NUR 160 Fundamental Concepts

NUR 160 Fundamental Concepts of Practical Nursing II

Exam 2

Question:

How to read an ABG?

Answer:

• Determine if values are high, low, or normal
• Draw the appropriate arrows next to each value
• Decide if two values are the same, or if two values are apposite

(same=metabolic, opposite=respiratory)

• Look at only Ph, if low acidosis, if high alkalosis

Question:

UTI signs and symptoms

Answer:

Burning, frequency, urgency, foul smell, sediment, abdominal pain, chills, fever, darkness, confusion

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Question:

Hypovolemic Shock sign sand symptoms

Answer:

decreased BP, Increased HR, restlessness, decreased urine output

Question:

normal urine output

Answer:

15mL/kidney/hr, so 30mL/hour, 200mL per 8 hrs. if 40mL < call MD

Question:

Nursing Interventions for hypovolemic shock

Answer:

monitor vitals, behavior, output, assess pt, notify MD, raise legs, push fluids, give meds as prescribed, pt may need O2 and they may need to be tipped on head

Question:

evisceration

Answer:

when an organ is sticking up out of a wound that has opened

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Question:

Dehiscense

Answer:

When a wound has opened up, most often d/t force (cough)

Question:

What to do for dehiscense

Answer:

put pillow on abdomen when coughing, semi-high fowler's, cover with sterile, moist dressing and notify MD

Question:

Pain meds

Answer:

start low, go slow

Question:

Physiological signs of pain

Answer:

Red, sweating,crying, irritated, fetal position

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