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
-vitals
-ABC- airways, breathing, circulation
-pain
-past medical history
-medications
,NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
-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
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.
,NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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.
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
, NU 211: Exam 3 TEST NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
*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
Pulmonary artery - correct answer Carries deoxygentated blood from the heart to the lungs
valves of the veins - correct answer Prevent back-flow of blood in veins and keep everything
flowing in one direction-- prevent blood from pooling at the feet
valves of the heart - correct answer mechanical devices that permit the flow of blood in one
direction only
heart arrhythmia - correct answer abnormal or irregular heartbeat-- issues with electrical
conduction
Pacemaker of the heart - correct answer SA node
SA node (sinoatrial node) beats per minute - correct answer usually 70 beats per minute
*pacemaker of the heart
AV node - correct answer (atrioventricular node) region of the heart between the right atrium
and right ventricle from which electrical impulses spread to the ventricles during a heartbeat
mitral and tricuspid
40 beats per minute
Bundle of His - correct answer neurological fibers extending from the AV node to the right and
left bundle branches that fire the impulse from the AV node to the Purkinje fibers
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