NSG 123 Exam 5 Review
1. Fluid Volume Deficit Lab & Vitals: Increased BUN & Creatinine
Increased Hematocrit & Hemoglobin
Increased Urine Specific Gravity
Decreased BP
Increased Pulse
Increased Temp
2. Fluid Volume Excess Lab & Vitals: Decreased Hematocrit, Hemoglobin
Decreased Urine Specific Gravity
Increased BP
Increased Respirations
Bounding Pulse
3. DMARD Methotrexate Monitor: Prior to and during therapy, monitoring the
CBC, renal function, and liver function is essential. Liver function tests help guide
methotrexate dosage.
4. What disease is Methotrexate given for?: RA
5. Diagnostic Test for RA: Antibodies to cyclic citrullinated peptide (anti-CCP)
have a specificity of approximately 95% at detecting RA
The ESR and CRP tend to be significantly elevated in the acute phases of RA and
are therefore useful in monitoring active disease and disease progression.
6. In SLU Where is the butterfly rash located?: Cheeks
The most familiar skin manifestation (occurring in less than 50% of patients with
SLE) is an acute cutaneous lesion consisting of a butterfly-shaped erythematous
rash across the bridge of the nose and cheeks
7. Complication and Teaching of Corticosteriods for Long Term: Osteoporosis,
increase calcium and vitamin D
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, NSG 123 Exam 5 Review
8. Gout Dietary Restrictions: The nurse encourages the patient to restrict
consumption of foods high in purines, especially organ meats, and to limit alcohol
intake 9. Fluid Movement in Hypotonic Solutions: WATER INTO CELLS.
When the
extracellular fluid has fewer solutes (osmolarity) than the fluid in the cells. Water will
move from extracellular space into the cells.
10. Fluid Movement in Hypertonic Solutions: WATER OUT OF CELLS When the
extracellular fluid has more solutes (osmolarity) than within the cells, water flows
out of the cells
11. Fluid Movement in Isotonic Solutions: Both the extracellular and intracellular
fluids have the same osmolarity, so there is no movement of water between
them
12. Hypotonic Solutions: 0.45% Sodium Chloride
0.225% Saline
0.33% Saline
13. Hypertonic Solutions: 3% Saline & 5% Saline
14. Isotonic Solutions: Normal Saline (0.9% Saline)
Lactated Ringer
5% Dextrose in Water
15. Phlebitis Definition: Phlebitis is characterized by a reddened, warm area
around the insertion site or along the path of the vein, pain or tenderness at the
site or along the vein, and swelling
16. Prevention of Phlebitis: Phlebitis can be prevented by using aseptic technique
during insertion, using the appropriate-size cannula or needle for the vein,
considering the composition of fluids and medications when selecting a site,
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1. Fluid Volume Deficit Lab & Vitals: Increased BUN & Creatinine
Increased Hematocrit & Hemoglobin
Increased Urine Specific Gravity
Decreased BP
Increased Pulse
Increased Temp
2. Fluid Volume Excess Lab & Vitals: Decreased Hematocrit, Hemoglobin
Decreased Urine Specific Gravity
Increased BP
Increased Respirations
Bounding Pulse
3. DMARD Methotrexate Monitor: Prior to and during therapy, monitoring the
CBC, renal function, and liver function is essential. Liver function tests help guide
methotrexate dosage.
4. What disease is Methotrexate given for?: RA
5. Diagnostic Test for RA: Antibodies to cyclic citrullinated peptide (anti-CCP)
have a specificity of approximately 95% at detecting RA
The ESR and CRP tend to be significantly elevated in the acute phases of RA and
are therefore useful in monitoring active disease and disease progression.
6. In SLU Where is the butterfly rash located?: Cheeks
The most familiar skin manifestation (occurring in less than 50% of patients with
SLE) is an acute cutaneous lesion consisting of a butterfly-shaped erythematous
rash across the bridge of the nose and cheeks
7. Complication and Teaching of Corticosteriods for Long Term: Osteoporosis,
increase calcium and vitamin D
1/9
, NSG 123 Exam 5 Review
8. Gout Dietary Restrictions: The nurse encourages the patient to restrict
consumption of foods high in purines, especially organ meats, and to limit alcohol
intake 9. Fluid Movement in Hypotonic Solutions: WATER INTO CELLS.
When the
extracellular fluid has fewer solutes (osmolarity) than the fluid in the cells. Water will
move from extracellular space into the cells.
10. Fluid Movement in Hypertonic Solutions: WATER OUT OF CELLS When the
extracellular fluid has more solutes (osmolarity) than within the cells, water flows
out of the cells
11. Fluid Movement in Isotonic Solutions: Both the extracellular and intracellular
fluids have the same osmolarity, so there is no movement of water between
them
12. Hypotonic Solutions: 0.45% Sodium Chloride
0.225% Saline
0.33% Saline
13. Hypertonic Solutions: 3% Saline & 5% Saline
14. Isotonic Solutions: Normal Saline (0.9% Saline)
Lactated Ringer
5% Dextrose in Water
15. Phlebitis Definition: Phlebitis is characterized by a reddened, warm area
around the insertion site or along the path of the vein, pain or tenderness at the
site or along the vein, and swelling
16. Prevention of Phlebitis: Phlebitis can be prevented by using aseptic technique
during insertion, using the appropriate-size cannula or needle for the vein,
considering the composition of fluids and medications when selecting a site,
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