NR 224 FINAL EXAM STUDY GUIDE FUNDAMENTALS PRACTICE
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NR 224 FINAL EXAM STUDY GUIDE FUNDAMENTALS PRACTICE
• Bulimia Nervosa
• Recurrent episodes of binge eating (rapid consumption of a large amount of food in a discrete period of time)
• A fee
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ling of lack of control over eating behavior during eating binges
• Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting, use of laxatives or diuretics, strict dieting or fasting, or vigorous exercise
• Binge eating and inappropriate compensatory behaviors that both occur, on average, at least once a week for 3 months
• Self-evaluation unduly influenced by body shape and weight
• To prevent hypoglycemia, do not abruptly discontinue TPN but taper rate down to within 10% of infusion rate 1 to 2 hours before stopping.
• Assess for signs of medical toxicity in older adult because: reduced glomerular filtration
• Majority of absorption: small intestine
• Indicate the use of z-track: last shot turned skin to colors
• GI tract
o mouth, esophagus, stomach, small intestine, large intestine, rectum, anus
o small intestine: duodenum, jejunum, ileum
o large intestine: cecum, ascending colon, transverse colon, descending colon, sigmoid colon, and rectum
• Dose is incorrectly interpreted: NURSE is at fault
• if pt. refuses medication: explain purpose/ educate why they are getting it/ ask why they don’t want to take it
• excrete gaseous medication: cough and take deep breaths
• expired medication: call physician
• Nurse is going to administer pain medication for pt with peripheral IV. Notices red streak, warm and tender to touch = Phlebitis-iv site that is blown/bust, and the fluid just starts to puddle: DO NOT give pain medication.
• Nurse is preparing medication to patients with same last name and did NOT check identification before administering medication: return to room to check and assess pt.
• Pt did not take daily allergy medication in the morning bc felt too drowsy: change time to 9PM so drowsiness occurs when pt is sleeping
• Successful goal of constipation: soft stool
• Pt asks if she will be needing to have the bag (ostomy) on at all time: yes bc it by-passes the large intestine and constantly oozes liquid
• Concerned if stoma is blue/purple/black
• REE: consumed over 24 hour period for body to maintain all of its internal working
• Pain meds. Cause constipation. 3 days without bowel movement=constipated
• Major source of energy: carbohydrates
• Black stool: iron ingestion-women take iron supps. A lot
• Meet nutritional needs: do not gain or lose weight - nitrogen balance- negative is malnutrition, positive-healing
• Breastfeeding is necessary for the first 4-6 months of life Cow’s milk can be drank after 1 year
• Poor nutrition: short attention span; dry, brittle hair; dry, rough and pale skin
• Colorectal cancer
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Last updated: 3 years ago
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