NUR 170 Exam 1 Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+
0-10 scale - CORRECT ANSWER: used to assess severity of pain, 0=no pain, 10=
worst pain ever experienced
1L of water = _____ lb. - CORRECT ANSWER: 2.2 lbs/1 kg
Acute Pain - CORRECT ANSWER: Short lived (hrs-days), result of sudden trauma or
inflammation, elicits sympathetic response ( increased HR and BP, dilated pupils)
Assessing vented patient for pain - CORRECT ANSWER: use yes/no questions and
thumbs up/down, communication board (like abby's board)
Basic principle of pain management - CORRECT ANSWER: Prevent and Control pain
Chronic Pain - CORRECT ANSWER: Lasts longer than 3 months (cancer, arthritis),
gets worse gradually, can lead to deconditioning (pt will move minimally to avoid pain)
Dehydration Causes - CORRECT ANSWER: Outdoor work, exercise, N/V, alcohol,
diarrhea, ileostomy, laxatives, burns, fever, diuretics, NG suctioning, NPO order
Dehydration Nursing Interventions - CORRECT ANSWER: give fluids, get labs, monitor I+Os
Dehydration S+S - CORRECT ANSWER: headache, confusion, tachycardia,
hypotension, poor skin turgor, decreased UOP, dry mucus membranes, constipation, thirst
Labs: increased hemoconcentration, BUN, Na, and USG
Dual mechanism analgesics - CORRECT ANSWER: have 2 different actions (ex
tramadol)
Epidural - CORRECT ANSWER: Can be controlled by PCA pump, combo therapy (local
anesthetic and opiod), can cause resp depression and hypertension (from opioid), post procedure headache (report immediately, caused by CSF fluid)
Epidural (nursing interventions) - CORRECT ANSWER: frequent vitals, pain
assessment, sedation scores, degree of motor/sensory block assessment, monitor insertion site for REED, make sure dressing is clean, dry, and secure, NO ANTICOAGS
FLACC Scale - CORRECT ANSWER: face, legs, activity, cry, consolability: used for babies 1 / 2
Fluid Compartments - CORRECT ANSWER: Intracellular and extracellular (interstitial and intravascular)
Fluid Volume Overload Causes - CORRECT ANSWER: endstage renal disease, CHF,
water intoxication, SIADH, corticosteroid therapy, rapid fluid replacement
Fluid Volume Overload S+S - CORRECT ANSWER: bounding increased pulse, HTN,
dyspnea, lung crackles, edema, weight gain
Labs: decreased hematocrit, serum Na, and USG
Fluid Volume Overload Tx - CORRECT ANSWER: diuretics, fluid and salt restriction, I+O monitoring
Hypercalcemia S+S and Worst Case - CORRECT ANSWER: S+S: lethargy, confusion, memory loss, AMS, personality change, decreased DTR, weakness,
Worst Case: coma
Hypercalcemia Tx and Interventions - CORRECT ANSWER: Tx: low calcium, IV fluids, loop diuretics, biphosphonates Interventions: vital signs, assess neuro function, monitor electrolytes, strict I+Os, monitor for fractures
Hyperkalemia S+S and Worst Case - CORRECT ANSWER: arrhythmias, weakness,
increase GI motility, decreased DTRs, acidosis
Worst Case: Cardiac Arrest
Hyperkalemia Tx and Interventions - CORRECT ANSWER: Tx: low potassium diet, drug therapy
Interventions: heart monitoring, labs, BGL monitoring
Hypernatremia S+S and Worst Case - CORRECT ANSWER: S+S: restless, agitated, anorexia, N/V, lethargic, weak, confused, thirsty
Worst Case: SZ, coma, decreased LOC
Hypernatremia Tx and Interventions - CORRECT ANSWER: Tx: Fluids
Interventions: Frequent vitals, I+O monitoring, SZ/fall precautions, monitor neuro status
Hypertonic Solution - CORRECT ANSWER: Higher solute outside, higher water inside, water moves out of cell, cell shrinks
- / 2