NURS 3730 Exam 4
1. There is a greater risk for ____ with infants and small dehydration
children because they have a higher body water con-
tent
2. What are some causes of dehydration? fever, gastroenteritis - N/V,
burns (3rd degree burns
when fluid is seeping out
of the tissue), shock, star-
vation
3. For dehydration, what is the first thing you do? a full history and physical
4. What is usually the first sign of dehydration? tachycardia
5. S/S of ____: normal to slightly elevated HR, alert to mild dehydration
fussy/restless, slight to moderate thirst, normal to
sticky mucous membranes, tears (present), normal to
decreased urine output
6. S/S of _____: elevated HR, normal to orthostatic BP, moderate dehydration
restless to listless, moderate to intense thirst, dry mu-
cous membranes, decreased tears, sunken anterior
fontanel, poor skin turgor, oliguria
7. S/S of ____: elevated HR, orthostatic hypotension to severe dehydration
shock, increased irritability to lethargy, intense thirst,
parched mucous membranes, absent tears, sunken
eyes, skin turgor (tented, cool, mottled), oliguria to
anuria
8. What is used to determine if dehydration is infection WBC
related?
, NURS 3730 Exam 4
9. With dehydration, watch for _____ related to volume metabolic acidosis
depletion
10. In dehydration, urine specific gravity is increased, over 1.030
11. For dehydration, ____ shows hydration status but is urine specific gravity
not reliable to diagnose
12. What is the treatment for mild to moderate dehydra- oral rehydration (Pedi-
tion? alyte, electrolytes), fluids
with electrolytes (avoid
sugar drinks/juices), IVF if
NPO
13. For severe dehydration, give IV rehydration with NS or LR
14. For severe dehydration, give fluids ____ once stable oral
15. For severe dehydration, formula for maintenance flu- 4, 2, 1
ids is ___ mL/kg/hr for first 10kg, ____ mL/kg/hr for
second 10kg, and _____ mL/kg/hr for remaining kg
16. For severe dehydration, 1st ____ to stabilize then main- bolus
tenance IVF to keep hydrated
17. For severe dehydration, in peds, ____ is added to IVF to KCl
replace potential K loss
18. In dehydration, when can the patient resume a regu- once successfully rehy-
lar diet? drated
19. Strict ____ and daily ____ for dehydration strict I&O and daily
weights
, NURS 3730 Exam 4
20. For severe dehydration, VS every 4 hours (watch for hypov-
olemic shock)
21. The appendix aids in digestion and immunity
22. Patho of ____: hardened fecal material or food obstruc- appendicitis
tion that creates blockage >> inflamed
23. S/S of ____: RLQ abdominal pain (or can be generalized appendicitis
or sometimes can rebound to the left), guarding, N/V,
anorexia, low grade fever
24. What happens to fever when appendix/gallblad- high grade fever (over
der/etc. ruptures? 101)
25. Who is at a higher risk for rupture of appendicitis, older adults (might have
cholecystitis, diverticulitis, etc.? atypical signs that they
blow off)
26. Most painful point between umbilicus and anterior McBurney's point
superior iliac spine
27. Side laying and pushing leg back which tightens the Positive Psoas
abdominal muscles and is very painful
28. Hit ball of foot and it sends a pain wave to abdomen Positive heel jar
or sheeling in stretcher and go over a bump causing
pain
29. Positive psoas and heel jar is seen in appendicitis
30. What is a sign that the appendix has ruptured? looks very sick and then
suddenly feels better
, NURS 3730 Exam 4
31. Appendix rupture can cause peritonitis
32. What labs are seen in appendicitis? high WBC, altered H&H if
appendix ruptured
33. What is the treatment for appendicitis? pain/fever control, IV flu-
ids, head to toe assess-
ment, appendectomy
34. What is the preop care for appendectomy? NPO, prophylactic antibi-
otic, monitor BP for signs
of shock, check H&H for
bleeding related to rup-
ture
35. In appendicitis, do NOT apply ____ to abdomen be- heat
cause it increases the risk of rupture
36. In appendicitis, if patient has signs of shock, they may IV bolus
need ____
37. What is the post-op care for appendectomy? antibiotics, continue IVF,
assist with ADLs and
bathing, incentive spirom-
eter every hour, monitor
labs, pain/fever control
38. If the appendix ruptured, they might be on multiple antibiotics
____
39. Post-op from an appendectomy, continue IVF until they can tolerate diet
40. Post-op from an appendectomy, when can they begin once peristalsis returns
diet? (bowel sounds)
1. There is a greater risk for ____ with infants and small dehydration
children because they have a higher body water con-
tent
2. What are some causes of dehydration? fever, gastroenteritis - N/V,
burns (3rd degree burns
when fluid is seeping out
of the tissue), shock, star-
vation
3. For dehydration, what is the first thing you do? a full history and physical
4. What is usually the first sign of dehydration? tachycardia
5. S/S of ____: normal to slightly elevated HR, alert to mild dehydration
fussy/restless, slight to moderate thirst, normal to
sticky mucous membranes, tears (present), normal to
decreased urine output
6. S/S of _____: elevated HR, normal to orthostatic BP, moderate dehydration
restless to listless, moderate to intense thirst, dry mu-
cous membranes, decreased tears, sunken anterior
fontanel, poor skin turgor, oliguria
7. S/S of ____: elevated HR, orthostatic hypotension to severe dehydration
shock, increased irritability to lethargy, intense thirst,
parched mucous membranes, absent tears, sunken
eyes, skin turgor (tented, cool, mottled), oliguria to
anuria
8. What is used to determine if dehydration is infection WBC
related?
, NURS 3730 Exam 4
9. With dehydration, watch for _____ related to volume metabolic acidosis
depletion
10. In dehydration, urine specific gravity is increased, over 1.030
11. For dehydration, ____ shows hydration status but is urine specific gravity
not reliable to diagnose
12. What is the treatment for mild to moderate dehydra- oral rehydration (Pedi-
tion? alyte, electrolytes), fluids
with electrolytes (avoid
sugar drinks/juices), IVF if
NPO
13. For severe dehydration, give IV rehydration with NS or LR
14. For severe dehydration, give fluids ____ once stable oral
15. For severe dehydration, formula for maintenance flu- 4, 2, 1
ids is ___ mL/kg/hr for first 10kg, ____ mL/kg/hr for
second 10kg, and _____ mL/kg/hr for remaining kg
16. For severe dehydration, 1st ____ to stabilize then main- bolus
tenance IVF to keep hydrated
17. For severe dehydration, in peds, ____ is added to IVF to KCl
replace potential K loss
18. In dehydration, when can the patient resume a regu- once successfully rehy-
lar diet? drated
19. Strict ____ and daily ____ for dehydration strict I&O and daily
weights
, NURS 3730 Exam 4
20. For severe dehydration, VS every 4 hours (watch for hypov-
olemic shock)
21. The appendix aids in digestion and immunity
22. Patho of ____: hardened fecal material or food obstruc- appendicitis
tion that creates blockage >> inflamed
23. S/S of ____: RLQ abdominal pain (or can be generalized appendicitis
or sometimes can rebound to the left), guarding, N/V,
anorexia, low grade fever
24. What happens to fever when appendix/gallblad- high grade fever (over
der/etc. ruptures? 101)
25. Who is at a higher risk for rupture of appendicitis, older adults (might have
cholecystitis, diverticulitis, etc.? atypical signs that they
blow off)
26. Most painful point between umbilicus and anterior McBurney's point
superior iliac spine
27. Side laying and pushing leg back which tightens the Positive Psoas
abdominal muscles and is very painful
28. Hit ball of foot and it sends a pain wave to abdomen Positive heel jar
or sheeling in stretcher and go over a bump causing
pain
29. Positive psoas and heel jar is seen in appendicitis
30. What is a sign that the appendix has ruptured? looks very sick and then
suddenly feels better
, NURS 3730 Exam 4
31. Appendix rupture can cause peritonitis
32. What labs are seen in appendicitis? high WBC, altered H&H if
appendix ruptured
33. What is the treatment for appendicitis? pain/fever control, IV flu-
ids, head to toe assess-
ment, appendectomy
34. What is the preop care for appendectomy? NPO, prophylactic antibi-
otic, monitor BP for signs
of shock, check H&H for
bleeding related to rup-
ture
35. In appendicitis, do NOT apply ____ to abdomen be- heat
cause it increases the risk of rupture
36. In appendicitis, if patient has signs of shock, they may IV bolus
need ____
37. What is the post-op care for appendectomy? antibiotics, continue IVF,
assist with ADLs and
bathing, incentive spirom-
eter every hour, monitor
labs, pain/fever control
38. If the appendix ruptured, they might be on multiple antibiotics
____
39. Post-op from an appendectomy, continue IVF until they can tolerate diet
40. Post-op from an appendectomy, when can they begin once peristalsis returns
diet? (bowel sounds)
