NUR 155 Exam #2 Latest Update 2023-2024 81 Questions and Verified Correct Answers Guaranteed A+
An extremely obese person's BMI is ____ - Correct Answer: 40+
An obese person's BMI is _____ - Correct Answer: 30.0 - 39.9
An overweight person's BMI is ____ - Correct Answer: 25.0 - 29.9
Describe Bicarbonate (HCO3) function & lab ranges. - Correct Answer: 22-26
acid/base balance, kidney function, respiratory system
*found in ECF & ICF
Describe fluid volume deficit. - Correct Answer: hypoVOlemia
isotonic loss of water & electrolytes (loss of ECF) from trauma/surgery
Describe fluid volume excess. - Correct Answer: hyperVOlemia
too much Na in ECF from ingestion of too much Na, poor cardiac function, kidney patients
isotonic gain of water & electrolytes Edema->pitting edema
Describe high phosphate & low phosphate & food sources. - Correct Answer: High- pt in chemo or renal failure
Low-pt w alcohol withdrawl or DKA
Sources-meat & fish, milk, carbonated beverages
How do we prevent constipation? - Correct Answer: increase Water intake, fiber, fruits, veggies, exercise
How do you administer the enema? - Correct Answer: Insert tube 3-4 inches into the rectum
Slowly administer the enema solution by raising the solution container & open the clamp to allow fluid in.
Hold or hang bag no more than 12 inches from the rectum 1 / 2
How do you collect a 24 hour urine? - Correct Answer: discard first urine output
collect all urine for 24 hours & keep in refrigerator
at the exact time you started the day before, urinate and place in 24 hr urine container.
How do you do a clean catch urine? - Correct Answer: cleanse front to back
collect specimen in container after stream has begun
How much does the bladder hold? - Correct Answer: 250 mL
Normal Lab Values for Sodium - Correct Answer: 135-145
Na= Extracellular
Nursing Diagnosis for patients with diarrhea or constipation are ___ - Correct Answer: incontinence constipation diarrhea
What are dependent nursing interventions? - Correct Answer: Nurse must have doctors orders
What are independent nursing interventions? - Correct Answer: activites that nurses are licensed to initiate on the basis of their knowledge & skills
*teachings, assessments, emotional support, etc
What are the categories of priority for nursing diagnosis/interventions? - Correct
Answer: High priority-life threatening
Medium priority-health threatening
Low priority-developmental needs
What are the components of a "actual" nursing diagnoses? - Correct Answer: 1.Problem
- Etiology
3. S/S
What are the components of an "at risk" nursing diagnoses? - Correct Answer: 1.problem
- etiology (cause)
What are the developmental nutritional needs of a school aged child? - Correct Answer: 2400 calories
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