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NUR 195 Exam 2: Questions & Complete A+ Solutions
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NUR 195 Exam 2: Questions & Complete A+ Solutions
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NUR 195 Exam 2: Questions & Complete A+ Solutions What is the antidote for coumadin (warfarin)? Right Ans - Vitamin KHow would we administer vitamin K? Right Ans - Give it in the evening
What is the test we use for toxicity? Therapeutic range for this test? Right Ans - INR
2-3
The nurse is planning to crush medications for a patient to administer via NG tube. What type of Medication cannot be crushed? Right Ans - Extended release
Enteric coated
Sustained release
Whole capsules
If a patients blood sugar is too high, we would use? Right Ans - Rapid insulin eg Novalog
Can we mix rapid acting insulin with long acting? Right Ans - No, you can only mix regular and NPH
How to respond to patients in Respiratory distress? Right Ans - Raise HOB
O2 stats assessment
Listen to lung sounds
CALL THE DOCTOR LAST
Post-operative care for a patient? Right Ans - IV fluids
Wound care
Ted hose
Pain meds
Incentive spirometer
Ambulation
Vital signs What is A red flag to question when reviewing a post op physicians order? Right Ans - States to resume previous orders
No new orders
What signs should we watch for in a 5 hour postoperative patient? Right Ans - Drop in respirations
Decrease in O2 stats
Fever greater than 100 (normal to have a fever 99-100 after surgery) (check this)
What is normal to see in a patient who's had a hysterectomy? What is not normal? Right Ans - Vaginal drainage
Large blood clots and excessive bleeding are not normal!
What are some benefits of ambulation? Right Ans - Increases circulation
Helps with the GI system
Helps with pain
Care coordination Right Ans - Deciding who takes priority, certain types of people discussed
Ex: Mentally ill, frail,elderly etc
What is happening when a patient has a hemorrhagic stroke? Right Ans - A rupture of an artery or bleed in the brain
85 % of strokes are? Right Ans - Clots, ischemic
15% of strokes are Right Ans - hemorrhagic
Metformin is commonly used for? Right Ans - Type 2 diabetics
Lisinopril is given to what type of patient? Right Ans - Hypertensive It lowers blood pressure
You are working at a hospital making arrangements to transport a critical patient to a larger hospital. Providing traditional care, what would you do? Right Ans - Give report to the EMS that will be accompanying the patient by ambulance Adverse event is? Give an example Right Ans - Unintended harm, something harmful happened but not super extreme (giving the wrong med to
patient with no serious outcome)
Near miss event is? Give an example Right Ans - Realizing that was a mistake BEFORE the error occurred
Someone came in for surgery and reveals she didn't stop taking warfarin, surgery was then rescheduled
Sentinel Event: Right Ans - Unexpected harm happened and patient experienced extreme harm or died
You have a patient who is 8 hours post op, and we don't hear bowel sounds,is this normal? Right Ans - Yes its normal for bowel sounds to be absent up to
24 hours after abdominal surgery due to non movement from patient and anesthesia
What are some alternative ways to treat pain besides medication? Right Ans - Repositioning
Performing a thorough pain assessment
Dimming the lights in the patient's room
Massage pt (if appropriate)
What should the LPN know about the PCA pump? Right Ans - The LPN can only monitor
Can stop the pump if pt is showing signs of respiratory distress
If this patient listed above is on spironolactone (potassium-sparing diuretic), what types of foods should we educate them to avoid? Right Ans - Bananas
Potatoes
Oranges
Spironolactone (aldactone) is? Right Ans - Potassium sparing diuretic
What is spironolactone used for? Right Ans - Heart failure patients Helps remove excess fluid
Decrease pts BP
Monitor potassium levels Anemia Right Ans - A condition in which a person lacks healthy read blood cells to carry oxygen to the tissues Most commonly caused by an iron deficiency
How much percent of HBG is iron? Right Ans - 70% its in the RBC
Causes of anemia? Right Ans - Increased Fetal Demand
Vegetarian diet Poor diet Menstruation
Give some signs and symptoms of anemia? Right Ans - Lethargic Overexerted easily-sob Weird food cravings (ice, clay or dirt) Observe changes in RBC
Treatment for anemia Right Ans - Iron supplements taken on an empty stomach with vitamin C
Egg Yolks Leafy greens Potatoes Red meat Poultry ETC
What is sickle cell anemia? Right Ans - A genetic disorder causing red blood
cells to be rod/sickle shaped. This causes them to get stuck in capillaries and the bodies cells become deprived of oxygen
S/S of sickle cell crisis Right Ans - Pain in the back and joints
fatigue increased HR
SOB Significant blood loss
FVD Elevated temperature
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