NUR 176 – Exam 2, Nursing Fundamentals Course, Study Guide and Key
Concepts Review
What are some things that you can delegate to a UAP? - ANS ✔✔assisting patient to dining
room, emptying a foley and charting the amount, administer over the counter eyedrops
What are some things that you cannot delegate to a UAP? - ANS ✔✔pulse check on foot for
procedure, abdominal incision sterile dressing, medication passes, assessments, patient
teaching
You have a patient with severe anemia. What kinds of interventions would you put in place? -
ANS ✔✔change diet to high iron (red meats, spinach, legumes, eggs, poultry); alternate
between activities; report blood in urine or stool
Anemia s/s - ANS ✔✔weakness, fatigue, pallor, dyspnea, tachycardia, chest pain, muscle
pain/cramping, monitor for bleeding (bloody vomit/coffee ground emesis, bloody urine, etc),
low Hgb levels
Hemophilia S/S - ANS ✔✔Bruising, pallor, prolonged bleeding; bleeding into joint space
spontaneously which causes blood to build up and causes arthritic disorder; pain in joints;
longer to stop bleeding after injury- may require plasma or platelets to help clot
spironolactone is a - ANS ✔✔potassium sparing diuretic; given to help retain potassium
You have a patient that is complaining of itching and they have gray pigmentation on their skin,
what might you suspect is going on with them? - ANS ✔✔chronic renal failure
Chronic renal failure s/s - ANS ✔✔extreme fatigue, dark/dusky skin (could be yellow/tan),
elevated BUN and creatinine, confusion
, metabolic acidosis, dry/itchy skin, hypertension due to electrolyte imbalance, cardiovascular
disturbances due to elevated K+
Right sided heart failure s/s - ANS ✔✔blood that supplies R side comes from extremities; if R
ventricle isn't working correctly, backs up into right atrium; edema, JVD, abdominal fluid
(ascites)
BUN normal level - ANS ✔✔10-20mg/dL
creatinine normal level - ANS ✔✔0.6-1.2
hemoglobin normal range - ANS ✔✔12-18
WBC normal range - ANS ✔✔5,000-10,000
specific gravity normal range - ANS ✔✔1.001-1.035
Lasix (furosemide) - ANS ✔✔loop diuretic; potassium wasting; draws out potassium; DO NOT
ADMINISTER to patients with low K+ level
left sided heart failure s/s - ANS ✔✔the fluid/blood backs up into the lungs; resting/activity
SOB, orthopnea, crackles in the lungs, pulmonary edema
pulmonary edema - ANS ✔✔accumulation of fluid in the lungs; increased SOB, wet cough, pink
frothy sputum; treatment with diuretics to draw off fluids
ileostomy - ANS ✔✔Opening into the small intestine; watery drainage
Concepts Review
What are some things that you can delegate to a UAP? - ANS ✔✔assisting patient to dining
room, emptying a foley and charting the amount, administer over the counter eyedrops
What are some things that you cannot delegate to a UAP? - ANS ✔✔pulse check on foot for
procedure, abdominal incision sterile dressing, medication passes, assessments, patient
teaching
You have a patient with severe anemia. What kinds of interventions would you put in place? -
ANS ✔✔change diet to high iron (red meats, spinach, legumes, eggs, poultry); alternate
between activities; report blood in urine or stool
Anemia s/s - ANS ✔✔weakness, fatigue, pallor, dyspnea, tachycardia, chest pain, muscle
pain/cramping, monitor for bleeding (bloody vomit/coffee ground emesis, bloody urine, etc),
low Hgb levels
Hemophilia S/S - ANS ✔✔Bruising, pallor, prolonged bleeding; bleeding into joint space
spontaneously which causes blood to build up and causes arthritic disorder; pain in joints;
longer to stop bleeding after injury- may require plasma or platelets to help clot
spironolactone is a - ANS ✔✔potassium sparing diuretic; given to help retain potassium
You have a patient that is complaining of itching and they have gray pigmentation on their skin,
what might you suspect is going on with them? - ANS ✔✔chronic renal failure
Chronic renal failure s/s - ANS ✔✔extreme fatigue, dark/dusky skin (could be yellow/tan),
elevated BUN and creatinine, confusion
, metabolic acidosis, dry/itchy skin, hypertension due to electrolyte imbalance, cardiovascular
disturbances due to elevated K+
Right sided heart failure s/s - ANS ✔✔blood that supplies R side comes from extremities; if R
ventricle isn't working correctly, backs up into right atrium; edema, JVD, abdominal fluid
(ascites)
BUN normal level - ANS ✔✔10-20mg/dL
creatinine normal level - ANS ✔✔0.6-1.2
hemoglobin normal range - ANS ✔✔12-18
WBC normal range - ANS ✔✔5,000-10,000
specific gravity normal range - ANS ✔✔1.001-1.035
Lasix (furosemide) - ANS ✔✔loop diuretic; potassium wasting; draws out potassium; DO NOT
ADMINISTER to patients with low K+ level
left sided heart failure s/s - ANS ✔✔the fluid/blood backs up into the lungs; resting/activity
SOB, orthopnea, crackles in the lungs, pulmonary edema
pulmonary edema - ANS ✔✔accumulation of fluid in the lungs; increased SOB, wet cough, pink
frothy sputum; treatment with diuretics to draw off fluids
ileostomy - ANS ✔✔Opening into the small intestine; watery drainage
