NUR 160 Exam 2, HONDROS |Latest
Exam Questions And Verified Answers
2026
Nursing Interventions for hypovolemic shock - correct-answer -monitor vitals,
behavior, output, assess pt, notify MD, raise legs, push fluids, give meds as
prescribed, pt may need O2 and they may need to be tipped on head
evisceration - correct-answer -when an organ is sticking up out of a wound that
has opened
Dehiscense - correct-answer -When a wound has opened up, most often d/t force
(cough)
What to do for dehiscense - correct-answer -put pillow on abdomen when
coughing, semi-high fowler's, cover with sterile, moist dressing and notify MD
Pain meds - correct-answer -start low, go slow
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Physiological signs of pain - correct-answer -Red, sweating,crying, irritated, fetal
position
How to help with pt pain - correct-answer -try non- pharmacological interventions
first, when nothing works-ask someone else, go through chain of command
at risk for urinary retention - correct-answer -post-surgical, men with large
prostates, TBI, stroke, paralyzed
Nursing interventions for urinary retention - correct-answer -i&o, push fluids, run
water, stick hands in warm water, bladder scan-see how much is in there (if at or
more than 200, call someone), pt will need straight cath at that point, when
straight cathed, if you get to 1000, clamp it off and go back later.
DVT signs and symptoms - correct-answer -unilateral swelling, redness, hot,
painful, pulseless, cannot move toes or very little, pale below where clot is
Prevention of DVT - correct-answer -early and frequent ambulation, TED hose
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Safety with DVT - correct-answer -immobilize, call MD, you do not move the pt,
Bowel Obstruction - correct-answer -bloating, abdominal pain, nausea, vomiting,
constipation
Nursing Interventions for Bowel Obstruction - correct-answer -auscultate bowel
sounds (5min/quadrant), look, listen, feel, get pt moving, coughing and deep
breathing, ZERO bowel sound sis an emergency, notify MD
Prednisone - correct-answer -decreases inflammation
Causes of Respiratory Alkalosis - correct-answer -Hyperventilation, Obesity,
Anxiety
Causes of Respiratory Acidosis - correct-answer -asthma, COPD, pulmonary
edema, sedation