NSG 3023 Final Exam Study Guide

NSG 3023 FINAL EXAM STUDY GUIDE

CHAPTER 18

1. Know the difference between, diffusion, osmosis, filtration and active transport (TB Q#1)
2. Be able to describe and give rationale with examples of isotonic, hypertonic and hypotonic fluids(TB Q#2, #3)
3. Be able to describe the mechanism behind thirst(TB Q#4)
4. Describe insensible water loss and the effects on particular organs (TB Q#5)
5. Be able to describe the mechanism in which fluid and electrolyte balance is maintained or regulated partially by hormones(TB Q#7)
6. Educations for clients at risk for hyperthermia.ie; (hypothalamus injury)
7. A head injury could result in injury of hypothalamus or pituitary which could affect which organs

or functions? (TB Q#8)

8. Be able to describe signs and symptoms of hyponatremia, hypokalemia, and hypochloremia.(TB Q#9)
9. What concerns would a health care provider anticipate with a patient on a ventilator related to acid base imbalance?(TB Q#10)
10. Be able to look at labs and distinguish between respiratory acidosis & alkalosis also metabolic acidosis and alkalosis by reading results of arterial blood gases (know the appropriate ranges of arterial blood gases)(TBQ#11, 12 and 13)
11. What makes the most sense for fluid allotment times for a client with low sodium diet and fluid restriction?(TBQ#18)
12. What is the best method to administer nutrition for a client with no bowel sounds?(TBQ#19)
13. Know when it is appropriate to administer an implanted port, peripheral IV catheter, central line or a peripherally inserted central catheter(TB Q#21)
14. Know the steps to starting a peripheral intravenous catheter
    1.  
15. Know the signs of phlebitis, infiltration, thrombophlebitis, and local inflammation(TBQ#24)
16. Know the procedure when experiencing a blood transfusion reaction and also if the nurse wants to keep the access open(TBQ#26)

CHAPTER 37

17. Know the difference between reactive hyperemia, blanchable-hyperemia, nonblanchable hyperemia and tissue ischemia (TBQ#1)
18. Know the difference between friction and shear on the skin, also tunneling and moisture effects (TBQ#2)

19. What factors could put a client at risk for pressure ulcers (TBQ#3)
20. What parameters are assessed when doing a wound assessment? (TBQ#2 select all that apply)
21. Be able to identify the categories and familiarity with the Braden Scale (TBQ#1 select all that apply)
22. Be able to describe pressure ulcer staging (1-4). (TBQ# 4-7)
23. What is the time frame for administration of a tetanus toxoid injection? (TBQ#8)
24. Know and describe maceration, dehiscence, evisceration and debridement (TBQ#9)
25. Know the uses of wound care products ie; dry gauze, transparent film, hydrogel and hydrocolloid (TBQ#10)
26. Know the order of steps to change a large buttock wound (TBQ#11)
27. Know the purpose of the therapies; warm soaks, warm moist compresses, sitz baths, and cold moist compresses and dry heat therapy (TBQ#12)
28. Know the various stages of wound healing and what is happening at each phase (TBQ#13)
29. Documentation for a client with an abdominal binder post-surgery (TBQ#15)
30. Know the difference between serous, seroussanguineous, sanguineous and purulent drainage (TBQ#16)
31. Proper way to wrap an elastic bandage (TBQ#19)

Chapter 39

32. Biggest post op concern for a client (TBQ#1)
33. Know the profile of a client who is more prone to suffer from a pulmonary embolism (TBQ#2)
34. When is the best time to facilitate a client’s wound healing that was post radio and chemotherapy? (TBQ#3)
35. What type of client is most at risk for hypovolemic shock after emergency therapy? (TBQ#4)
36. Rationale for monitoring a client’s glucose level that is post-op, and not diabetic (TBQ#5)
37. What are early and late signs of malignant hyperthermia (TBQ#6)
38. When should preoperative teaching begin for a newly diagnosed client (TBQ#7)
39. Proper times for a surgeon to clarify information with a patient undergoing surgery (Select all that apply #1)
40. When should prior to surgery general anesthesia fast begin? (TBQ#8)
41. Why do post op clients perform leg exercises? (TBQ#10)
42. What does ruptured AAA (aortic abdominal aneurysm) major surgery entail? (TBQ#11)
43. Why do clients often shiver after surgery? (TBQ#13)

44. Be able to distinguish between local, regional, and general anesthesia as well as moderate sedation (TBQ#14)
45. Teaching about postoperative analgesia (Select all that apply #2)
46. Why is postoperative coughing important? (Select all that apply #3)
47. What does physical preoperative preparation entail? (TBQ#15)
48. Be able to use and explain the overall function of the incentive spirometer (TBQ#18)
49. Factors which may contribute to an inaccurate oxygen saturation reading
50. Write a correct outcome statement for a client ie; SOB, nutrition, mobility
51. What happens when a client does not meet the nurses’ stated outcomes?
52. What steps does a nurse take when evaluating care for a patient?
53. Be able to identify leadership skills that nursing students use when caring for patients
54. Be able to describe various ways for the staff, family, patient etc…to all work on goals
55. Be able to identify some comprehensive assessment approaches

Chapter 13

56. Be able to prioritize patient care using Maslow’s and the ABC’s. (TBQ#17)
57. Be able to describe terminology for a person having a low or increased temperature out of range

Chapter 15

58. Difference between systolic and diastolic pressure? (TBQ#36)
59. Abnormal heart rates, blood pressure and rhythms names and meanings (TBQ# 32-38)
60. Conditions which would make a nurse be concerned with orthostatic hypotension and interventions for the nurse to do if a client is experiencing the symptoms.

Chapter 27

61. Be able to describe the best way to ambulate a hemiplegic patient (TBQ#23)
62. Know ways to instruct a patient on home safety

Chapter 38

63. Know the difference between sensory deficit, overload, and deprivation (TBQ#17)
64. Interventions to assist a client that is suffering from sensory overload (Select all that apply #3)
65. Know what to look for the presence of to assess sensory alterations (Select all that apply #2)

Chapter 18

66. What processes with body fluids maintains homeostasis? (Select all that apply #1)
67. Be able to calculate lbs, kgs, and liters