NSG-300 Final Exam | COMPLETE QUESTIONS WITH 100% RATED CORRECT ANSWERS | GRADED A+| 2025 LATEST UPDATED

intradermal injection

25-27 gauge, 3/8" to 5/8" long, insert 10-15 degree angle

IM needle length

1 to 1 1/2

SQ needle length

3/8-5/8 inch

ventrogluteal site (IM)

is recommended for volumes greater than 2 mL

deltoid muslce (IM)

used for 2mL or less

administration of eardrops

children <3 - straighten the external ear canal by pulling ear down and back

adults and children > 3 - pull auricle upward and outward

administration of eyedrops

gently pull down skin below eye to expose conjunctival sac and administer drops

how to administer sublingual medication

med goes under tongue, do not swallow or drink anything until all the way dissolved

how to administer buccal medication

place the medication against the mucous membranes of the cheek until it dissolves

how to administer PO medications

med is given by mouth and swallowed with fluid

how to administer topical medication

apply to mucous membranes through direction application of a liquid or ointment, insertion of a medication into a body cavity, instillation of fluid into a body cavity, irrigation of a body cavity or spraying meds into a body cavity

Luer-lok syringe

is the general syringe which have needles twisted onto the tip and lock themselves in place

non-luer-lok syringe

have needs that slip into the end

tuberculin syringe

16ths of minim and 100ths of a mL. (capacity of 1mL). used for intradermal or subQ

insulin syringe

0.3-1 mL and is calibrated in units

how do med errors occur

miscommunication, incomplete med orders

do clients have the write to refuse meds and what do you do about it

yes, do not administer the med and report it to the HCP

what is included in a med order

patient name

name of drug

dosage

route

frequency, time and special instructions

date and time of order

signature and licensure of person writing the order

what is included in the documentation of VS

Temperature

Heart rate

Respiratory rate

Blood Pressure

O2 sat

Pain

what is palliative care

focuses on reducing/relieving the symptoms of a disease w/o attempting to provide a cure

what is hospice care

A type of care given to patients with PROGNOSIS OF LESSS THAN 6 MONTHS to live that focuses on alleviating physical symptoms (NOT CURING) & addressing psychological, social, and spiritual concerns (of the patient's family as well).

What is critical thinking

the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process

what are CAMs

complementary (therapies which are used in addition to conventional treatment) and alternative therapies (therapies that replace allopathic medical care)

what is ADPIE

Assessment

Diagnosis

Planning

Implementation

Evaluation

Active ROM

patient helps to perform the exercises

Passive ROM

movement of the body without effort by the patient

what is subjective data

what the client tells you

what is objective data

what you as the nurse observe and can measure

what is sepsis

when the transfusion of blood components that are contaminated with bacteria (especially gram negative bacteria)

what is claudication

pain caused by too little blood flow during exercise

what is DVT

blood clot in a deep vein, especially in the legs

how do you take care of a fire? (RACE)

R - rescue and remove all patients in immediate danger

A - activate the alarm

C - confine fire by closing doors and windows

E - extinguish the fire

what is self concept

an individuals view of self.

is subjective and involves a complex mixture of unconscious and conscious thoughts

what is dementia

is a gradual, progressive, irreversible cerebral dysfunction that interferes with social and occupational activities

what is MRSA

what are the stages to a teaching plan?

Expressive aphasia (Broca's)

person understands written and verbal speech but cannot write or speak appropriately when attempting to communicate

receptive aphasia (Wernicke's aphasia)

person cannot understand written or verbal speech

what are the stages of grief

denial

anger

bargaining

depression

acceptance

wet macular degeneration

occurs when abnormal blood vessels behind the retina start to grow under the macula, ultimately leading to blood and fluid leakage

dry macular degeneration

occurs when the macula thins over time as part of the agin process which gradually blurs central vision

how does dysphasia affect med administration

can make it difficult for them to take PO drugs

partial thickness wound repair

inflammatory response, epithelial proliferation and migration, and reestablishment of the epidermal layers

Full thickness wound repair

hemostasis, inflammatory, proliferative, and maturation

Primary intention wound healing

wounds that are closed (approximated)

ex. surgical incision

Secondary intention wound healing

wound edges are not approximated

ex. pressure ulcers, surgical wounds that have tissue loss

tertiary intention wound healing

a wound that is left open for several days, then wound edges are approximated

Stage I pressure ulcer

intact skin with nonblanchable redness

Stage II pressure ulcer

partial thickness skin loss involving epidermis, dermis, or both

Stage III pressure ulcer

full thickness tissue loss with visible fat

Stage IV pressure ulcer

Full-thickness tissue loss with exposed bone, tendon, or muscle

normal BP range

<120/80 mmHg

prehypertension

120/80 - 139/89

Stage 1 hypertension

> 140/90

Stage 2 hypertension

> 160/90

normal temp range

Healthy adult: 98.6-100.4 F or 36-38 C

Elderly adult: 95-97 F or 35-36 C

normal pulse range

60-100 bpm

normal O2 sat range

95%-100%

normal respiratory rate range

adult: 12-20

adolescent: 16-20

how can you tell that someone is dehydrated

tenting noted with skin turgor, constipation

how do we know infection is happening

odorous and purulent drainage, dehiscence, evisceration, elevated WBCs, fever, tenderness, pain, wound edges appear inflamed

What are the temperature sites

Oral, rectal, axillary, tympanic membrane, temporal artery, esophageal, pulmonary artery

fecal occult blood test

test to detect occult blood in feces

Blue = postivie

What is used to help with a fecal impaction

enema, then digital removal of stool

normal WBC count

5-10,000

normal RBC count

male=4-6 million

female = 4-5 million

normal Hgb level

male = 14-18 g/dL

female = 12-16 g/dL

normal Hct levels

male= 42%-52%

female=37%-47%

simple face mask

used for short-term O2 therapy

delivers o2 concentrations from 6-12 L/min (35% to 50% o2)

plastic face mask with reservoir bag (partial rebreather or nonrebreather mask)

delivers a flow rate of 10-15 L/min (60-90% o2)

Venturi mask

O2 concentrations of 24%-60% and usually requires O2 flow rates of 4-12 L/min

normal grief

The usual response to a loss. Initial sadness and then recovery are normal.

anticipatory grief

grief experienced prior to a loss

disenfranchised grief

grief involving a deceased person that is a socially ambiguous loss that can't be openly mourned or supported

complicated grief

a person has a prolonged or significantly difficult time moving forward after a loss

necessary loss

losses that every person experiences

maturational loss

a form of necessary loss and includes all normally expected life changes across the life span

actual loss

occurs when a person can no longer feel, hear, see, or know a person or object

perceived loss

uniquely defined by the person experiencing the loss and is less obvious to other people

Assault

threat or attempt to injure

Battery

an intentional offensive touching without consent or lawful justification

Dextrose 5% in water (D5W)

is isotonic

enters cells rapidly, leading free water which dilutes ECF; most water then enters cells by osmosis

Dextrose 10% in water (D10W)

Hypertonic

Dextrose enters cells rapidly, leaving free water, which dilutes ECF; most of the water then enters cells by osmosis

0.225% sodium chloride (quarter normal saline)

hypotonic

expands ECV and rehydrates cells

0.45% sodium chloride (half normal saline)

hypotonic

expands ECV and rehydrates cells

0.9% NaCl (normal saline)

isotonic

expands ECV, does not enter cells

3% or 5% NaCl

Hypertonic.

Draws water from cells into ECF by osmosis

dextrose 5% in 0.45% NaCl

Hypertonic.

Dextrose enter cells rapidly, leaving 0.45% sodium chloride

dextrose 5% in 0.9% NaCl

Hypertonic.

Dextrose enters cells rapidly, leaving 0.9% sodium chloride

Lactated Ringer's (LR)

Isotonic.

Contains Na, K, Ca, Cl and lactate, which liver metabolizes to HCO3-. Expands ECV (vascular and interstitial). Does not enter cell.

Dextrose 5% in lactated Ringer's (D5LR)

Hypertonic.

Dextrose enters cells rapidly, leaving lactated Ringer's

Airborne precautions

droplet nuclei smaller than 5 microns

for measles, chickenpox, disseminated varicella zoster, pulmonary or laryngeal TB

uses a N95 respirator

droplet precautions

droplets larger than 5 microns; being within 3 feet of patient

For Diphtheria (pharyngeal), rubella, streptococcal pharyngitis, pneumonia or scarlet fever in infants and young children, pertussis, mumps, Mycoplasmapneumonia, meningococcal pneumonia or sepsis, pneumonic plague

FICA

Faith

Importance

Community

Address

Negative wound pressure

Application of subatmospheric (negative) pressure to a wound through suction to facilitate healing and collect wound fluid

Assist in wound closure, edema reduction, fluid removal

PASS (for extinguishers)

Pull

Aim

Squeeze

Sweep

Nasal prongs

1-6 L/min, 24-30%

partial rebreather

6-10 L/min, 24-60%

non-rebreather

10-15 L/min, 85-905

Dehiscence

partial or total separation of wound layers