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NUR176 / NUR 176 Final Exam Study Guide
(Latest 2025 / 2026 Update): Concepts of Adult
Health Nursing for the Practical Nurse I
|Questions and Answers (Verified Solutions)
100% Correct – Hondros.
Question:
The day before your patient has present varicella blister they are?
Answer:
The most contagious
Question:
What manifestation comes before the blisters when having a shingles flare up?
Answer:
Fever, this is the most contagious stage on shingles
Question:
Dermaitis
Answer:
inflammation of the skin
Question:
Once the dermatitis bacteria gets under the skin it turns into?
Answer:
Cellulitis
Question:
Manifestations of Cellulitis
Answer:
Skin will be swollen, redness, fire like pain, tenderness, could have fever or even drainage
Question:
TX Cellulitis
Answer:
Antibiotics Keep dry and clean
Question:
Anaphylaxis Shock
Answer:
Life threatening allergic reaction Avoid allergen Immediate EPI pen injection in Vasatas lateralis
They need to be contained and covered Run the risk of secondary infection
Question:
Shingles
Answer:
Herpes zoster History of chickenpox Dormant condition
Question:
Shingles blisters
Answer:
Very painful Clusters Tracts nerves Fluid fill and can open and drain
Question:
Anticipated effects of extreme high BP or IICP
Answer:
Vision disturbances Nose bleeds Dizziness Headache Change in level of consciousness
Question:
Tx Shingles
Answer:
Analgesics Acyclovir (antiviral) *anti-anxiety meds
Question:
Prevent Shingles
Answer:
Over 65 year old vaccinate (live weakened injection) Shingrex Zostavax
Question:
Diuretics General Knowledge
Answer:
Pulls of extra fluid from the body Risk of pulling off too much Potassium and Sodium
Question:
Loop Diuretics
Educate on vaccines for risk or cervical cancers and other problems Report S/S
Question:
Risk of toughing Nitro
Answer:
Extreme headache
Question:
Hemophilia
Answer:
A hereditary disease where blood does not coagulate to stop bleeding No clotting factors
Question:
M
O
N
A
Answer:
Morphine (lowers demand of o2 to heart) Oxygen Nitro (vasodilator) Aspirin (anti platelet)
Question:
Pacemaker cannot
Answer:
No MRI
Question:
Test to determine blood on the stool?
Answer:
Occult
Question:
Lopressor, Beta blocker, ACE inhibitor working together during cardiac rehab do what?
Answer:
Reduce the risk of a secondary MI
Question:
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
Doppler Ultrasound Measure leg
Question:
Osteoarthritis
Answer:
inflammation of the bone and joint/degenerative disease Low bone density Calcium strip off the bone Risk for older white women
Question:
TX/interventions with osteoarthritis
Answer:
Reduce stress Reduce weight Anti-inflammatories Practice weight baring exercises
Question:
Athletes Foot/Jock Itch
Answer:
Fungal infection Treat with niastatine cream or powder
Keep cry and clean
Question:
Post Stroke considerations
Answer:
No straws Need assistance/assessment when eating Thickened liquids
Question:
Rheumatoid Arthritis RA
Answer:
Autoimmune disorder Familial/Heritary More likely in females
Question:
Manifestations of RA
Answer:
- Aching (in morning the most), pain in hands wrist feet, stiffness, instability, swelling, muscle atrophy
- Fatigue, anorexia, weight loss, low grade fever, low physical functioning (ADLS)
Question:
Diagnostics of Lupus and RA (autoimmune)
Answer:
RF factor ANA *** Sed rate CRP xray
Question:
CD4 count
Answer:
Shows number of Tcells in the body How well your immune system is working
Question:
CD4 count under 200
Answer:
Indicates AIDS
Question:
Chronic pain can lead to?
Answer:
Depression
Question:
Colitis
Answer:
Autoimmune disorder Goes through 1st layer of mucosal in the intestines
Question:
Manifestation of Colitis
Answer:
Stool has mucous, blood, and diarrhea, frequent stools Mild to severe pain
Question:
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
Question:
Manifestations of Chrons
Answer:
Question:
Common herpes zoster, HIV, or STD medication
Answer:
Acyclovir
Question:
Causes of HIV
Answer:
STDS
Blood transfusions unchecked Blood contact (sharing needles)
Question:
HIV / AIDS patient precautions
Answer:
Neutropenic precautions Reverse isolation We protect the patient from our germs
Question:
Early signs of ICP
Answer:
Change in LOC Restless Headache Vision changes
Question:
Meningitis
Answer:
Inflammation of the MENIGES of the brain and spinal cord Caused by a bacterial or viral infection Contagious
Question:
Meningitis symptoms
Answer:
headache, fever, stiff neck
Question:
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
Caused by trauma, infection or anesthesia Treat by treating the root cause
Question:
Digoxin (Lanoxin)
Answer:
Increases the contractility of the heart Lowers HR
Question:
Digoxin patient teaching
Answer:
Do not take of heart rate is under 60 Be aware of toxicity s/s to report to the doctor
Question:
Dig Toxicity
Answer:
Seeing halos Check lab values (0.8-2)
Question:
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
Question:
Treat General Anemia
Answer:
Dietary supplements Dietary management by encouraging iron rich foods like leafy greens, red meat etc IV ferritin Even blood transfusion
Question:
How to test for any type of anemia?
Answer:
Hematocrit and Hemoglobin
Question:
Sickle Cell anemia
Answer:
Genetic disorder that causes abnormal hemoglobin, resulting in some red blood cells assuming an abnormal sickle shape
