NUR204 Exam 3 Questions With
Complete Solutions
24 hour urine specimen collection: procedure Correct Answers
1. ask patient to empty bladder, then start test
2. collect every single void for 24 hours
3. if person is at home, refrigerate samples
4. put on ice if in hospital setting
A guaiac positive FOBT will appear Correct Answers blue
A1c/HbA1c levels Correct Answers normal: less than 5.9
prediabetic: 5.9-6.4
diabetic: greater than 6.5
age considerations: adolescent Correct Answers 1. need
increased calories for increased
growth
2. risk for obesity and HTN
3. menstruating females need iron
4. calcium
Age considerations: infants Correct Answers 1. needs are met
with breast milk or formula
2. usually fed on demand
3. fluid imbalance is a major problem
4. at 6 months, an iron supplement is needed
Age considerations: older adult Correct Answers 1. fewer
calories needed r/t lower metabolic rate and decreased activity
,2. may need more fiber and bulk
3. social issues
4. lowered glucose tolerance
5. loss of appetite r/t decreased sense of taste and smell
Albumin Correct Answers low levels indicate malnutrition
allergies Correct Answers immune system response
ALP Correct Answers indicators of liver and bone damage
ALT Correct Answers used to monitor liver disease
progression and effect of hepatotoxic drugs
Arterial blood gases taken by Correct Answers usually taken
by speciality professions
Aspiration steps Correct Answers 1. allow 1 hr after meds or
feed
2. irrigate tube with 30 ml warm water after med or feed
3. instill 30. ml air before aspirating secretoins
4. withdraw 5-10 ml secretions
AST Correct Answers severity of liver damage and disease
,Before you perform any contrast study: Correct Answers ask
the patient if they have an allergy to seafood, iodine or contrast
dye, then get their signed consent
Bilirubin Correct Answers levels increased with jaundice
Blood Glucose Testing: Assessment Correct Answers 1.
policies and procedures of facility
2. frequency and type of testing
3. clients understanding of procedure
4. Clients response to previous testing
5. Skin
6. Medical Records
7. Self-care
Blood Glucose Testing: Procedure Correct Answers 1.
introduce self, explain procedure
2. hand hygiene, gloves
3. provide privacy
4. prepare equipment
5. select and clean puncture site
6. insert test strip into meter
7. place injector against site
8. apply blood to test strip
9. read results
10. evaluate
Blood Glucose Testing: purpose Correct Answers 1. promote
blood glucose regulation by patient
2. evaluate effectiveness of insulin administration
BMR Correct Answers rate at which the body metabolizes food
to maintain the energy requirement of a person while they are
awake and at rest
BMR for men and women Correct Answers men= 1 cal/kg/h of
body weight
women= 0.9 cal/kg/h of body weight
BNP Correct Answers produced by heart ventricles, elevated
with heart failure
Body mass index Correct Answers most reliable measure of a
patients healthy weight, ratio of height to weight
bulimia nervosa Correct Answers binging and purging
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