NURS 261 Questions and Verified Answers
stool consistency: ileostomy Correct Answer: loose stools
stool consistency: colostomy Correct Answer: formed stools
Enternal tube feedings: intermittent Correct Answer: once every 4 hours, or once every ___ hours
enternal tube feedings: continuous Correct Answer: bag hooked up to a machine, constant feeding, bag
changed every 4 hours because of sanitary reasons
measures nurse can use enhance bowel function Correct Answer: adequate nutrition, familiar diet,
increased fiber, increased activity, adequate privacy, hygenic enviornment, medications, normal bowel
regimen
factors affecting bowel function Correct Answer: pain, pain meds, pregnancy, anesthesia, positioning,
surgery, lack of privacy, no schedule, stress, depression, age, hydration, diet, lack of activity
metabolic alkalosis Correct Answer: high pH (more than 7.45), high HCO3-, normal PaCO2
Respiratory alkalosis Correct Answer: High pH (more than 7.45), low PaCO2, normal HCO3-
Metabolic Acidosis Correct Answer: low pH, low HCO3-, PaCO2
Respiratory Acidosis Correct Answer: low pH (less than 7.35, raised PaCO2, normal HCO3-
SCD's: fxn and role Correct Answer: increase femoral venous blood velocities, only remove 1-2 hours,
once/twice a day while on bed rest
Measures a nurse can take to promote circulation Correct Answer: medications, excercise, postioning (do
not put knees at more than a 15 degree angle), TED's SCD's Foot pumps
venous stasis Correct Answer: slow blood flow to legs
thrombophelbitis Correct Answer: swelling of a vein caused by a blood clot
Blood flow through heart Correct Answer: the cavas>right atrium>tricuspid>right ventricle>pulmonary
to the lungs>from the veins>left atrium>bicuspid>left ventricle>aortic>body
, Factos affecting circulation Correct Answer: heredity,age,gender,serum lipid levels, hypertension,
smoking, diabetes, obesity, heat/cold, health status, stress, diet, alcohol
platelets/thrombocites: fxn and # Correct Answer: clot our blood, normal is over 250,000-400,000, high
risk for bleed if below this
WBC: fxn and # Correct Answer: normal around 5-10 thousand, goes sky high for infection
hematocrit Correct Answer: normally 3x what the hemoglobian should be (38-44) for most people
hemoglobian Correct Answer: lets us know how much hemoglobian is binding, normal in women is
around 12-14, 14-16 in men, low-no matter how much O2 recieving they cant carry it with blood cells
Normal O2 sat Correct Answer: 21%, liter increases it by 3-4% each time
nasal cannula Correct Answer: prongs, rubing over ears
face tent Correct Answer: helps if they can't keep a mask on their face
face masks Correct Answer: higher source of oxygen, breathe through their mouth, uncomfortable for
talking/eating, shorter period of time <12 hours
Nurse promotion of oxygenation Correct Answer: position changes freq, ambulation, excercising, pain
meds, deep breathing/coughing, medications, spirometers, percussion/draining (postiral drainage),
oxygen therapy
Tachy cardia Correct Answer: heary pumping faster to get more O2 to cells
Tachypnea Correct Answer: breathe in faster to get more air
anxiety: altered breathing Correct Answer: throws out stress hormones, sym nervous system stim, cant
control breathing, hypervent:anxiety, anxiety>hyper vent
Restlessness/confusion: altered breathing Correct Answer: hypoxic, not enough blood to brain, CO2 level
too high
accesory muscle use while breathing Correct Answer: instead of primary diaphragm, other muscles help
move the chest, not expanding completely
level of response: altered breathing Correct Answer: different/altered levels of response can be associated
with hypoxia or retention of CO2
stool consistency: ileostomy Correct Answer: loose stools
stool consistency: colostomy Correct Answer: formed stools
Enternal tube feedings: intermittent Correct Answer: once every 4 hours, or once every ___ hours
enternal tube feedings: continuous Correct Answer: bag hooked up to a machine, constant feeding, bag
changed every 4 hours because of sanitary reasons
measures nurse can use enhance bowel function Correct Answer: adequate nutrition, familiar diet,
increased fiber, increased activity, adequate privacy, hygenic enviornment, medications, normal bowel
regimen
factors affecting bowel function Correct Answer: pain, pain meds, pregnancy, anesthesia, positioning,
surgery, lack of privacy, no schedule, stress, depression, age, hydration, diet, lack of activity
metabolic alkalosis Correct Answer: high pH (more than 7.45), high HCO3-, normal PaCO2
Respiratory alkalosis Correct Answer: High pH (more than 7.45), low PaCO2, normal HCO3-
Metabolic Acidosis Correct Answer: low pH, low HCO3-, PaCO2
Respiratory Acidosis Correct Answer: low pH (less than 7.35, raised PaCO2, normal HCO3-
SCD's: fxn and role Correct Answer: increase femoral venous blood velocities, only remove 1-2 hours,
once/twice a day while on bed rest
Measures a nurse can take to promote circulation Correct Answer: medications, excercise, postioning (do
not put knees at more than a 15 degree angle), TED's SCD's Foot pumps
venous stasis Correct Answer: slow blood flow to legs
thrombophelbitis Correct Answer: swelling of a vein caused by a blood clot
Blood flow through heart Correct Answer: the cavas>right atrium>tricuspid>right ventricle>pulmonary
to the lungs>from the veins>left atrium>bicuspid>left ventricle>aortic>body
, Factos affecting circulation Correct Answer: heredity,age,gender,serum lipid levels, hypertension,
smoking, diabetes, obesity, heat/cold, health status, stress, diet, alcohol
platelets/thrombocites: fxn and # Correct Answer: clot our blood, normal is over 250,000-400,000, high
risk for bleed if below this
WBC: fxn and # Correct Answer: normal around 5-10 thousand, goes sky high for infection
hematocrit Correct Answer: normally 3x what the hemoglobian should be (38-44) for most people
hemoglobian Correct Answer: lets us know how much hemoglobian is binding, normal in women is
around 12-14, 14-16 in men, low-no matter how much O2 recieving they cant carry it with blood cells
Normal O2 sat Correct Answer: 21%, liter increases it by 3-4% each time
nasal cannula Correct Answer: prongs, rubing over ears
face tent Correct Answer: helps if they can't keep a mask on their face
face masks Correct Answer: higher source of oxygen, breathe through their mouth, uncomfortable for
talking/eating, shorter period of time <12 hours
Nurse promotion of oxygenation Correct Answer: position changes freq, ambulation, excercising, pain
meds, deep breathing/coughing, medications, spirometers, percussion/draining (postiral drainage),
oxygen therapy
Tachy cardia Correct Answer: heary pumping faster to get more O2 to cells
Tachypnea Correct Answer: breathe in faster to get more air
anxiety: altered breathing Correct Answer: throws out stress hormones, sym nervous system stim, cant
control breathing, hypervent:anxiety, anxiety>hyper vent
Restlessness/confusion: altered breathing Correct Answer: hypoxic, not enough blood to brain, CO2 level
too high
accesory muscle use while breathing Correct Answer: instead of primary diaphragm, other muscles help
move the chest, not expanding completely
level of response: altered breathing Correct Answer: different/altered levels of response can be associated
with hypoxia or retention of CO2
