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NUR176 / NUR 176 Final Exam (Latest 2025
/ 2026): Concepts of Adult Health Nursing for
the Practical Nurse I | Complete Guide with
Questions and Verified Answers | 100%
Correct - Hondros
The day before your patient has present varicella blister they are? - ANSWER The most contagious What manifestation comes before the blisters when having a shingles flare up? - ANSWER Fever, this is the most contagious stage on shingles Dermaitis - ANSWER inflammation of the skin Once the dermatitis bacteria gets under the skin it turns into? - ANSWER Cellulitis Manifestations of Cellulitis - ANSWER Skin will be swollen, redness, fire like pain, tenderness, could have fever or even drainage TX Cellulitis - ANSWER Antibiotics Keep dry and clean
Anaphylaxis Shock - ANSWER Life threatening allergic reaction Avoid allergen Immediate EPI pen injection in Vasatas lateralis Impetigo - ANSWER Bacterial inflammatory skin disease characterized by vesicles, pustules, and crusted-over lesions Usually on mouth, hands Caused by poor hygiene and highly contagious Staph/strep bacteria Polydipsia - ANSWER Excessive thirst Manifestation of hyperglycemia Do you need an order for thicken liquids? - ANSWER NO You can add thickened liquids to anyones beverage when suspected swallowing issues You must contact and notify the doctor and suggest speech therapy consult Shingles blisters when they have opened and draining - ANSWER They need to be contained and covered Run the risk of secondary infection Shingles - ANSWER Herpes zoster History of chickenpox Dormant condition Shingles blisters - ANSWER Very painful
Not as much potassium is being pulled off but still a significant amount; weak form Potassium-sparing diuretic - ANSWER Spironolactone (Aldactone) Spares all potassium from being pulled out of the body Be aware of potassium lab levels (given when low) STD Teaching - ANSWER Safe sex practices Frequent testing Proper hygiene Educate on vaccines for risk or cervical cancers and other problems Report S/S Risk of toughing Nitro - ANSWER Extreme headache Hemophilia - ANSWER A hereditary disease where blood does not coagulate to stop bleeding No clotting factors M O N A - ANSWER Morphine (lowers demand of o2 to heart) Oxygen Nitro (vasodilator) Aspirin (anti platelet) Pacemaker cannot - ANSWER No MRI
Test to determine blood on the stool? - ANSWER Occult Lopressor, Beta blocker, ACE inhibitor working together during cardiac rehab do what? - ANSWER Reduce the risk of a secondary MI Cardiac Rehab - ANSWER A medically supervised program to help heart patients recover quickly and improve their overall physical and mental functioning Builds up activity tolerance in a safe setting Meds also include Lopressor, bet blocker, ACE inhibitor Vaccinations - ANSWER Acquired immunity HIV/AIDS diet - ANSWER High Calorie High Protein High Carb High Fat AV Shunt - ANSWER Never to BP or needle stick in that arm Palpate for thrill Auscultate for Bruie DVT assessment - ANSWER Redness, swelling, hot to the touch, painful in lower extremities Doppler
-Fatigue, anorexia, weight loss, low grade fever, low physical functioning (ADLS) TX/Interventions with RA - ANSWER Biologic drugs NSAIDS Control stressors Dietary NSAIDS Lupus - ANSWER Body destroys own Tcells Autoimmune disorder Can result in organ failure Manifestations of Lupus - ANSWER Anemia Joint pain Chronic fatigue Sensitivity to sunlight Butterfly rash Pitciae on chest Diagnostics of Lupus and RA (autoimmune) - ANSWER RF factor ANA *** Sed rate CRP xray CD4 count - ANSWER Shows number of Tcells in the body How well your immune system is working CD4 count under 200 - ANSWER Indicates AIDS
Chronic pain can lead to? - ANSWER Depression Colitis - ANSWER Autoimmune disorder Goes through 1st layer of mucosal in the intestines Manifestation of Colitis - ANSWER Stool has mucous, blood, and diarrhea, frequent stools Mild to severe pain Chrons Disease - ANSWER Autoimmune disorder chronic inflammation of the intestinal tract All three layers of intestinal lining Surgery to remove sections leads to colostomy bag Manifestations of Chrons - ANSWER Severe abd pain Stools have mucous, blood and freq to no stool HIV S/S - ANSWER fatigue Diarrhea weight loss muscle or joint pain painful or swollen glands night sweats fever
Meningitis symptoms - ANSWER headache, fever, stiff neck Meningitis nuring considerations - ANSWER Keep patient in droplet and contact precautions Until the root infection is diagnosed you want to use all precautions because they could have ether type of infection Encephalitis - ANSWER inflammation of the BRAIN caused by a virus from mosquito borne diseases, tick borne disesases, Herpes zoster, or trauma prevent encephalitis - ANSWER Take precautions against likely causes Vaccinations S/S of encephalitis - ANSWER Flu like symptoms Headache Confusion/Change in consciousness Problems with senses and movement Seizures Delirum - ANSWER A temporary state of confusion Caused by trauma, infection or anesthesia Treat by treating the root cause Digoxin (Lanoxin) - ANSWER Increases the contractility of the heart Lowers HR
Digoxin patient teaching - ANSWER Do not take of heart rate is under 60 Be aware of toxicity s/s to report to the doctor Dig Toxicity - ANSWER Seeing halos Check lab values (0.8-2) General Anemia - ANSWER Low iron levels due to loss of blood by: Menstrual cycle GI bleeds from ulcers, hemorrhoids, mastoids etc. Hematuria Or by dietary deficits Treat General Anemia - ANSWER Dietary supplements Dietary management by encouraging iron rich foods like leafy greens, red meat etc IV ferritin Even blood transfusion How to test for any type of anemia? - ANSWER Hematocrit and Hemoglobin Sickle Cell anemia - ANSWER Genetic disorder that causes abnormal hemoglobin, resulting in some red blood cells assuming an abnormal sickle shape Black females are more at risk
Child under the age of 2 and permethrin - ANSWER Cannot use, will harm Bedbugs - ANSWER blood-sucking arthropod whose bite causes pain, red skin, and severe itching Treat bedbugs - ANSWER Extreme heat treatment Diaton powder Get rid of infected furniture etc. Skin Cancer - ANSWER Harmful, malignant growth on the skin; basal cell carcinoma, melanoma. Nevi moles (bloody red, dark, black, irregular in shape) Chlamydia - ANSWER A bacterial infection that affects the reproductive organs of both males and females Can cause serious damage to the reproductive organs Spread by sexual intercourse (oral, vaginal, anal) Serious risks of STD for women - ANSWER Damage to reproductive organs Cervical cancer Transmission during childbirth to child Symptoms of Chlamydia - ANSWER Lower ABD pain/peri area Menstrual disorder Painful urination Fatigue
Discharge Conjunctiva Gonorrhea - ANSWER A bacterial STD that usually affects mucous membranes Infection in the genital also rectum and throat Symtpoms of gonorrhea - ANSWER Men: no symptoms sometimes, drainage from penis, swollen testes Women: UTI like s/s Lice/Pediculosis - ANSWER See eggs or bug in hair Clean and disinfect Heat treatments
