Nur 160 Exam #1 Questions with correct Answers A patient with glaucoma would likely have which of the following IOP readings? - Answer- 48mmHG really high
normal range: 12-20mmHg
Putting on sunscreen is an example of which type of prevention? - Answer- Primary Which of the following foods should a patient with leukemia avoid? - Answer- Carrot Sticks- Fresh fruits and veggies What is a major disadvantage to morphine use? - Answer- Potential for drug dependency You suspect your patient has Small Bowel Obstruction, what orders would you expect from the physician? - Answer- Maintain high fowlers position Palpate abdomen every 2 hours Insert NG but leave it clamped Which assessment finding would be considered objective? - Answer- Purulent Drainage- anything you can measure Correct order for drawing up insulin? - Answer- clear, cloudy, cloudy, clear if a patient is immobile post op, what are they at high risk for? - Answer- What are some signs and symptoms of DVT? - Answer- Swelling, cramps, reddness The nurse is assessing a post op patient. Which of the following is considered subjective? - Answer- Pain-subjective data What intervention is the most important in a patient with visual impairment? - Answer- Keep walk way clear which statement about culture is true? - Answer- culture needs to be considered in care nurses are mandated to report abuse - Answer- true- should be reported to the social worker what is the normal side effect of Latanoprost eye drops? - Answer- burning what assessment finding could indicate infection during post op? - Answer- foul odor 1 / 2
What assessment finding is included in the Glasgow coma scale? - Answer- Patient winces during sternal rub Subjective data - Answer- anything the patient says it is objective data - Answer- anything that can be observed and measured from the nurses perspective Surgical Pre-Op check list? - Answer- Med: Ativan, valium, versed, morphine, zantax, Zofran, heparin, coumadin. NO ibprophen or blood thinners Informed consent, ID a=band, blood transfusion consent, allergies identified, allergies list, height, weight, removal of nail polish, makeup, jewelry, skin prep, anti antibolism stocking's, npo (2 hours prior), lab results, ECG, vital sheet, voided Cather, mode of transfer, med list Surgical Postop list? - Answer- Incentive spirometer(every two hours , help keeps lungs well inflated while healing), coughing, turning, deep breathing, mobility(prevents blood clots and parasatisis), splint raise head to 45 degrees Latex allergy considereations? - Answer- 1. Screening for latex allergy risk
- Identified to all staff involved
- Allergy bracelet placement4. What kind of reaction?
- / 2
Infection control? - Answer- wash your hands wet to dry dressing change - Answer- benign - Answer- mild, not cancerous malignant - Answer- cancerous Living will vs. healthcare power of atternoy - Answer- black box warning - Answer- Life threatening affects, warnings glaucoma symptoms - Answer- tunnel vision, halos, loss of periphreal vision Morphine side effects - Answer- depressed breathing order for inspecting abdomen - Answer- inspect, auscultate, palpate