NUR1023C Exam 3 Study Guide (MOD 4 & 5) Questions
With Complete Solutions
__________ is when fluid from in the cell moves out of the cell.
Correct Answer Hypertonic
___________ is when outside fluid moves into the cell. Correct
Answer Hypotonic
____________ is when fluid is the same gradient inside and
outside of cell, no movement. Balanced. Correct Answer
Isotonic
5 rights of delegation: Correct Answer task, person,
delegation/supervision, direction/communication, circumstance
6 rights of medication: Correct Answer Patient, medication,
route, dose, frequency (time), documentation
A barrel chest is a sign of: Correct Answer COPD (chronic
obstructive pulmonary disease)
A goal for insomnia is: Correct Answer ***To have pt fall
asleep within 15 minutes
A myocardial infarction (MI), commonly known as a heart
attack, occurs when: Correct Answer a portion of the heart is
deprived of oxygen due to blockage of a coronary artery.
Coronary arteries supply the heart muscle (myocardium) with
oxygenated blood. Without oxygen, muscle cells served by the
blocked artery begin to die (infarct).
,A positive Chvostek's sign and Trousseau's sign indicate:
Correct Answer hypocalcemia or hypomagnesemia
After surgeries you should assess for: Correct Answer gag
reflex, gas, bowel sounds, Paralytic Ileus (obstruction of the
intestine due to paralysis of the intestinal muscles).
An inspired spirometer can: Correct Answer decrease chance
of infection or pneumonia
increases lungs expanding = increased oxygenation and it can
help with gas exchange
Another word for low hematocrit Correct Answer Anemia
Blood flow through the heart: Correct Answer
CAM therapies can be: Correct Answer contraindicated with
specific pharmacological drugs.
Example fish oil regimen with anti-coagulants (Coumadin /
Warfarin)
Cardiac output is: Correct Answer the volume of blood being
pumped by the heart, in particular by the ***left*** or right
ventricle, per unit time.
Causes of HYPOvolemia are: Correct Answer Diarrhea, n/v,
trauma, diuretic uses, excessive sweating.
,Think dehydration
Central perfusion goes from: Correct Answer the heart to the
rest of the body
Criteria of a professional: Correct Answer Education
Licensure
Describe the step by step procedure of giving pt's medication:
Correct Answer 1. Receive/verify order
2. Assess need- screen for pain, nausea, blood sugar, etc (request
information from instructor)
3. Gather supplies and check 6 rights
• Right drug, dose, time, route, patient, documentation
4. Check expiration of medication
5. Calculate dose, draw up, check 6 rights
• Right drug, dose, time, route, patient, documentation
6. Introduce yourself to patient, perform hand hygiene, verify
identity, ask for allergies, check 6 rights
• Right drug, dose, time, route, patient, documentation
7. Select injection site avoiding bruised or damaged site
8. Administer medication
9. Assess site
10. Return patient to comfortable position, both side rails up,
call bell within reach, etc
During a pain assessment, what should you ask the pt? Correct
Answer Location
Severity- Likert/Wong Baker Scale
Onset
Duration
, Character- stabbing, burning, dull, sharp, pressure, throbbing
(WHAT IT FEELS LIKE TO PT)
Radiation/Referring
Exacerbating/Relieving factors
Examples of biological CAM: Correct Answer Diet and
nutrition, herbs, vitamins, supplements, Tai Chi, Yoga, Pilates
Examples of body based and physical CAM: Correct Answer
Massage, acupuncture, hot and cold therapy, acupressure
Examples of homeopathic CAM: Correct Answer chiropractic,
holistic, osteopathic (D.O.), bio-feedback
Examples of manipulation CAM: Correct Answer massage
Examples of Mind and Body CAM: Correct Answer
Meditation, Tai Chi, Music Therapy, Distraction-Guided
Imagery, Pet Therapy, Prayer, meditation. Deep breathing, and
relaxation techniques.
Examples of natural remedies CAM: Correct Answer herbs,
supplements
Examples of parasomnia: Correct Answer Somnambulism =
Sleepwalking
Nocturnal Enuresis = bed wetting
Sleep terrors and Night terrors = parasomnia where a person
wakes in a terrified state