NUR 185 TEST 1 HONDROS EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | EXAM ALREADY
GRADED A+ | LATEST EXAM UPDATE
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest
muscles to breathe, pulse ox of 87 on room air, pink frothy sputum. What
intervention would you implement first? - CORRECT ANSWER - O2 at 2
Liters/Min
Caring for pt. who is intubated and receiving mechanical ventilation. What
action by the nurse would decrease the patient's incidence of developing
ventilator associated pneumonia? - CORRECT ANSWER - Put head of bed at
30-45 degrees.
The nurse is administering acetylcysteine (muca-mist) as nebulizer treatment to
patient. Which should the nurse have available for adverse effect on the patient?
- CORRECT ANSWER - Suction equipment
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid),
Co2-50 Bicarb-28, PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - CORRECT
ANSWER - Apply O2 and give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check first? -
CORRECT ANSWER - COPD patient with resp rate of 30, O2 of 87 and on 3
Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was
not at hosp. when this occurred. Wife appears angry and states "What have you
all done to him?" What would be your response as a nurse? - CORRECT
ANSWER - Explain to the patient why the patient had to be intubated, continue
,to update patient's wife on condition and plan of care, I'm sorry that you walked
in on him like that, I understand this must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs: BUN-95
(high), Creatinine of 9.2, Potassium of 6.0 (high). What are you going to do -
CORRECT ANSWER - Give Kexolate, prepare the patient a central line for
dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - CORRECT ANSWER -
Instill non-prescription eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday. Patient up
in chair stating he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78.
Pulse ox 88 reading is after incentive spirometer. What actions would you take
at this time? - CORRECT ANSWER - Move pulse ox to another finger on the
other hand and recheck.
Vancomycin - CORRECT ANSWER - Nephrotoxic (meaning it can really
damage the kidney's) and Ototoxic (temp. hearing loss) Can be given IV, orally,
or via enema. pharmacy is usually involved with this medication.
Lomotil - CORRECT ANSWER - mix of 2 different drugs (atropine-can dry
up fluids or for bradycardia & diphenoxylate can raise the BP/HR and lower the
urinary output). Monitor BP and HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them.
Which to report potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? - CORRECT
ANSWER - HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's the use I
am just going to die anyway?" What is your response? - CORRECT ANSWER
- Ask the patient to tell you more about these feelings.
, Patient getting chemo for colon cancer. Has C-diff getting vanco. What is most
important - CORRECT ANSWER - Hearing Loss
Caring for patient at outpatient. Hgb 10.1 c/o abdominal pain. Occult blood test
at home. What would you educate on in patient plan of care? - CORRECT
ANSWER - Educate patient on high fiber diet and no red meat before test.
Patient with colorectal cancer. Vitals temp 98.9 pulse 99 resp 18 bp 114/76 Hgb
10.9. Six hours later, and you reassess. HgB 10.6, 2-4 liquid stools in last 6
hours, temp of 99.1, and bp 90/50. What should you be most concerned about? -
CORRECT ANSWER - Blood pressure.
Caring for patient with IBS. Last 4 hours pt. had 6 liquid bowel movements.
Requesting the lomotial. Vitals are 98.9 pul 98 resp 20 bp 164-96. Med given.
What should be highest priority. - CORRECT ANSWER - Monitor BP and
urinary output.
Patient who had colostomy done 3 days ago. Reporting abd. Discomfort. You
note these observations. What do you need to report? - CORRECT ANSWER -
Skin surrounding stoma is red and swollen with pruritus.
1 day post op following ilioconduit. What do you need to report to the RN
immediately? - CORRECT ANSWER - Abdominal pain and rigidity, Low abd.
Discomfort with 26 ml/hr urinary output.
Pt. with ileostomy who's sodium is 129 and Potassium is 2.9 (both low). What
are we going to include in the care plan and assessment? - CORRECT
ANSWER - Skin assessment, assess intake and output, asses mucus
membranes.
Prepping patient for sigmoid colostomy. What will you include in pre op and
post op teaching? - CORRECT ANSWER - Antibiotics will be given pre op
VERIFIED AND WELL DETAILED ANSWERS | EXAM ALREADY
GRADED A+ | LATEST EXAM UPDATE
Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest
muscles to breathe, pulse ox of 87 on room air, pink frothy sputum. What
intervention would you implement first? - CORRECT ANSWER - O2 at 2
Liters/Min
Caring for pt. who is intubated and receiving mechanical ventilation. What
action by the nurse would decrease the patient's incidence of developing
ventilator associated pneumonia? - CORRECT ANSWER - Put head of bed at
30-45 degrees.
The nurse is administering acetylcysteine (muca-mist) as nebulizer treatment to
patient. Which should the nurse have available for adverse effect on the patient?
- CORRECT ANSWER - Suction equipment
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3 (acid),
Co2-50 Bicarb-28, PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - CORRECT
ANSWER - Apply O2 and give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check first? -
CORRECT ANSWER - COPD patient with resp rate of 30, O2 of 87 and on 3
Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s wife was
not at hosp. when this occurred. Wife appears angry and states "What have you
all done to him?" What would be your response as a nurse? - CORRECT
ANSWER - Explain to the patient why the patient had to be intubated, continue
,to update patient's wife on condition and plan of care, I'm sorry that you walked
in on him like that, I understand this must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs: BUN-95
(high), Creatinine of 9.2, Potassium of 6.0 (high). What are you going to do -
CORRECT ANSWER - Give Kexolate, prepare the patient a central line for
dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - CORRECT ANSWER -
Instill non-prescription eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday. Patient up
in chair stating he feels good. Pain is 3/10. Resp. 16, pulse is 75, bp is 110/78.
Pulse ox 88 reading is after incentive spirometer. What actions would you take
at this time? - CORRECT ANSWER - Move pulse ox to another finger on the
other hand and recheck.
Vancomycin - CORRECT ANSWER - Nephrotoxic (meaning it can really
damage the kidney's) and Ototoxic (temp. hearing loss) Can be given IV, orally,
or via enema. pharmacy is usually involved with this medication.
Lomotil - CORRECT ANSWER - mix of 2 different drugs (atropine-can dry
up fluids or for bradycardia & diphenoxylate can raise the BP/HR and lower the
urinary output). Monitor BP and HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on them.
Which to report potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? - CORRECT
ANSWER - HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's the use I
am just going to die anyway?" What is your response? - CORRECT ANSWER
- Ask the patient to tell you more about these feelings.
, Patient getting chemo for colon cancer. Has C-diff getting vanco. What is most
important - CORRECT ANSWER - Hearing Loss
Caring for patient at outpatient. Hgb 10.1 c/o abdominal pain. Occult blood test
at home. What would you educate on in patient plan of care? - CORRECT
ANSWER - Educate patient on high fiber diet and no red meat before test.
Patient with colorectal cancer. Vitals temp 98.9 pulse 99 resp 18 bp 114/76 Hgb
10.9. Six hours later, and you reassess. HgB 10.6, 2-4 liquid stools in last 6
hours, temp of 99.1, and bp 90/50. What should you be most concerned about? -
CORRECT ANSWER - Blood pressure.
Caring for patient with IBS. Last 4 hours pt. had 6 liquid bowel movements.
Requesting the lomotial. Vitals are 98.9 pul 98 resp 20 bp 164-96. Med given.
What should be highest priority. - CORRECT ANSWER - Monitor BP and
urinary output.
Patient who had colostomy done 3 days ago. Reporting abd. Discomfort. You
note these observations. What do you need to report? - CORRECT ANSWER -
Skin surrounding stoma is red and swollen with pruritus.
1 day post op following ilioconduit. What do you need to report to the RN
immediately? - CORRECT ANSWER - Abdominal pain and rigidity, Low abd.
Discomfort with 26 ml/hr urinary output.
Pt. with ileostomy who's sodium is 129 and Potassium is 2.9 (both low). What
are we going to include in the care plan and assessment? - CORRECT
ANSWER - Skin assessment, assess intake and output, asses mucus
membranes.
Prepping patient for sigmoid colostomy. What will you include in pre op and
post op teaching? - CORRECT ANSWER - Antibiotics will be given pre op
