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NUR 216 Exam 4 Review: Fluid & Electrolytes, Acid-Base Balance, IV Therapy

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A comprehensive study guide for NUR 216 Exam 4, covering key concepts in fluid and electrolyte balance, acid-base imbalances, intravenous (IV) therapy, and patient management. Includes essential nursing interventions, lab values, and practice questions for nursing students.

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NUR 216 EXAM 4 STUDY GUIDE 2025/2026

ACCURATE QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES || 100% GUARANTEED

PASS <BRAND NEW VERSION>

Nursing actions for scoliosis ......ANSWER........include all parties

(family and child) in care meeting to discuss feelings, education

regarding clothing choices to assist in concealing the brace,

encourage peer relationships or groups with other students in the

same situation


Post-op surgery for herniated disk ......ANSWER........monitor vital

signs, increased heart rate can be sign of pain, monitor temp -

elevated temp can be a sign of infection


Herniated disk -> be sure to look at your information

......ANSWER........based on vital signs and patient assessment as

,age 2 of 61




well as patient comments, what is the patient's BIGGEST problem

right now?


Possible nursing diagnoses for herniated disk

......ANSWER........acute pain (post op), impaired physical mobility


Possible nursing diagnosis for scoliosis ......ANSWER........disturbed

body image, impaired mobility, acute pain


Assessment for scoliosis ......ANSWER........thoracic ribs being more

prominent when bending forward, uneven shoulders, scapula

asymmetrical, uneven leg lengths


Diagnosis for scoliosis ......ANSWER........typically, by X-ray


What is osteoarthritis? ......ANSWER........Most common form of

arthritis; develops as wear and tear on joints break down

cartilage in the joint - bone rubs on bone

,age 3 of 61




Another name for osteoarthritis? ......ANSWER........Degenerative

Joint Disease (DJD)


Risks for osteoarthritis ......ANSWER........old age, obesity, women

at increased risk, joint injuries, diabetics, hypothyroid, gout


Collaboration with osteoarthritis ......ANSWER........physical

therapy for use of assistive devices and ROM and weight

bearing exercises


Diagnostics for osteoarthritis ......ANSWER........x-ray, MRI,

ultrasound, joint fluid analysis (if analysis shows uric acid, blood,

bacteria - then this would NOT indicate osteoarthritis - but

rather, gout), blood tests that can rule out other causes for pain


Care for fractures/possible fractures ......ANSWER........initial

care - ice!

, age 4 of 61




Back pain ......ANSWER........proper body mechanics are

important when bending, lifting


Cast care for fractures/ possible fractures

......ANSWER........assess neurovascular status, know the 5 p's,

monitor skin temp below cast


What are the 5 p's ......ANSWER........pain, paralysis, paresthesia,

pallor, pulse


What vital sign indicates pain with fractures?

......ANSWER........increased heart rate


Plaster casts may have rough edges ......ANSWER........use cloth

tape to cover and do not stick anything in the cast


If persisted pain with cast ......ANSWER........needs removed

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