Blueprint for Success NUR 130 Exam 1 Questions And Answers
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Course
NUR 130
Institution
NUR 130
open-ended questions - ANS open-ended questions (narrative response): gives the pt discretion about the extent of his or her answers, and does not presuppose a specific answer. they prompt pt to describe a situation in more than one or two words
What nursing interventions can be done for a pat...
Blueprint for Success NUR 130 Exam 1
Questions And Answers
open-ended questions - ANS open-ended questions (narrative response): gives the pt
discretion about the extent of his or her answers, and does not presuppose a specific answer.
they prompt pt to describe a situation in more than one or two words
What nursing interventions can be done for a patient with dehydration? - ANS maintaining
intake of fluids prevents dehydration resulting from diaphoresis. The patients increased
metabolic rate requires an adequate nutritional intake, which maybe provided through IV
parenteral nutrition. Rest preserves energy for the healing process
what ways to assess a patient for dehydration? - ANS dehydration and edema increase the
rate of skin breakdown in a pt who is immobilized. Can assess the mouth and check mucous
membranes which dry easily, when checking skin turgor if it fails to reassume its normal contour
or shape.
Give examples of the type of patients who would likely be on fluid restriction - ANS Kidney
disease, heart failure, hyponatremia, cardiopulmonary
interventions for hyperkalemia - ANS administer IV calcium, obtain specimens for serum
potassium levels every 2 to 4 hours, ensure low-potassium diet
monitoring for hyperkalemia - ANS serum potassium levels, I&O, signs and symptoms of hyper
and hypokalemia
monitoring for hypokalemia - ANS monitor cardia, respirations, neuro, GI, urinary I&O, renal
status
interventions for hypokalemia - ANS Oral/IV potassium supplements, monitor EKG and ABGs
Foods high in potassium - ANS fruits, potatoes, instant coffee, molasses, brazil nuts
foods low in potassium - ANS applesauce
green beans
cabbage
lettuce
peppers
grapes
explain how to instruct a patient with diabetes about proper foot care - ANS assess skin for
redness, abrasions, and open areas daily
apply lotion to feet daily
clean between toes after bathing
discuss what should be included in the first step of a comprehensive physical examination -
ANS Develop a plan of care.
The first action the nurse should take using the nursing process is to assess the client and
develop a plan of care. The nursing process follows the steps of assessment, analysis,
planning, implementation, and evaluation.
Explain accountability - ANS means that you are responsible professionally and legally for the
type and quality of nursing care provided. You must remain current and competent in nursing
and scientific knowledge and technical skills.
Ex: You note that the patient has a fever and the surgical wound has a yellow-green discharge.
You collaborate with other health professionals to develop the best treatment plan for this
patient's surgical wound infection.
Explain responsibility - ANS is the knowledge that you are accountable for your decisions,
actions, and critical thinking, when caring for patients you are responsible for correctly
performing nursing care activities on the basis of standards of practice
Ex: you do not take shortcuts (e.g., failing to identify a patient, preparing medication doses for
multiple patients at the same time) when administering medications.
discuss interventions for a patient having a seizure - ANS have an oral airway, oxygen and
suction readily available, keep bed in low position with side rails up. stay with pt to protect them
injuring themselves, observe and time seizure activity
give examples of nursing interventions(autonomy) that do not require a health care provider's
order or prescription - ANS you independently implement coughing and deep-breathing
exercises for a patient who recently had surgery
Explain the 'planning' step of the nursing process. Give an example - ANS the nurse priortizes
the nursing dx and identifies goals with specific outcome identification
pt cholesterol levels and high bp so we can suggest pt to be on medication to help lower these
numbers and recommends he exercise at least twice a week
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