Final Exam NUR 128 Questions with 100% Verified Correct Answers Complete!Physical Examination - Correct Answer General appearance Vital signs Inspect mucous membranes Assess skin color, temperature, moisture Inspect skin Inspect, palpate lymph nodes Assess MSK Check Joint ROM artificially acquired passive immunity - Correct Answer receive immunity without your body making it active immunity - Correct Answer when your body creates antibodies passive immunity - Correct Answer when your body is given antibodies.Diagnostic lab changes that indicate infection - Correct Answer CRP WBC leukopenia 4,500 ----------- 10,000 leukocytosis CBC Blood culture, urinalysis, fecal culture, wound culture Lumbar puncture - CSF infection Side effects of NSAIDS use in the older adult - Correct Answer Dizziness - fall risk, risk of injury Do not use/caution when giving NSAIDs to older adults because of what? - Correct Answer Reduced kidney/liver function NSAID: should you deliver with or without food? - Correct Answer Give with food and lots of water indicators of a systemic reaction to inflammation - Correct Answer Fever >100.4 1 / 3
Pulse>90 bpm RR> 20/min WBC> 12,000 or greater than 10% bands Thrombocytopenia too low platelets Leukocytosis - too high WBC Anemia too low RBC Neutropenia too low neutrophils Pancytopenia too low RBC/WBC/platelets
acute ulcerative colitis: Does it affect M vs F more - Correct Answer Equal
acute ulcerative colitis: Onset peak - Correct Answer 15-30
acute ulcerative colitis: Course of disease - Correct Answer Chronic w/ periods of remission of symptoms and active disease.
Acute ulcerative colitis: Symptoms - Correct Answer Fatigue
Anorexia Weakness Diarrhea- 5-30 stools per day w/ blood and mucus Abdominal Pain- Cramping in left lower quadrant, relieved by defecation Nursing actions to decrease cancer cells and support normal cell function - Correct Answer Nutrition and hydration Focus on reducing complications Manage side effects Maintain optimal homeostasis Provide psychosocial support Promote balance activity/rest Collaborative treatment plan for a client with leukemia - Correct Answer Radiation, Chemo, Nutritionist, PT, OT, pharmacist, oncologist 2 / 3
Treatment of side effects, Infection control/PPE/ Bleeding precaution/be alert for hemorrhage Strategies for cancer prevention - Correct Answer Avoid smoking, limit alcohol, eating balanced diet, regular exercise, good physical health for optimal immune function, wearing sunscreen, follow safety protocols in your workplace Strategies for cancer prevention: Early Detection - Correct Answer Breast cancer - self exam 3-5 days after period once a month, mammograms at 45 Prostate - age 50 get a PSA Cervical - age 30 - 65 pap smear Colorectal - age 50 get DRE fecal test Q3 years colonoscopy Q10 What are assessment findings that are positive indicators for breast cancer? - Correct Answer Nontender lump (often in the upper outer quadrant), abnormal nipple discharge, a rash around the nipple area, nipple retraction, dimpling of the skin, or a change in the position of the nipple.May also be nipple pain, scaliness, ulceration, skin irritation, or discharge.Usually painless some women report burning or stinging sensation.Erythropoietin is ordered for patients that what? - Correct Answer for people who have anemia associated with other chronic diseases (Chronic Renal Failure) erythropoietin stimulates RBC production so what must be done? - Correct Answer adequate iron must be present, patients may require regular IV therapy. Maybe give up to 3x a week Fluid shifts from Interstitial space into vascular compartment- to do what? - Correct Answer Maintain blood volume Signs and symptoms of low RBC - Correct Answer Decreased perfusion, hypotension, decreased LOC Discharge teaching instructions for a patient with iron deficiency anemia - Correct Answer Bleeding precautions - teeth,
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