill non-prescription eye drops in patient's eyes. Nurse is caring for patient who had total knee replacement yesterday. Patient up in chair stating he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78. Pulse ox 88 reading is after incentive spirometer. What actions would you take at this time? - CORRECT ANSWER Move pulse ox to another finger on the other hand and recheck. Vancomycin - CORRECT ANSWER Nephrotoxic (meaning it can really damage the kidney's) and Ototoxic (temp. hearing loss) Can be given IV, orally, or via enema. pharmacy is usually involved with this medication. Lomotil - CORRECT ANSWER mix of 2 differe nt drugs (atropine -can dry up fluids or for bradycardia & diphenoxylate can raise the BP/HR and lower the urinary output). Monitor BP and HR. Monitor urinary output. Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them. Which to report potassium -5.1 WBC 10.8 Sodium 146 Hgb -9.1. ? - CORRECT ANSWER HgB Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's the use I am just going to die anyway?" What is your response? - CORRECT ANSWER Ask the patient to tell you more about these feelings. Patient getting chemo for colon cancer. Has C -diff getting vanco. What is most important - CORRECT ANSWER Hearing Loss Caring for patient at outpatient. Hgb 10.1 c/o abdominal pain. Occult blood test at home. What would you educate on in patient plan of care? - CORRECT ANSWER Educate patient on high fiber diet and no red meat before test. Patient with colorectal cancer. Vitals temp 98.9 pulse 99 resp 18 bp 114/76 Hgb 10.9. Six hours later, and you reassess. HgB 10.6, 2-4 liquid stools in last 6 hours, temp of 99.1, and bp 90/50. What should you be most concerned about? - CORRECT ANSWER Blood pressure. Caring for patient with IBS. Last 4 hours pt. had 6 liquid bowel movements. Requesting the lomotial. Vitals are 98. 9 pul 98 resp 20 bp 164 -96. Med given. What should be highest priority. - CORRECT ANSWER Monitor BP and urinary output. Patient who had colostomy done 3 days ago. Reporting abd. Discomfort. You note these observations. What do you need to report? - COR RECT ANSWER Skin surrounding stoma is red and swollen with pruritus. 1 day post op following ilioconduit. What do you need to report to the RN immediately? - CORRECT ANSWER Abdominal pain and rigidity, Low abd. Discomfort with 26 ml/hr urinary outpu t. Pt. with ileostomy who's sodium is 129 and Potassium is 2.9 (both low). What are we going to include in the care plan and assessment? - CORRECT ANSWER Skin assessment, assess intake and output, asses mucus membranes. Which cultures are drawn first because of sterility? - CORRECT ANSWER Blood cultures Which test is the Light Blue tube for? - CORRECT ANS WER Anticoagulants, PT/INR Which test is the Lavender or Purple tube for? - CORRECT ANSWER CBC Which test is the pink tube for? - CORRECT ANSWER Type and screen Which test is the gold tube for? - CORRECT ANSWER Chemistries, CMP , BMP Cl - COR RECT ANSWER 95 -105 PT - CORRECT ANSWER 9 -12 Na - CORRECT ANSWER 135 -145 Albumin - CORRECT ANSWER 3.5 -5 Ca - CORRECT ANSWER 8.5 -10.5
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