Nur 138 Final Exam Questions With Correct Answers.

NUR 138 FINAL EXAM QUESTIONS WITH CORRECT

ANSWERS




Dysphagia:

Odynophagia

Esophageal yVarices y y y y y y y y yANS: y✔- yDifficulty yswallowing

Pain ywith yswallowing

Abnormal yenlarged yveins yin ythe ythroat



Dysplasia y y y y y y y y yANS: y✔- yabnormal ydevelopment yor ygrowth yof ycells,
ytissues, yor yorgans y- yloss yof ydna ycontrol




anaplasia y y y y y y y y yANS: y✔- yloss yof ydifferentiation yof ycells; yreversion yto ya
ymore yprimitive ycell ytype.




risk yfor yhypersensitivity yreaction y y y y y y y y yANS: y✔- yPrevious
yExposure/Incidence yand yintensity yincrease ywith yprevious yexposure

,Family ymember ywith yallergy

Development, yseverity yfactors

Antigen's yroute yof yentry

Amount yof yantigen yintroduced

Rate yof yabsorption yof yantigen

Individual's ydegree yof yhypersensitivity



Nursing yactions yfor yPatient yrespiratory yeffort y y y y y y y y yANS: y✔- yHighest
ypriority yin yanaphylactic yshock



Place yclient yin yFowler yor yhigh yFowler yposition yfor yoptimal ylung
yexpansion



For ymild yto ymoderate yreactions

Assess yrespiratory ystatus, yLOC, yanxiety, ynasal yflaring, yuse yof yaccessory
yrespiration ymuscles, ychest ywall ymovement



Palpate yfor yrespiratory yexcursion

Auscultate ylung ysounds, yadventitious ysounds

Administer yoxygen yper ynasal ycannula

Insert ynasopharyngeal yor yoropharyngeal yairway

Administer ysubcutaneous yepinephrine

Provide ycalm yreassurance

,Airborne yprecautions y y y y y y y y yANS: y✔- ydroplets ysmaller ythan y5 ymicrons

Measles/Chicken ypox/TB



Droplet yPrecaution y y y y y y y y yANS: y✔- ylarger ythan y5 ymicrons

Pertussis/Diptheria/Scarlet yfever/strep/pneumonia



Contact yPrecautions y y y y y y y y yANS: y✔- yThrough ycontact ywith yitems yin
ythe yenvironment



C yDIff/E-COli/Hep yA/Herpes



ABCD yfor ylesions y y y y y y y y yANS: y✔- yAsymmetry

Border

Color

Diameter

Evolution



Nursing yDiagnosis ySickle yCell y y y y y y y y yANS: y✔- yImpaired yGas yExchange

Risk yfor yIneffective yBreathing yPattern

Risk yfor yDecreased yCardiac yTissue yPerfusion

Risk yfor yImbalanced yFluid yVolume

, Risk yfor yIneffective yCerebral yTissue yPerfusion

Risk yfor yInfection

Acute yPain



Sources yof yHeme yIron y y y y y y y y yANS: y✔- yBeef, ychicken, ypork yloin, yturkey,
yveal



Clams/oystrers

Egg yyolk



Sources yof yNon-Heme yIron y y y y y y y y yANS: y✔- yBran yFlakes/Brown
yrice/Whole ygrain ybreads



Dried yBeans

Dried yFruits

Greens

Oatmeal



Sources yof yFolic yAcid y y y y y y y y yANS: y✔- yGreen yLeafy
yveggies/Broccoli/asparagus



Organ ymeats/eggs

Wheat ygerm/yeast

Milk