NUR 250 Study Questions And Answers With Updated
Study Solutions
The registered nurse has 4 legal responsibilities when working with therapeutic substances such as
medications. Safe administration is one of these responsibilities. The other 3 responsibilities are? ANS -
CASI
_ check drug order
-administer
-safe storage
-interventions
Explain why clinical reasoning is an important part of the nursing practice ANS Clinical reasoning is the
process by which nurses consider the pt, collect cues, process the information, identify the problem, establish
goals implement actions/ interventions, evaluate outcomes & reflect on & learn from the process
Fill in the missing word to complete the sentence below.
________ is the first step in the nursing process. During this time, the nurse collects both ___________ &
___________data about health status using techniques such as ____________, ___________,
______________ & _______________--. ANS - consider the pt,
-collect both subjective & objective data
-initil, focused, emergency & time lapsed
State in full the normal adult range/values for:
Temperature
Heart rate
Respiratory rate
Blood pressure
Oxygen saturations ANS T-36-37.5
HR-60-100
RR-12-20
BP-140-100 systolic & 60-100 diastolic
O2-95%-100%
,Define the following terms. When appropriate, state the numerical value & descriptor
Dysphagia
Peristalsis
Melena
Steatorrhea
Tachypnea
Apnoea
Haemoptysis
Tachycardia
Bradycardia
Asystole
Ischemia
Erythema
Eccymosis
Atrophy
Exudate
Parasthesia
Abduction
Adduction
Flexion
Extension ANS Dysphagia- difficulty of discomfort swallowing
Peristalsis-involuntary constriction & movement of muscles of the intestines which pushes content forward
Melena-dark sticky faeces
Steatorrhea-abnormally high quantities of fat in stools
Tachyponea-abnormally rapid breathing
Apnoea-cessation of respirations
Haemoptysis-coughing up of blood
Tachycardia-abnormally rapid heart rate
Bradycardia- abnormally slow heart rate
Asystole-heart ceases a beat
ischemia-inadequate blood supply to an organ or part of the body especially heart muscles
, Erthema-superficial reddening of the skin
Eccymosis-discolouration of the skin from bleeding typically causes by bruising
Atrophy-partial or complete wasting away of body part
Exudate-fluid seepage
Parathesia-pins & needles caused by pressure or damage to peripheral nerves
Abduction-move away from midline
Adduction-move toward the body's midline
Flexion-the action of bending especially of joint or limb
Extension-lengthening or stretching
Identify 5 pre-operative risk factors ANS Advanced age
Obesity
Cardiovascular disease
Respiratory disorders
Diabetes Mellitus
Explain why early mobilisation of people after surgery prevents the deveopment of post-operative respiratory
complications ANS To promote drainage of respiratory secretions that interfere with oxygenation. Pooling
of secretions increases the risk of developing pneumonia. Maintaining musculoskeletal movement which
enhances blood flow and oxygenation
Identify 4 complications of surgery that the nurse should monitor ANS Haemorrhage, Pulmonary
embolism, pneumonia, Deep vein thrombosis
A person's response to pain and their pain tolerance is affected by multiple factors. Identify 3 factors that may
impact on someone's pain perception and responses to pain ANS Psychological factors, sociocultural,
previous experiences
You are administering an opioid analgesia. Identify 5 nursing responsibilities the nurse has when administering
this medication ANS -Have naloxone readily available for threat of respiratory depression
-Assess allergies or adverse effects to opioids
-Assess for respiratory diseases such as asthma
-Record baseline observations prior to administration
Study Solutions
The registered nurse has 4 legal responsibilities when working with therapeutic substances such as
medications. Safe administration is one of these responsibilities. The other 3 responsibilities are? ANS -
CASI
_ check drug order
-administer
-safe storage
-interventions
Explain why clinical reasoning is an important part of the nursing practice ANS Clinical reasoning is the
process by which nurses consider the pt, collect cues, process the information, identify the problem, establish
goals implement actions/ interventions, evaluate outcomes & reflect on & learn from the process
Fill in the missing word to complete the sentence below.
________ is the first step in the nursing process. During this time, the nurse collects both ___________ &
___________data about health status using techniques such as ____________, ___________,
______________ & _______________--. ANS - consider the pt,
-collect both subjective & objective data
-initil, focused, emergency & time lapsed
State in full the normal adult range/values for:
Temperature
Heart rate
Respiratory rate
Blood pressure
Oxygen saturations ANS T-36-37.5
HR-60-100
RR-12-20
BP-140-100 systolic & 60-100 diastolic
O2-95%-100%
,Define the following terms. When appropriate, state the numerical value & descriptor
Dysphagia
Peristalsis
Melena
Steatorrhea
Tachypnea
Apnoea
Haemoptysis
Tachycardia
Bradycardia
Asystole
Ischemia
Erythema
Eccymosis
Atrophy
Exudate
Parasthesia
Abduction
Adduction
Flexion
Extension ANS Dysphagia- difficulty of discomfort swallowing
Peristalsis-involuntary constriction & movement of muscles of the intestines which pushes content forward
Melena-dark sticky faeces
Steatorrhea-abnormally high quantities of fat in stools
Tachyponea-abnormally rapid breathing
Apnoea-cessation of respirations
Haemoptysis-coughing up of blood
Tachycardia-abnormally rapid heart rate
Bradycardia- abnormally slow heart rate
Asystole-heart ceases a beat
ischemia-inadequate blood supply to an organ or part of the body especially heart muscles
, Erthema-superficial reddening of the skin
Eccymosis-discolouration of the skin from bleeding typically causes by bruising
Atrophy-partial or complete wasting away of body part
Exudate-fluid seepage
Parathesia-pins & needles caused by pressure or damage to peripheral nerves
Abduction-move away from midline
Adduction-move toward the body's midline
Flexion-the action of bending especially of joint or limb
Extension-lengthening or stretching
Identify 5 pre-operative risk factors ANS Advanced age
Obesity
Cardiovascular disease
Respiratory disorders
Diabetes Mellitus
Explain why early mobilisation of people after surgery prevents the deveopment of post-operative respiratory
complications ANS To promote drainage of respiratory secretions that interfere with oxygenation. Pooling
of secretions increases the risk of developing pneumonia. Maintaining musculoskeletal movement which
enhances blood flow and oxygenation
Identify 4 complications of surgery that the nurse should monitor ANS Haemorrhage, Pulmonary
embolism, pneumonia, Deep vein thrombosis
A person's response to pain and their pain tolerance is affected by multiple factors. Identify 3 factors that may
impact on someone's pain perception and responses to pain ANS Psychological factors, sociocultural,
previous experiences
You are administering an opioid analgesia. Identify 5 nursing responsibilities the nurse has when administering
this medication ANS -Have naloxone readily available for threat of respiratory depression
-Assess allergies or adverse effects to opioids
-Assess for respiratory diseases such as asthma
-Record baseline observations prior to administration
