NUR 160 EXAM 2 HONDROS STUDY QUESTIONS WITH CORRECT ANSWERS RATED A+ | GUARANTEED PASS
Nursing interventions for urinary retention - Answer>>> i&o, push fluids, run water, stick hands
in warm water, bladder scan-see how much is in there (if at or more than 200, call someone), pt
will need straight cath at that point, when straight cathed, if you get to 1000, clamp it off and go
back later.
Accu-check - Answer>>> disinfect finger with alcohol, place lancet on side of finger, flush to
skin, wipe away first drop with GUAZE, dispose of lancet and strip in sharps, YES an NA can
do this, do not give insulin without a BS level first
Foley - Answer>>> a pt with a large prostate needs a coude, minimum output 15mL/kidney/hr-if
less call MD
Bowel Obstruction - Answer>>> bloating, abdominal pain, nausea, vomiting, constipation
Nursing Interventions for Bowel Obstruction - Answer>>> auscultate bowel sounds
(5min/quadrant), look, listen, feel, get pt moving, coughing and deep breathing, ZERO bowel
sound sis an emergency, notify MD
Incentive Spirometer - Answer>>> Tech pt to use 10 times and hr/ pt sucks in to use it
Oxygen therapy - Answer>>> If you think you have a problem, start at the pt and work your way
back to the wall from there, always assess to see if flow unit is at prescribed amt and where you
set it, assess O2 sat with pulse OX to make sure O2 level is effective
Pulse OX issues - Answer>>> fingernail polish, cold hands, taking it in direct sunlight, taking
BP on same arm as pulse oX, moving around too much, fake nails, not having cord on top. 95-
100 is normal, except COPD pt >92
Magnesium (MG+) - Answer>>> 1.5-2.5
Hypermagnesemia Causes - Answer>>> Tums, CKD, diabetic ketoacidosis
Hypermagnesemia signs and symptoms - Answer>>> weakness, hypotension, Vomiting, Nausea,
coma, death
Hypomagnesemia Causes - Answer>>> alcoholism, decreased intake of vitamin D, poor
absorption
Hypomagnesemia Signs and symptoms - Answer>>> seizures, Increased DTR, arrhthmias,
agitation, Nausea, vomiting
Alcoholics-precautions - Answer>>> All alcoholics go in seizure precautions