NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
You are the nurse assessing a patient. What are some signs of excess fluid volume
(hypervolemia) - correct answer edema/ascites, crackles in the lungs, pale, cool
skin, elevated blood pressure, bounding pulse
What med will help with fluid volume excess? - correct answer diuretic (lasix)
med will help pt urinate out excess fluid--> may cause potassium loss
A patient who is obese is admitted with a diagnosis of congestive heart failure.
The nursing history reveals the patient has diabetes, smokes 2 packs of cigarettes
daily, and is noncompliant with diet, exercise, and medications. The student nurse
assigned to the patient states, "Let's focus on making them compliant, which will
solve all the problems. Otherwise, we can't help them." What is the most
appropriate response? - correct answer Only compliance will not fix the issue of
taking meds and lifestyle changes.
Start with some baby steps. Start with cutting down to one pack a day. Nurse
must understand that the client must change themselves and take control over
their health.
How can we measure fluid status on patient? - correct answer Taking a daily
weight (usually in the morning) at the same time every day
What are some signs a patient with deficit fluid volume (hypovolemia) present? -
correct answer dehydration, dry skin, dry mucous membranes, non-elastic skin
turgor, decreased uring output and hypotension, increased heart rate, rise in
temperature, weight loss
What are some fluid volume nursing diagnoses? - correct answer -deficient fluid
volume
-excess fluid volume
-risk for deficient fluid volume
-risk for imbalanced fluid volume
Nursing Assessment - correct answer systematic and continuous collection and
analysis of information about the client
,NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
-vitals
-ABC- airways, breathing, circulation
-pain
-past medical history
-medications
-allergies
-symptoms
urination in older adults - correct answer -Kidney function decreases
-Urgency and frequency is common-- nocturnal frequency
-Loss of bladder elasticity--> nocturia, incomplete emptying= stasis and increase
risk of UTI's
Factors affecting urinary elimination - correct answer -Personal
-Sociocultural
-Environmental
-Nutrition
-Hydration
-Activity level
-Medications
-Surgery
Pain in lower back and fever with chills. Strong persistant urge to urinate. Urine
dipstick is positive for RBC's. leukocytes and bacteria. - correct answer Most
likely a UTI that traveled to the kidneys
,NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The female client states to the nurse, "I'm so distressed. It seems like every time I
laugh hard, I wet myself." The nurse knows that this condition is known as: -
correct answer Stress incontinence
Patient cannot make it to the bathroom due to the cords from oxygen tank. What
kind of incontinence would this be? - correct answer Functional incontinence
urge incontinence - correct answer state in which a person experiences
involuntary passage of urine that occurs soon after a strong sense of urgency to
void
The nurse prepares to insert an indwelling urinary catheter. Which statement
least explains the reason for this intervention?
A.Empty your bladder prior to your procedure.
B.Treat your problem of leaking urine.
C.Obtain a sterile urine specimen for culture.
D.Measure the amount of urine left after you emptied your bladder. - correct
answer B. We do not put a catheter in because of incontinence
How do nurses manage urinary incontinence with our patients? - correct answer
Educate:
-preventing skin breakdown
-implement bladder training
-encourage client to perform kegel exercises
Catheters candidates vs noncandidates - correct answer -Catheters need a order.
Typically a standing order by physician
Uses: urinary retention, need exact output to measure, for comfort during
hospice sometimes so we do not have to roll patient too much and to protect the
skin integrity of a sore on bottom, sometimes to prevent bladder distention (full
bladder) during surgeries.
, NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Non-uses: incontience, confusion, immobile
overflow incontinence - correct answer involuntary loss of urine associated with
overdistention (full bladder) and overflow of the bladder
The nursing process - correct answer ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
The coronary arteries receive the most blood flow during - correct answer
diastole
*Because this is when the heart is relaces and they receive the least blood flow
during systole because this is when the myocardium contracts decreasing the
blood flow through the coronary arteries
Blood flow through the heart - correct answer SVC/IVC --> Rt atria --> Tricuspid
Valve--> Rt ventricle --> Pulmonary valve --> Pulmonary Artery--> Lungs-->
Pulmonary Veins --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve -->
aorta --> Body
Veins - correct answer Pulmonary veins- blood vessels that carry oxygenated
blood back to the heart
*usually deoxygenated
pulmonary circulation - correct answer flow of blood from the heart to the lungs
and back to the heart
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradebooster. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
