NUR 185 COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS\COMPLETE TEST (GRADE
A+) NEWEST 2024 UPDATE
What would you monitor for when a patient has had a bilateral knee replacement surgery?
- infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan?
- Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan?
- respiratory depression
(ALERT)- do not take with other cns depressants
cause drowsiness
no heavy machinery
You are giving a patient LR IV, you forgot to prime the line, what is going to happen?
AIR EMBOLUS
(intervention: left sided Trendelenburg, STOP IV, 100% o2 via non-rebreather, notify RN/PCP
A patient is receiving 200ml/hr NS.. respiratory rate goes up to 32, JVD is present, crackles
are auscultated, what should you do?
STOP IV
What lab would you monitor for a patient with a HX of CHF and to doctor gives them
Lasix/ furosemide 40 mg?
Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds)
Teach patients about getting immunizations during treatment. We want patients to be aware that
with their weakened immune systems this can cause serious adverse reactions.
IMMUNIZATIONS ARE LIVE VIRUSES
What would you monitor for a patient who is on diphenhydramine/Benadryl?
-blood pressure
- respiratory system
SE: causes drowsiness, do not take with opiates or other sleep aids, do not operate heavy
machinery
Vancomycin is infusing when you notice the IV site has become edematous and red what
are your next actions?
- STOP IV
- take out IV
- call pharm for antidote
- call doctor
, -start new IV on opposite arm
- culture tip
IS a central line dressing a sterile technique?
What do we want to remember about a central line dressing?
YES
BIO PATCH BLUE TO THE SKY
Patient comes into emergency room S/S are BS or 660 ABG: ph: 6.9 PCO2 31 HC03 19
- Metabolic acidosis
partially compensated
give insulin, stay with them monitor glucose closely Q30 minutes until stable
What type of diet would you want a patient with Renal disease to follow?
- Low sodium
- low potassium
WBC
5000-10000
HGB
12-18
HCT
Males: 42-52%
Females: 37-47%
Creatinine
0.6-1.2 mg/dL
BUN
10-20
Can you start an IV for a pediatric patient?
NO, call RN to start IV, no PICC, can do PICC line dressing, hang normal saline? no, TITRATE
NS 40 yr/old
NO
Peripheral IV, swollen, red, exudate, whats next?
- STOP IV
- take out iv
- ice/elevate
- iv placement opposite arm
- notify physician
-sterile dressing
Signs and symptoms of Cushing's disease/cause/tx
- excessive corticosteroid usage
- buffalo hump
-moon face
- hypokalemia
- weight gain
TX: Transsphenodial surgery (through nose)
interventions after surgery: no sneezing, leaning forward, encourage walking, deep breathing
exercises, no straws, no firm pressure on face (4-12 weeks) weight limit 5-10lbs, stool softener,
no swimming
Labs for Cushing's
VERIFIED ANSWERS\COMPLETE TEST (GRADE
A+) NEWEST 2024 UPDATE
What would you monitor for when a patient has had a bilateral knee replacement surgery?
- infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan?
- Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan?
- respiratory depression
(ALERT)- do not take with other cns depressants
cause drowsiness
no heavy machinery
You are giving a patient LR IV, you forgot to prime the line, what is going to happen?
AIR EMBOLUS
(intervention: left sided Trendelenburg, STOP IV, 100% o2 via non-rebreather, notify RN/PCP
A patient is receiving 200ml/hr NS.. respiratory rate goes up to 32, JVD is present, crackles
are auscultated, what should you do?
STOP IV
What lab would you monitor for a patient with a HX of CHF and to doctor gives them
Lasix/ furosemide 40 mg?
Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds)
Teach patients about getting immunizations during treatment. We want patients to be aware that
with their weakened immune systems this can cause serious adverse reactions.
IMMUNIZATIONS ARE LIVE VIRUSES
What would you monitor for a patient who is on diphenhydramine/Benadryl?
-blood pressure
- respiratory system
SE: causes drowsiness, do not take with opiates or other sleep aids, do not operate heavy
machinery
Vancomycin is infusing when you notice the IV site has become edematous and red what
are your next actions?
- STOP IV
- take out IV
- call pharm for antidote
- call doctor
, -start new IV on opposite arm
- culture tip
IS a central line dressing a sterile technique?
What do we want to remember about a central line dressing?
YES
BIO PATCH BLUE TO THE SKY
Patient comes into emergency room S/S are BS or 660 ABG: ph: 6.9 PCO2 31 HC03 19
- Metabolic acidosis
partially compensated
give insulin, stay with them monitor glucose closely Q30 minutes until stable
What type of diet would you want a patient with Renal disease to follow?
- Low sodium
- low potassium
WBC
5000-10000
HGB
12-18
HCT
Males: 42-52%
Females: 37-47%
Creatinine
0.6-1.2 mg/dL
BUN
10-20
Can you start an IV for a pediatric patient?
NO, call RN to start IV, no PICC, can do PICC line dressing, hang normal saline? no, TITRATE
NS 40 yr/old
NO
Peripheral IV, swollen, red, exudate, whats next?
- STOP IV
- take out iv
- ice/elevate
- iv placement opposite arm
- notify physician
-sterile dressing
Signs and symptoms of Cushing's disease/cause/tx
- excessive corticosteroid usage
- buffalo hump
-moon face
- hypokalemia
- weight gain
TX: Transsphenodial surgery (through nose)
interventions after surgery: no sneezing, leaning forward, encourage walking, deep breathing
exercises, no straws, no firm pressure on face (4-12 weeks) weight limit 5-10lbs, stool softener,
no swimming
Labs for Cushing's
