NURS 120 Final
What would be the priority postop documentation regarding circulation of recent casted
extremity? - answer Adequate cap refill
Why do patients need to wear TED hose? - answer Prevention of blood pooling in legs
How should we recommend to a pt with OA? - answer Maintain normal weight
How should you change bed linens fora pt in Buck's traction? - answerApply liners from
food of bed to top of bed
How do we instruct pt to use IS? - answerPosition mouthpiece, inhale deeply
What should the nurse do after drawing ABG? - answerApply direct pressure to sit for 5
min.
High K+ can cause what? - answerDysrhythmias
If a patient is taking Lasix and reveals the following: Chvostek's and Trousseau's signs,
hypotension and confusion, what law result would you expect to find? - answerLow
serum calcium and potassium levels
A patient with a shift of the trachea to the left with no breath sounds on the right
requires? - answerImmediate medical attention
If a patient is not coughing and deep breathing appropriately due to incisional pain what
nursing action is most appropriate? - answerUse a pillow to splint incision
If you patient has renal failure r/t diabetes, the decreased urine output causes what
electrolyte disturbance? - answerhyperkalemia
Before any procedure using dye what should we ask the patient? - answerAre you
allergic to shellfish?
Patient has a pH of 7.31 and HCO3 level of 19, kussmaul's respirations, what acid base
imbalance should the nurse be concerned with? - answerMetabolic acidosis
Your patient is on coumadin and the IRN is 7.0, what order do you anticipate carrying
out? - answerHold the next does of coumadin
The LPN is going to be caring fora pt that had a pelvic fx, what will you need to monitor
this pt for? - answerHemorrhage and shock, possibly fat embolization
, What kind of prep is needed for an EKG? - answerNone
what is primary medical management for soft tissue injuries? - answerElevation and ice
to control edema
In caring for a pt with a trach, what is the priority nursing responsibility? -
answerMaintaining patent airway
The heart failure patient has gained 1kg since yesterday, what does that mean? -
answerthe pt is retaining approximately 1 liter of fluid more than yesterday
A pt had a DVT in left leg. Late in the day he reports SOB, a sense of impending doom,
what should the nurse do first? - answerCheck pulse ox and VS
Your pt's BS reading is 48, they are awake, what is your priority nursing action? -
answerGive 4-6oz of fruit juice
A pt that is one day post op reports acute shortness of breath, resp rate is 35 and
slightly labored, not breath sounds in right lung base. Pt denies chest pain of any kind,
what condition would you suspect? - answerAtelectasis
Know your levels for calcium, Bicarb, NA+, K+ - answerNa+ 135-145 mEq/L
K+ 3.5-5 mEq/L
Ca+ 4.5-10.5 mg/dL
Cl 98-107 mEq/L
PO 2.7-4.5 mEq/L
Mg 1.6-2.6 mEq/L
pH 7.35-7.45
PaCo2 35-45 mmHg
Pao2 80-100 mmHg
HCO3 22-26 mEq/L
SaO2 95-100%
Pt has a femur fx from car accident, physician is concerned about fat embolism, how do
you explain this to pt's wife? - answerThe break of the bone forces molecules of fat into
the bloodstream
Teach your patient pursed lip breathing - answerIn through the nose, out through
pursed lips
How can the nurse obtain a sterile specimen by urinary catheter? - answerStraight cath,
and the port of the cath
After a total gastrectomy the pt will need long term injections of? - answerB12
What would be the priority postop documentation regarding circulation of recent casted
extremity? - answer Adequate cap refill
Why do patients need to wear TED hose? - answer Prevention of blood pooling in legs
How should we recommend to a pt with OA? - answer Maintain normal weight
How should you change bed linens fora pt in Buck's traction? - answerApply liners from
food of bed to top of bed
How do we instruct pt to use IS? - answerPosition mouthpiece, inhale deeply
What should the nurse do after drawing ABG? - answerApply direct pressure to sit for 5
min.
High K+ can cause what? - answerDysrhythmias
If a patient is taking Lasix and reveals the following: Chvostek's and Trousseau's signs,
hypotension and confusion, what law result would you expect to find? - answerLow
serum calcium and potassium levels
A patient with a shift of the trachea to the left with no breath sounds on the right
requires? - answerImmediate medical attention
If a patient is not coughing and deep breathing appropriately due to incisional pain what
nursing action is most appropriate? - answerUse a pillow to splint incision
If you patient has renal failure r/t diabetes, the decreased urine output causes what
electrolyte disturbance? - answerhyperkalemia
Before any procedure using dye what should we ask the patient? - answerAre you
allergic to shellfish?
Patient has a pH of 7.31 and HCO3 level of 19, kussmaul's respirations, what acid base
imbalance should the nurse be concerned with? - answerMetabolic acidosis
Your patient is on coumadin and the IRN is 7.0, what order do you anticipate carrying
out? - answerHold the next does of coumadin
The LPN is going to be caring fora pt that had a pelvic fx, what will you need to monitor
this pt for? - answerHemorrhage and shock, possibly fat embolization
, What kind of prep is needed for an EKG? - answerNone
what is primary medical management for soft tissue injuries? - answerElevation and ice
to control edema
In caring for a pt with a trach, what is the priority nursing responsibility? -
answerMaintaining patent airway
The heart failure patient has gained 1kg since yesterday, what does that mean? -
answerthe pt is retaining approximately 1 liter of fluid more than yesterday
A pt had a DVT in left leg. Late in the day he reports SOB, a sense of impending doom,
what should the nurse do first? - answerCheck pulse ox and VS
Your pt's BS reading is 48, they are awake, what is your priority nursing action? -
answerGive 4-6oz of fruit juice
A pt that is one day post op reports acute shortness of breath, resp rate is 35 and
slightly labored, not breath sounds in right lung base. Pt denies chest pain of any kind,
what condition would you suspect? - answerAtelectasis
Know your levels for calcium, Bicarb, NA+, K+ - answerNa+ 135-145 mEq/L
K+ 3.5-5 mEq/L
Ca+ 4.5-10.5 mg/dL
Cl 98-107 mEq/L
PO 2.7-4.5 mEq/L
Mg 1.6-2.6 mEq/L
pH 7.35-7.45
PaCo2 35-45 mmHg
Pao2 80-100 mmHg
HCO3 22-26 mEq/L
SaO2 95-100%
Pt has a femur fx from car accident, physician is concerned about fat embolism, how do
you explain this to pt's wife? - answerThe break of the bone forces molecules of fat into
the bloodstream
Teach your patient pursed lip breathing - answerIn through the nose, out through
pursed lips
How can the nurse obtain a sterile specimen by urinary catheter? - answerStraight cath,
and the port of the cath
After a total gastrectomy the pt will need long term injections of? - answerB12
