2024 NUR 155 GALEN EXAM 2
STUDY GUIDE WITH CORRECT
ANSWERS
Aldosterone - CORRECT-ANSWERSincreased amounts of water and SODIUM
in the bloodstream (ADH secreted)
Hyperkalemia - CORRECT-ANSWERSexcessive potassium in the blood. over
5.0, heart will be tight and contracted
Etiology - CORRECT-ANSWERSstudy of the cause of disease
vegans need food that is - CORRECT-ANSWERSrich in iron and supplement of
vit c
vegetarians need food that is - CORRECT-ANSWERSrich in calcium, such as
soybeans and tofu, can have calcium deficiency, vit d supplement
A patient with a 3-way catheter says they feel like they have to pee -
CORRECT-ANSWERSirrigate the catheter
pee because of sneeze - CORRECT-ANSWERSstress incontinence
Low albumin - CORRECT-ANSWERSMalnutrition, Kidney disease, Liver
disease, Uncontrolled Diabetes, Severe burns, Heart Failure.
Low pre-albumin - CORRECT-ANSWERSacute (early) malnutrition
Have an IV site that you are assessing, and there is slight redness, no
edema. What to do first? - CORRECT-ANSWERSStop it, take it out, replace it
Fluid volume excess - CORRECT-ANSWERSedema, weight gain, high BP, fast
pulse that is bounding.
Labs are decreased, Nursing interventions: restrict fluids, administer
diuretics, limit sodium in diet,
limit fluid intake
Fluid volume deficit - CORRECT-ANSWERSthirst, poor skin turgor, dry mouth,
dry mucus membranes,
, decreased weight, thready/weak elevated pulse.
Elevated labs.Nursing interventions: IV fluids, increase PO fluids, encourage
foods high in
sodium
Apple juice, orange juice, jello, black coffee is on a tray and your client is on
a clear liquid diet, what needs to be removed? - CORRECT-ANSWERSorange
juice
Patient has calcium deficiency, what foods do you recommend? - CORRECT-
ANSWERSMilk products, soybean, to make sure calcium is absorbed: Vitamin
D (15 minutes of sun 3 days a week)
Preventing a patient from hypercalcemia - CORRECT-ANSWERSweight
bearing exercise (Hypercalcemia can occur from immobility. Ambulation of
the client helps to prevent leaching of calcium from the bones into the
serum.)
What do you teach a person who has diarrhea - CORRECT-ANSWERSdrink
fluids, bland diet, encourage soluble
fiber (soothes diarrhea, insoluble will put you IN the bathroom), avoid really
hot or really cold liquids. can give pt a bedside commode or bed pan if
needed urgency.
Action of fleets enema - CORRECT-ANSWERSmade of hypertonic solution
made out of sodium phosphate,
action is drawing water into the colon
A patient c/o having pain in rectum and rectal fullness, what do you expect? -
CORRECT-ANSWERSFecal impaction
To treat or prevent constipation - CORRECT-ANSWERSincrease insoluble
fibers, encourage exercise, and fluids.
You have risk for falls, social isolation, alteration in nutrition less than body
required amount. Which is most important? - CORRECT-ANSWERSAlteration
in nutrition
A client with an upper gastrointestinal disorder is experiencing seeping of
liquid stool, anorexia, abdominal distention, nausea, and vomiting. The nurse
suspects the client is experiencing - CORRECT-ANSWERSFecal impaction
The nurse assesses an IV site and finds it to have slight edema and is leaking
a small amount of IV fluid containing 0.9% Sodium Chloride with 20 meq
potassium infusing at 125 ml/hr. What is the priority action? - CORRECT-
ANSWERSStop the iv and start at a new iv site
STUDY GUIDE WITH CORRECT
ANSWERS
Aldosterone - CORRECT-ANSWERSincreased amounts of water and SODIUM
in the bloodstream (ADH secreted)
Hyperkalemia - CORRECT-ANSWERSexcessive potassium in the blood. over
5.0, heart will be tight and contracted
Etiology - CORRECT-ANSWERSstudy of the cause of disease
vegans need food that is - CORRECT-ANSWERSrich in iron and supplement of
vit c
vegetarians need food that is - CORRECT-ANSWERSrich in calcium, such as
soybeans and tofu, can have calcium deficiency, vit d supplement
A patient with a 3-way catheter says they feel like they have to pee -
CORRECT-ANSWERSirrigate the catheter
pee because of sneeze - CORRECT-ANSWERSstress incontinence
Low albumin - CORRECT-ANSWERSMalnutrition, Kidney disease, Liver
disease, Uncontrolled Diabetes, Severe burns, Heart Failure.
Low pre-albumin - CORRECT-ANSWERSacute (early) malnutrition
Have an IV site that you are assessing, and there is slight redness, no
edema. What to do first? - CORRECT-ANSWERSStop it, take it out, replace it
Fluid volume excess - CORRECT-ANSWERSedema, weight gain, high BP, fast
pulse that is bounding.
Labs are decreased, Nursing interventions: restrict fluids, administer
diuretics, limit sodium in diet,
limit fluid intake
Fluid volume deficit - CORRECT-ANSWERSthirst, poor skin turgor, dry mouth,
dry mucus membranes,
, decreased weight, thready/weak elevated pulse.
Elevated labs.Nursing interventions: IV fluids, increase PO fluids, encourage
foods high in
sodium
Apple juice, orange juice, jello, black coffee is on a tray and your client is on
a clear liquid diet, what needs to be removed? - CORRECT-ANSWERSorange
juice
Patient has calcium deficiency, what foods do you recommend? - CORRECT-
ANSWERSMilk products, soybean, to make sure calcium is absorbed: Vitamin
D (15 minutes of sun 3 days a week)
Preventing a patient from hypercalcemia - CORRECT-ANSWERSweight
bearing exercise (Hypercalcemia can occur from immobility. Ambulation of
the client helps to prevent leaching of calcium from the bones into the
serum.)
What do you teach a person who has diarrhea - CORRECT-ANSWERSdrink
fluids, bland diet, encourage soluble
fiber (soothes diarrhea, insoluble will put you IN the bathroom), avoid really
hot or really cold liquids. can give pt a bedside commode or bed pan if
needed urgency.
Action of fleets enema - CORRECT-ANSWERSmade of hypertonic solution
made out of sodium phosphate,
action is drawing water into the colon
A patient c/o having pain in rectum and rectal fullness, what do you expect? -
CORRECT-ANSWERSFecal impaction
To treat or prevent constipation - CORRECT-ANSWERSincrease insoluble
fibers, encourage exercise, and fluids.
You have risk for falls, social isolation, alteration in nutrition less than body
required amount. Which is most important? - CORRECT-ANSWERSAlteration
in nutrition
A client with an upper gastrointestinal disorder is experiencing seeping of
liquid stool, anorexia, abdominal distention, nausea, and vomiting. The nurse
suspects the client is experiencing - CORRECT-ANSWERSFecal impaction
The nurse assesses an IV site and finds it to have slight edema and is leaking
a small amount of IV fluid containing 0.9% Sodium Chloride with 20 meq
potassium infusing at 125 ml/hr. What is the priority action? - CORRECT-
ANSWERSStop the iv and start at a new iv site
