NURA 1100 Final Questions and Correct Answers/ Latest Update / Already Graded

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NURA 1100 Final Questions and Correct
Answers/ Latest Update / Already Graded
What type of assessment is needed for a patient having SOB?

Ans: Focused respiratory assessment


What are some things you would assess during a focused respiratory
assessment?

Ans: Respiratory rate, O2 sat, pattern, breath sounds, nasal
flaring, chest expansion


List 3 adventitious breath sounds

Ans: Crackles, rhonchi, and wheezing


List nursing interventions for crackles

Ans: Diuretics, elevate HOB 90 degrees


List nursing interventions for rhonchi

Ans: Encourage cough, increase fluids, avoid dairy


List nursing interventions for wheezing

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Ans: bronchodilators, anti-inflammatories


What adventitious breath sound CAN be cleared by coughing?

Ans: Rhonchi


C/o leg pain, errythema, warmth, and swelling indicates?

Ans: Deep vein thrombosis DVT


What medications are DVTs treated with?

Ans: coumadin and heparin


How does the nurse assess vocal (tactile) fremitus?

Ans: "99"


Define atelectasis

Ans: collapse of the alveoli in the bases of the lungs


List interventions to prevent atelectasis




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Ans: TCDB, incentive spirometer, CPT, elevate HOB,
encourage fluids


Define pneumothorax

Ans: collapse of whole lung


How is pneumothorax treated?

Ans: chest tube


List symptoms of cardiovascular disease

Ans: cyanosis, arrhythmia, edema, prolonged cap. refill,
angina, SOB; dyspnea, fatigue, thready pulse


How does a nurse assess chest excursion?

Ans: place thumbs on back, instruct to "take a deep breath,"
thumbs should move apart about 5"


What could be indicative of thumbs not moving about 5" on each side
during an assessment of chest excursion?

Ans: a collapsed lung



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What is the nurse's action when finding an irregular-shaped pupil in
one eye?

Ans: Ask, "were you born with this?"


What would patient data of "smokes cigarettes" indicate?

Ans: Need for a focused assessment


What questions would a nurse ask a smoker?

Ans: How much? how long? What kind? Cough? Productive?
Color?


Name abnormal heart sounds

Ans: Murmur, rub, gallop, S3, S4


What is a common abnormal heart sound after open heart surgery?

Ans: Rub


Name the characteristics that are noted when assessing a radial pulse.

Ans: Rate, rhythm, strength, equality, and elasticity.

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