NURS 3100 EXAM 3 2023/2024 COMPLETE WITH ALL THE CORRECT ANSWERS.

1. Know that the normal urinary output for an adult is o 30mL/hour unless kidney disease is present 2. Identify how to position a patient for a thoracentesis. o DR K.: On side table, have patient lean forward in semi fowler sitting, trying to get fluid out of peril cavity of lungs, sitting up so fluid can drain down which is part of the pretest, intratest is emotional support by keeping them still o Ours: Position a patient sitting forward, leaning over the table to draw fluid out from the bottom of the cavity. During the test you help keep the patient still, relaxed and promote deep breathing 3. Identify the x-ray that would be used to visualize the kidney/ureters/bladder. (752) o KUB, frontal supine x-ray of the abdomen 4. Know the process for obtaining a capillary blood specimen to measure blood glucose. (Pg. 759) (Pg. 767 process) o Use a glucose monitoring device. o A drop of capillary blood is obtained by puncturing the side of the middle finger or ring finger with a sterile lancet. A test strip with a specific reagent is placed in the monitoring device and the drop of blood is placed in the test strip. o The devices use a light beam or an electric charge to interpret the changes on the test strip. o Wipe away first blood, test the second o Also can be done in Fingers and toes 5. Know the contraindications for an MRI. o Because the magnet can move metal objects implanted in the body, it is contraindicated for patients with: o pacemakers, implanted medication pumps, inner ear implants, fragments from gunshot wounds, or other metal objects in the body. o All implants o piercings (free of all jewelry) is not a contraindication because it can be removed o Tattoos are not a contraindication, but they are a caution 6. Understand what can increase the BUN lab value. (pg.744-745) o What is it? Blood urea nitrogen (BUN) which is testing the kidneys o Elevated BUN levels may indicate decreased renal glomerular function. o BUN levels also may be elevated as a result of a high protein diet or with dehydration. o Urine output will be decreased due to dehydration 7. Know how to care for a patient with an indwelling urinary catheter. (1049) o Clean them to avoid infection since its going from inside the body to outside it’s a higher risk 8. Know which clients are at the greatest risk