Nursing 231 Final Review Questions and 100% Correct Answers
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Course
NUR 231
Institution
NUR 231
a nurse is administering a tube feeding for a patient who is post bowel surgery. when attempting to aspirate the contents, the nurse notes that the tube is clogged. what would be the nurses next action following this assessment? -use warm water to remove the clog
a nurse is administering a large-v...
Nursing 231 Final Review Questions and
100% Correct Answers
a nurse is administering a tube feeding for a patient who is post bowel surgery. when
attempting to aspirate the contents, the nurse notes that the tube is clogged. what would
be the nurses next action following this assessment? ✅-use warm water to remove the
clog
a nurse is administering a large-volume cleansing enema to a patient prior to surgery.
once the enema solution is introduced, the patient reports cramping. What nursing
intervention would the nurse perform next based on this patient's reaction? ✅-Lower
the solution container and check the temperature and flow rate
a nurse is changing the stoma appliance on a patients ileostomy. which characteristic of
the stoma would alert the nurse that the patient is experiencing ischemia? ✅-The
stoma is a purple-blue color
a medication order reads out "K-Dur, 20 mEq po BID." when and how does the nurse
correctly give this drug? ✅-twice a day by oral route
a nurse is caring for a patient who has been hospitalized for an acute asthma
exacerbation, which testing method might the nurse use to measure the patients oxygen
saturation? ✅-Pulse oximetry
a nurse is discharging a patient from the hospital following a heart stent procedure. the
patient asks to see a copy of his medical record. What is the nurse's best response?
✅-"I will need to check with our records department to get you a copy"
a nurse caring for older adults in a skilled nursing home observes physical changes in
patients that are part of the normal aging process. which changes reflect this process?
SELECT ALL THAT APPLY ✅-Fatty tissue is redistributed
-The skin is drier and wrinkles appear
-Visual and hearing acuity diminishes
a nurse is teaching first aid to counselors of a summer camp for children with asthma.
this is an example of what aim of health teaching? ✅-preventing illness
a patient who is having a myocardial infraction reports pain that is situated in the neck.
the nurse documents this as what type of pain? ✅-referred pain
a cancer patient has been in the ICU for 3 weeks. Her husband states they had talked
about the end of her life and she clearly did not want aggressive treatment that would
, prolong dying. which order will the nurse suggest discussing with her physician? ✅-
Comfort Measures Only
---for a comfort measures only order all aggressive treatment would be stopped at this
point, and all care would be directed to a comfortable, dignified death. When a person
chooses comfort care, CPR will not be performed. A do not hospitalize order is often
used for patients in long-term care and other residential settings who have elected not
to be hospitalized for further aggressive treatment. A do not resuscitate order means
that no attempts are to be made to resuscitate a patient whose breathing or heart stops.
Slow code means that calling a code and resuscitating that patient are to be delayed
until these measures will be ineffectual. Many health care institutions have policies
forbidding this, and a nurse could be charged with negligence in the event of a Slow
Code and resulting patient death
ordered: Synthroid 75 mcg po.
Available: Synthriod 50 mcg tablet
how many tablets do you give? ✅1 1/2 tablets
--75 mcg/1 X 1 tablet/50 mcg = 1.5 tablet
the first step in addressing medication safety is? ✅-knowledge of the medications to be
given
a 70 year old patient with pulmonary edema had been prescribed furosemide for
treatment. the nurse knows this medication is a loop diuretic and therefore will assess
for which side affect? ✅hypokalemia
--adverse effects of furosemide include hypotension and low electrolytes including
potassium (hypokalemia), sodium (hyponatremia), and calcium (hypocalcemia). since
furosemide is a loop diuretic that pulls off excess water that electrolytes are also
excreted with water
a nurse is caring for a man who is taking Digoxin for his Atrial Fibulation. in monitoring
his medications, the nurse knows that the goal if drug therapy is to have enough drug in
the body to be beneficial but not enough to be toxic. This is called? ✅Therapeutic
range
--therapeutic range is the goal of drug therapy. it is the range between the low (trough)
and the hight (peak) concentrations. the serum drug level indicates the amount of drug
in the system at a particular time
in understanding the use of controlled substances for patients, it is important that the
nurse knows that controlled drugs are? ✅-scheduled according to medical use and
potential for abuse
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