NUR 111 FINAL EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS 100% VERIFIED
CORRECT ANSWERS
Electrolyte balance and imbalances - Correct Answer ▪ Sodium Major cation in ECF Hyponatremia - serum level below 136 mEq/L ♦Interventions ➢ Priority is monitoring the pt. response to therapy to prevent hypernatremia and fluid overload ➢ Drug therapy ➢ Nutrition therapy ▪ Increasing oral Na intake and restricting oral fluid intake Hypernatremia ♦Serum Na level over 145 mEq/L Medication error - Correct Answer ➢ Any preventable event that may cause or lead to inappropriate medication use or pt. harm while the medication is in the control of the health care professional, patient or consumer ______ rinses for chemo patients - Correct Answer Normal saline Sources of Infection Chain - Correct Answer Agent - organism the spreads disease Reservoir - where organism live Exit - how organisms escape reservoir Transmission - how organism spreads pathogens Entry - how pathogen enter host Host - infected with pathogens form organisms 1 / 4
- stages of Inflammation - Correct Answer ➢ Vascular and cellular response
▪ Redness, heat, pain, swelling ➢ Inflammatory exudates (drainage) ➢ Tissue repair ASEPSIS - Correct Answer ➢ Medical = clean technique ➢ Surgical = sterile technique Must have Dr. order to put patient in ______ - Correct Answer shower or tub Do not offer a _____ a back rub - Correct Answer heart patients ________ swabs dry the mucous membrane and erodes enamel - Correct Answer Lemon glycerine ➢ Assess for gag reflex ➢ Sims position ➢ Suction available ➢ Never use your finger to keep mouth open ➢ Need more frequent oral care ➢ Petroleum jelly on lips - Correct Answer Oral hygiene for unconscious patient Bed positions - Correct Answer ➢ Fowlers - 45 degrees ➢ Semi fowlers - 30 degrees ➢ Trendelenburg - head of bed down ➢ Reverse trendelenburg - foot of bed down ➢ Flat 2 / 4
What is the difference in the scope of practice of RN's and LPN's? - Correct Answer A RN can function independently, LPN can do an assessment, but must report to RN What would an RN who has been inactive for more than 5 years need to do to be removed from the inactive list? - Correct Answer Prove they've been active in another state or apply and take an approved refresher course How many times per year, is the licensure exam for RN's administered? - Correct Answer 2 times a year HIPPA - Correct Answer Protects confidentiality and privacy of pt. health information ➢ 4 areas ▪ Portability of healthcare coverage ▪ Privacy regulation ▪ Security regulation ▪ Administrative provisions for transmissions of electronic Patient self determination act - Correct Answer Requires health care agencies to provide written info. to clients about their right to make decisions about their care Legal aspects of pt. rights - Correct Answer ➢ Informed consent ▪ Nurse cannot obtain consent ➢ Leaving against medical advice ▪ Explain dangers and risks of leaving ➢ Physical restraints ▪ Last resort ▪ Expires every 24 hr.Diagnostic related groups - Correct Answer Payment is predetermined based on diagnosis 3 / 4
Advance directives - Correct Answer ➢ Living will ▪ Documents a person's wishes will still living ➢ Durable power of attorney ▪ Allows a designee to make decisions if pt. becomes incapacitated Autonomy - Correct Answer self determination; acting on one's own Beneficence - Correct Answer doing or actively promoting good Confidentiality - Correct Answer respecting privileged info. on pt.Justice - Correct Answer being fair or equal in one's action Nonmaleficence - Correct Answer the duty to do no harm to a pt.Veracity - Correct Answer the duty to tell the truth Fidelity - Correct Answer the duty to tell the truth Colonization - Correct Answer the establishment and growth of microorganisms on the skin, open wounds, or mucous membranes, or in secretions without causing adverse clinical signs or symptoms Community associated infection - Correct Answer acquired by persons who have not been hospitalized or had a medical procedure recently (within the past year)
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