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NUR 160 Exam 2, HONDROS New Questions and Answers 100% Solved $11.99   Add to cart

Exam (elaborations)

NUR 160 Exam 2, HONDROS New Questions and Answers 100% Solved

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  • NUR 160
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  • NUR 160

NUR 160 Exam 2, HONDROS New Questions and Answers 100% Solved

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  • September 18, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 160
  • NUR 160
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NUR 160 Exam 2, HONDROS New Questions and
Answers 100% Solved
evisceration - ✔✔when an organ is sticking up out of a wound that has opened



Dehiscense - ✔✔When a wound has opened up, most often d/t force (cough)



What to do for dehiscense - ✔✔put pillow on abdomen when coughing, semi-high fowler's,


cover with sterile, moist dressing and notify MD


Pain meds - ✔✔start low, go slow



Physiological signs of pain - ✔✔Red, sweating,crying, irritated, fetal position



How to help with pt pain - ✔✔try non- pharmacological interventions first, when nothing


worksask someone else, go through chain of command


at risk for urinary retention - ✔✔post-surgical, men with large prostates, TBI, stroke,


paralyzed


Nursing interventions for urinary retention - ✔✔i&o, push fluids, run water, stick hands in


warm

, water, bladder scan-see how much is in there (if at or more than 200, call someone), pt will


need


straight cath at that point, when straight cathed, if you get to 1000, clamp it off and go back


later.


DVT signs and symptoms - ✔✔unilateral swelling, redness, hot, painful, pulseless, cannot


move


toes or very little, pale below where clot is


Prevention of DVT - ✔✔early and frequent ambulation, TED hose



Safety with DVT - ✔✔immobilize, call MD, you do not move the pt,



Bowel Obstruction - ✔✔bloating, abdominal pain, nausea, vomiting, constipation



Nursing Interventions for Bowel Obstruction - ✔✔auscultate bowel sounds (5min/quadrant),


look, listen, feel, get pt moving, coughing and deep breathing, ZERO bowel sound sis an


emergency, notify MD


Prednisone - ✔✔decreases inflammation



Causes of Respiratory Alkalosis - ✔✔Hyperventilation, Obesity, Anxiety

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