NUR 120 FINAL EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|NEWEST|LATEST UPDATE
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Aromatherapy that can help promote sleep
lavender
Clients at high risk for sensory overload
acute or chronic illness, patient in pain, intrusive monitoring or treatments (dialysis or chemotherapy),
patient in ICU, disturbances of the nervous system, surgery, autism
Type of parasomnia that occurs when the patient is walking but still asleep
somnolence - priority is safety
Self-concept stressors
identity, body image, role performance, self-esteem
Interventions for a client with severe edema
low-salt diet, maintenance of underlying health condition contributing to edema, reduction of IV fluids
and administer diuretics as ordered
Potential post-op complications
atelectasis, pneumonia, infection, pulmonary embolism, hypovolemic shock
Obesity risk factors
T2DM, HTN, cardiovascular disease
Intervention for a client with obstructive sleep apnea
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,utilization of a CPAP
plan for weight reduction
lifestyle changes (decrease alcohol, smoking)
avoidance of back-sleeping
Defense mechanisms that clients utilize to cope with stress
compartmentalization, displacement, denial, projection, rationalization, regression, repression
Interventions for sensory deprivation
therapeutic touch (if client agrees), stimuli such as TV, radio, reading material, calendars, photos of
family members, and pets
What IV solution can only be administered with blood products?
0.9%, NS, isotonic
What is the purpose of a metered-dose inhaler?
It delivers a more precise dose of medication
The best indicator for fluid status of a patient (fluid volume excess/deficit)
daily weight (2-3 lbs gain or loss/day, or 5 lbs gain or loss/week)
Diagnostic surgery
make or confirm diagnosis
Ablative surgery
removal of diseased part
Palliative surgery
relieve intensity of pain or provide comfort
Reconstructive surgery
restore function
What is required for the formation of vitamin D in the body?
UV rays from sunlight
Oral supplements (calcium)
Dietary sources
Which IV complication causes swelling, redness, warmth, streak formation, or pain around the IV site?
Phlebitis - stop the IV, assess and call provider
BMI calculation
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, BMI = (weight in lbs x 703) / (height in inches x height in inches)
BMI below 18.5
underweight
BMI 18.5 to 24.9
normal weight
BMI 25 to 29.9
overweight
BMI 30 or more
obese
BMI 40 or more
extreme obesity
Recommendations for sleep promotion
exercise at least 4 hours before bed
eat a light snack with healthy protein & carbs
sleep in a cool, well-ventilated room
remove unnecessary light and noise
Respiratory acidosis clinical manifestations
headache, tremors, flushed skin, confusion & restlessness - can be caused by CNS depression
Three stages of general adaptation syndrome (GAS)
alarm, resistance, exhaustion
Alarm reaction
fight/flight response - increased HR, BP, and metabolism
Stage of resistance
body attempts to adapt to stressor - vital signs, hormone levels, and energy production return to normal
Stage of exhaustion
body either rests and mobilizes or dies - vasodilation, decreased BP, increased pulse and respirations
What sensory alteration are older adults more prone to in the hospital?
sensory overload
Virtue
moral-ethical principles one lives by
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