NU 301 Exam 3 Comprehensive Questions And 100% Correct Answers.
6 views 0 purchase
Course
NU301
Institution
NU301
You notice a respiratory change in your immobilized postoperative patient. The change you note is most consistent with:
A. atelectasis.
B. hypertension.
C. orthostatic hypotension.
D. coagulation of blood. - Answer A. atelectasis
Metabolic NI for an immobilized pt - Answer -high protei...
NU 301 Exam 3 Comprehensive
Questions And 100% Correct Answers.
You notice a respiratory change in your immobilized postoperative patient. The change you note is most
consistent with:
A. atelectasis.
B. hypertension.
C. orthostatic hypotension.
D. coagulation of blood. - Answer A. atelectasis
Metabolic NI for an immobilized pt - Answer -high protein, high calorie diet with vitamins B & C
-may need enteral feedings
-assess likes and dislikes
-may need to feed the patient
Respiratory NI for an immobilized pt - Answer -TCDB
-prevention of atelectasis/ pneumonia
-incentive spirometer
-PO hydration
CV NI for an immobilized pt - Answer -TEDs/SCDs
-dangle legs prior to standing
-ambulate
-heparin/ lovenox
-ROM exercises (active and passive)
Musculoskeletal NI for an immobilized pt - Answer -assess for muscle atrophy
-ROM exercises (active and passive)
-appropriate diet
,Urinary and bowel NI for an immobilized pt - Answer -I&O every 24 hours
-be sure the pt is receiving the right amount and method of fluid (IV or PO)
-assess urine color and consistency
-assess bowel sounds, abdominal distention, and bowel patterns for consistency and frequency
What are the complications of being immobile? - Answer -muscular deconditioning (disuse atrophy,
physiological, psychosocial, social)
What are the common patient positions? - Answer Fowler's, high Fowler's, semi Fowler's, supine,
prone, lateral, Sim's, Trendelenburg, reverse Trendelenburg, dorsal recumbent
How to set up a pt with a cane for the first time? - Answer -with pt standing, place cane 4 inches away
from side of foot
-top of cane should reach top of hip joint
-want arm flexed about 30 degrees when holding the cane
-use: hold cane on unaffected side, injured leg moves with the cane
-keep cane on stronger side of body
-place cane forward 6-10 inches keeping body weight on BOTH legs
-weaker leg is moved forward, divide weight between cane and stronger leg
, -stronger leg is advanced past cane, divide weight between cane and weaker leg
How to set up a pt with a set of crutches for the first time? - Answer -2,3,4 point gait
-stairs= foot first when going up and crutch first when going down
-gradually shift weight to healthy leg
-move crutches in front then shift weight from healthy leg to arms and swing body thru
-NEVER support with armpits
A nurse is teaching a client with left leg weakness to walk with a cane. What teaching points should the
nurse include? - Answer -hold cane on uninvolved side of body
-handle should be at hip bone
-avoid leaning on cane to get in and out of a chair
-leg stride should be equal on involved and uninvolved side
A pt with a long standing hx of DM is voicing concerns about kidney disease. Pt asks the nurse where
urine is formed in the kidney. The nurse responds: - Answer nephron
What is the desired hourly urinary output for an adult? - Answer 30-60 mL/ hour so 720-1440 mL/ day
What intervention is most important for the nurse to implement for a male client who is experiencing
urinary retention? - Answer Assess for bladder distention
A health care provider may suspect that a client is experiencing urinary retention when the client has: -
Answer small amounts of urine voided 2-3 times per hour
A young girl is having problems urinating postoperatively. You remember children may have trouble
urinating: - Answer in the presence of a person that is not their parent
SAFETY MEASURES - Answer
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 TestSolver9. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.09. You're not tied to anything after your purchase.
