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NUR 2050 Final exam study guide questions and answers
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NUR 2050 Final exam study guide questions and answers
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NUR 2050: Final exam study guidequestions and answers 2025-2026
What is a never event, and what are some examples of a never event? -
answer -shocking medical errors that should never occur
-adverse events that are unambiguous
-leads to serious disability or death
-usually preventable.
EX: CAUTI, DVT, stage 3/4 pressure injuries nosocomial
Who qualifies for Medicare and what are the 3 parts of it? - answer - 65
years +-
younger but disabled after receiving SSDI for 2 years
-person who has end-stage renal disease or ALS.
Medicare part A: "hospital insurance", limited home healthcare, and
hospice care
Medicare part B: covers doctors visits, medical equipment, home health
care, labs, xray, preventative services
Medicare part D: drug coverage
What is Medicaid and who is eligible for it? - answer -created to meet
healthcare needs of poor
-eligibility is income based
What is HIPPA? What can the nurse do to make sure patient privacy is not
breeched. - answer HIPPA is a law put in place to protect patients personal
protected information.
-Nurses should not share passwords
,-log off of computers after leaving
-do not discuss patients using identifying information in the hallways/open
areas
What is orthostatic hypotension? What should be done to prevent this? -
answer decreased ability to equalize blood supply when moving from a
lying to standing position
-results is a drop of 20+ in systolic pressure OR a drop of 10+ in diastolic
pressure.
-treat underlying cause such as dehydration
-try to ambulate patient slowly
Nursing interventions to prevent pressure ulcers and DVT? - answer DVT
Prevention: -TED hoses-sequential compression device, ambulation/range
of motion
Pressure injuries: Repositioning every 2 hours, use of wedges/pillows
under bony prominences, preventative dressings over bony prominences.
What are sequential compression devices? - answer Inflatable sleeves that
wrap around the legs that inflate with air one at a time to mimic walking.
These are used to prevent DVT's.
Antidote for coumadin and heparin - answer -Coumadin: vitamin K
-Heparin: protamine sulfate
What should a nurse monitor for after an Esophagogastroduodenoscopy
(EGD)? - answer -Monitor vital signs (blood pressure, pulse, respiration)
- as ordered Give the client throat lozenges or analgesics for throat
discomfort.
- Inform the client that he or she may have flatus or burp-up gas, which is
normal.
-Monitor for return of gag reflex
, What should a nurse monitor for after a colonoscopy? - answer -Observe
the patient closely for signs of bowel perforation. Signs of bowel
perforations such as severe abdominal pain, nausea, vomiting, fever, and
chills must be reported immediately.
-Rectal bleeding
What is thrombocytopenia? Symptom presentation? - answer -Decrease in
platelet count, includes decreased production and survival, and increased
destruction (under 140,000) Panic level= less than 20,000
S/s-spontaneous/prolonged bleeding, petechiae, and ecchymosis
What are nursing interventions/teaching for someone with
thrombocytopenia? - answer -Protect from injury, monitor for
bleeding/bruising/red patches (petechiae and ecchymosis)
-Avoid IM injections, strenuous activities, aspirin/NSAIDs/anticoagulants,
or sharp foods
-Put prolonged pressure over injection/venipuncture sites
-Use electric razors, and eat cooked food (mushy/soft)
-No enemas or rectal temp., use stool softeners to avoid hemorrhoids from
straining
What are safety concerns or interventions for pt going under a MRI? -
answer -Preprocedural
---Screen for internal/external metal objects
---Tattoos can swell/burn, won't last long
-Procedure
---Lie very still, ear plugs available since a "crushing metal" noise can be
heard
---Metal fillings in teeth may tingle
---If pt is claustrophobic may use sedatives
-Contraindications
---Pregnancy, epilepsy, implanted devices
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