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Hondros NUR 205 final exam with answers
FICA tool - ....🔰VERIFIED ANSWERS.... ✔✔F-Faith or beliefs I-Importance and Influence C-Community A-Address Physiological Fatigue - ....🔰VERIFIED ANSWERS.... ✔✔Caused by exercise, or excessive use of muscles Pathological/secondary fatigue - ....🔰VERIFIED ANSWERS.... ✔✔Mental/physical fatigue usually due to an underlying condition Primary prevention of fatigue - ....🔰VERIFIED ANSWERS.... ✔✔Vaccines, health diet Early adulthood - ....🔰VERIFIED ANSWERS.... ✔✔Late teens to mid 30s -ignores symptoms and medical care -make decisions regarding career/marriage Middle adulthood - ....🔰VERIFIED ANSWERS.... ✔✔Mid 30s to mid 60s -menopause in women -physical changes impact body image -interested in learning new skills -generativity-want to feel like they're doing good
Late adulthood - ....🔰VERIFIED ANSWERS.... ✔✔Mid 60s to death -has sense of integrity--proud of life -has sense of despair--dissatisfied with life Skin integrity
- Bacterial infections - ....🔰VERIFIED ANSWERS.... ✔✔Acne vulgaris Cellulitis Skin integrity
- Fungal infections - ....🔰VERIFIED ANSWERS.... ✔✔Yeast infection Athletes foot Skin integrity
- Viral infections - ....🔰VERIFIED ANSWERS.... ✔✔Herpes Simplex Skin integrity
- Infestations - ....🔰VERIFIED ANSWERS.... ✔✔Mites Scabies Lice Wound healing: Primary Intention - ....🔰VERIFIED ANSWERS.... ✔✔Wound edges well approximated. -Sutured incision, or simple laceration
Stage 1 pressure ulcer - ....🔰VERIFIED ANSWERS.... ✔✔Intact skin with non-blanchable redness Stage 2 pressure ulcer - ....🔰VERIFIED ANSWERS.... ✔✔Partial thickness involving dermis and epidermis Stage 3 pressure ulcer - ....🔰VERIFIED ANSWERS.... ✔✔Full thickness with visible fat Stage 4 pressure ulcer - ....🔰VERIFIED ANSWERS.... ✔✔Full thickness with exposed bone, muscle, and tendons What will the BUN and creatinine levels look like in dehydration?
- ....🔰VERIFIED ANSWERS.... ✔✔Both will be elevated Urinary Incontinence
- Stress - ....🔰VERIFIED ANSWERS.... ✔✔Leakage of urine during physical movement, ie. coughing/sneezing/exercising Urinary Incontinence
- Urge - ....🔰VERIFIED ANSWERS.... ✔✔Leakage at unexpected times, ie. during sleep Urinary Incontinence
- Functional - ....🔰VERIFIED ANSWERS.... ✔✔Urination due to a problem that prevents from reaching toilet
Urinary Incontinence
- Overflow - ....🔰VERIFIED ANSWERS.... ✔✔Leakage due to a full bladder Urinary Incontinence
- Transient - ....🔰VERIFIED ANSWERS.... ✔✔Leakage that occurs temporarily due to UTI, infection, medication, pregnancy Urinary Incontinence
- Reflex - ....🔰VERIFIED ANSWERS.... ✔✔Involuntary leakage related to spinal cord damage, loss of urge to void Way to promote defacation - ....🔰VERIFIED ANSWERS.... ✔✔Sitting position Position on bed pan Proper food and fluid intake Promotion of regular exercise Cold and clammy, need some candy = - ....🔰VERIFIED ANSWERS.... ✔✔Hypoglycemia Warm and dry, sugar is high = - ....🔰VERIFIED ANSWERS.... ✔✔Hyperglycemia Sliding scale - ....🔰VERIFIED ANSWERS.... ✔✔Used to determine the amount of insulin needed based on glucose levels
Elevated BP Distended neck veins What kind of fluid is water? - ....🔰VERIFIED ANSWERS.... ✔✔Hypotonic What lab do you want to monitor in fluid excess? - ....🔰VERIFIED ANSWERS.... ✔✔Serum potassium What kind of IV fluids would you use in fluid deficit? - ....🔰VERIFIED ANSWERS.... ✔✔Isotonic fluids Chvosteks sign - ....🔰VERIFIED ANSWERS.... ✔✔Sign of hypocalcemia -tap the cheek, eyes will close and spasm is positive for hypocalcemia Trousseau's sign - ....🔰VERIFIED ANSWERS.... ✔✔Sign of hypocalcemia -Put on blood pressure cuff, inflate and leave it. Will have carpal spasms for positive sign of hypocalcemia Assertive communication - ....🔰VERIFIED ANSWERS.... ✔✔Positive and negative feelings expressed openly and directly
Therapeutic communication - ....🔰VERIFIED ANSWERS.... ✔✔Verbal and nonverbal communication techniques that encourage patients to express their feelings Intrapersonal communication - ....🔰VERIFIED ANSWERS.... ✔✔self talk Interpersonal communication - ....🔰VERIFIED ANSWERS.... ✔✔the exchange of thoughts, feelings, and beliefs between two or more people Collaboration - ....🔰VERIFIED ANSWERS.... ✔✔Partnership with healthcare team to meet the needs of the patient. Begins on admission What is the only step in the nursing process that can be delegated?
- ....🔰VERIFIED ANSWERS.... ✔✔Implementation Populations in need of care coordination - ....🔰VERIFIED ANSWERS.... ✔✔Frail and elderly Special needs High risk pregnancies Mental illness End of life care 5 rights of delegation - ....🔰VERIFIED ANSWERS.... ✔✔Right task
Autism Cerebral palsey Secondary problems of functional ability - ....🔰VERIFIED ANSWERS.... ✔✔Had the ability, but lost it Alzheimers Parkinsons Morse fall scale - ....🔰VERIFIED ANSWERS.... ✔✔Tool used to identify the risk of falls -Higher the score, the greater risk for falls Cerebral Palsey - ....🔰VERIFIED ANSWERS.... ✔✔-Neurological disorder -Caused by lack of oxygen to brain, or abnormal development/injury to brain Autism - ....🔰VERIFIED ANSWERS.... ✔✔1. Social impairment
- Repetitive behaviors Alzhiemers - ....🔰VERIFIED ANSWERS.... ✔✔Irreversible progressive brain disease
Rheumatoid arthritis - ....🔰VERIFIED ANSWERS.... ✔✔Autoimmune -joint inflammation that leads to swelling, pain, and joint deformity. -Most common in women Parkinsons - ....🔰VERIFIED ANSWERS.... ✔✔-Tremors, rigidity, bradykinesia, impaired balance/coordination. -Usually affects men over 50. Adverse event - ....🔰VERIFIED ANSWERS.... ✔✔injury resulting from a medical intervention Near miss - ....🔰VERIFIED ANSWERS.... ✔✔Error of commission: care not provided correctly Error of Omission: care not provided at all Why do adults have impaired mobility as they get older? - ....🔰 VERIFIED ANSWERS.... ✔✔Because of decreased muscle strength Best way to protect patient for surgery - ....🔰VERIFIED ANSWERS.... ✔✔Verify order and the right surgery site Male, 55, African American. What disease is he at risk for? - ....🔰 VERIFIED ANSWERS.... ✔✔Colorectal cancer What disease does the fecal occult blood test test for? - ....🔰VERIFIED ANSWERS.... ✔✔Colon cancer
DKA signs and symptoms - ....🔰VERIFIED ANSWERS.... ✔✔Kussmauls breathing Fruit breath Ketones in urine Dry skin and mouth Nausea/vomiting Excessive thirst Which fluids holds 30% of the cell? - ....🔰VERIFIED ANSWERS.... ✔✔Extracellular How many liters should a patient urinate in a day? - ....🔰VERIFIED ANSWERS.... ✔✔1-2 L Patient with COPD, what acid base are they at risk for? - ....🔰 VERIFIED ANSWERS.... ✔✔Respiratory acidosis Measuring for NG tube - ....🔰VERIFIED ANSWERS.... ✔✔Nose, to ear lobe, to xyphoid process Patient has cirrhosis, ascites, and edema. How do you track fluid retention? - ....🔰VERIFIED ANSWERS.... ✔✔Daily weights at same time What acid imbalance would you expect from excessive NG suctioning?
- ....🔰VERIFIED ANSWERS.... ✔✔Metabolic alkalosis
Best course of action for patient hyperventilating and in respiratory alkalosis - ....🔰VERIFIED ANSWERS.... ✔✔Breath into brown paper bag Signs and symptoms of dehydration - ....🔰VERIFIED ANSWERS.... ✔✔Low BP Increased HR Poor skin turgor Dry mucous membranes Dry chapped lips What type of fluid is normal saline? - ....🔰VERIFIED ANSWERS.... ✔✔Isotonic When a patient has fluid volume deficit or dehydration, what type of assessment will you do? - ....🔰VERIFIED ANSWERS.... ✔✔Postural hypotension or orthostatic hypotension What is the late sign of hypoxia - ....🔰VERIFIED ANSWERS.... ✔✔Cyanosis People who give themselves insulin shots can develope what problem if they inject it into the same spot over and over? - ....🔰VERIFIED ANSWERS.... ✔✔Lipodystrophy How to teach someone to check blood glucose - ....🔰VERIFIED ANSWERS.... ✔✔How to teach someone to check blood glucose
Who is at risk for pressure ulcers? - ....🔰VERIFIED ANSWERS.... ✔✔Elderly Immobile patients Cognitively impaired patients Marco nutrients are - ....🔰VERIFIED ANSWERS.... ✔✔Fats, carbs, proteins Micro nutrients are - ....🔰VERIFIED ANSWERS.... ✔✔Vitamins and minerals Most common type of malnutrition - ....🔰VERIFIED ANSWERS.... ✔✔Protein-calorie deficit What is the goal of transcultural nursing? - ....🔰VERIFIED ANSWERS.... ✔✔To provide care fit with a patients own values, beliefs and traditions Which concept of intersectionality involves unequal access to resources and services? - ....🔰VERIFIED ANSWERS.... ✔✔Social inequality What are the 4 fat soluble vitamins? - ....🔰VERIFIED ANSWERS.... ✔✔A, D, E, K A patient is diagnosed with complete obstruction of the bile duct due to a gallstone. The patient passes fats in the stool due to indigestion of
fats. Of which vitamin deficiency is the patient at risk? - ....🔰VERIFIED ANSWERS.... ✔✔A, D, E, K 1.A 16-year-old patient is having symptoms of malnutrition even though the patient eats a well-balanced diet. The laboratory reports of the stool samples reveal undigested fats. What could be the organs involved in malnutrition? - ....🔰VERIFIED ANSWERS.... ✔✔a. Stomach, liver, gallbladder, pancreas Respiratory acidosis s/s - ....🔰VERIFIED ANSWERS.... ✔✔everything is low and sluggish, besides HR -Hypoxia -Low BP -Low respirations -Increased HR -Confusion -Headache Hypokalemia s/s - ....🔰VERIFIED ANSWERS.... ✔✔everything is low (hypo) Muscle cramps/weakness Constipation Lethargy Low respirations Confusion Hyperkalemia s/s - ....🔰VERIFIED ANSWERS.... ✔✔Muscle weakness
