NUR 215 Final Exam 1
On assessment of a patient a nurse pushes down one finger on the UPPER LEFT of the
abdomen and notes rebound tenderness and pain of the abdomen that shoots to the
other side. The nurse should expect this to be signs of ? - answer Acute Pancreatitis
A patient with cirrhosis and high amonia levels is placed on a low cholesterol and low
protein diet. The nurse expects this in the plan of care because ? - answer Aids in
preventing malnutrition and prevents hepatic encephalopathy
A nurse is looking at a patient's chart and notices that the patient has gained weight
rapidly within the past 72 hours. This leads the nurse to indicate the patient is becoming
_________volimic – answer hypervolemic
A patient comes in stating they took "a lot of Tylenol pills" the nurse expects to give the
patient __________? - answer Activated Charcoal (No more than 1 hr after ingestion)
Upon assessment a patient complains of RUQ (Right Upper Quadrant) pain when the
nurse pushes down in that area. The nurse knows this as a sign of _________? -
answerGall Stones
Symptoms of Cushing's Triad - Indicative of ICP (Intercrainial Pressure) - answer-
Bradycardia
- Irregular RR
- Widened Pulse Pressure
Treatment for Cushings Triad - answer- IV Mannitol
- Elevating HOB
- Hyperventilation
Risk factors for Breast Cancer - answer- Women
- 50+ years
- Genetics
- Family Hx
- Obesity
- Radiation Exposure
The nurse gets a newly admitted alcoholic patient and expects them to have the
following deficiencies in these vitamins/minerals (There could be more but think of the
two MOST COMMON) - answer- Folate (Folic Acid)
- Thiamine
On assessment of a patient a nurse pushes down one finger on the UPPER LEFT of the
abdomen and notes rebound tenderness and pain of the abdomen that shoots to the
other side. The nurse should expect this to be signs of ? - answer Acute Pancreatitis
A patient with cirrhosis and high amonia levels is placed on a low cholesterol and low
protein diet. The nurse expects this in the plan of care because ? - answer Aids in
preventing malnutrition and prevents hepatic encephalopathy
A nurse is looking at a patient's chart and notices that the patient has gained weight
rapidly within the past 72 hours. This leads the nurse to indicate the patient is becoming
_________volimic – answer hypervolemic
A patient comes in stating they took "a lot of Tylenol pills" the nurse expects to give the
patient __________? - answer Activated Charcoal (No more than 1 hr after ingestion)
Upon assessment a patient complains of RUQ (Right Upper Quadrant) pain when the
nurse pushes down in that area. The nurse knows this as a sign of _________? -
answerGall Stones
Symptoms of Cushing's Triad - Indicative of ICP (Intercrainial Pressure) - answer-
Bradycardia
- Irregular RR
- Widened Pulse Pressure
Treatment for Cushings Triad - answer- IV Mannitol
- Elevating HOB
- Hyperventilation
Risk factors for Breast Cancer - answer- Women
- 50+ years
- Genetics
- Family Hx
- Obesity
- Radiation Exposure
The nurse gets a newly admitted alcoholic patient and expects them to have the
following deficiencies in these vitamins/minerals (There could be more but think of the
two MOST COMMON) - answer- Folate (Folic Acid)
- Thiamine
