Nursing 305 final

Patient has been using crutches for the past 2 weeks, she comes in for her follow up exam and complains of tingling and numbness in her hands upper torse possible causes?

hand grip doesn't allow for elbow flexion.

The nurse working on the surgical unit knows the surgical clients need an increased amount of protein. Why?

increased protein is essential for new cells and wound healing

nurses caring for a client with history of cardiac and vascular disease which fats should she allow for the diet

unsaturated

A nurse is caring for a client with acute back pain when should she assess the clients pain

when vital signs are measured

your obtaining a blood glucose from a client with diabetes notes the blood glucose level is 280 knowledge of which conditions prompts the LPN to report this to the nurse?

hyperglycemia

A cyclist reports to the nurse he is experiencing pain in the tendons and ligaments in his left leg and its worse with ambulation she documents the pain as

somatic

The nurse is providing safety dietary teaching to a client who is a vegetarian, whats a single source of complete protein that the nurse should recommend

soy

A middle age overweight adult has had hypertension for 15 years what pathological event are they most at risk for

stroke

During the normal cardi cycle blood pressure reaches a peak followed by drop is cycle

systolic cycle

adult has a apical pulse of 140 how would you document that

tachycardia

During a home visit the nurse notes that the clients experiencing chronic pain manages the pain better when sitting down quietly holding a small kitten, which type of distraction is the client using for pain control

tactile

Nurses conducting a health history client has a skin problem what would be most useful about getting info of personal hygiene.

tell me what you do to take care of your skin

college age student has influenza what stage is he most infectious

prodromo

client who had a recent below the knee amputation tell the nurse he feels as though his toes are cramping, what would the nurse say?

that's called phantom pain and its not unusual

Which client would be classified as having chronic pain?

rheumatoid arthritis

Nurses called to room a client is having audible high-pitched crowing sounds she should notify the health care provider for?

Stridder

The nurse knows an advantage of intraspinal analgesia is

ability to achieve appropriate analgesia with smaller doses

Parents of a boy 10yo are worried about his sleep walking what topics should the nurse discuss?

safety

When independent nursing intervention could be implemented to stimulate appetite

encourage or provide oral care

Patient has been place on a feeding tube to prevent aspiration what position should she place the bed

semi-fowlers

Client has been taught relaxation exercises before getting a painful procedure what chemicals are released in the body to relieve pain?

endorphins

What the minimal amount of time you should spend washing your hands

20 seconds

Nurses caring for a client with a fever of 103.2, his wife asks why does his body get so hot?

A fever is the body's way of creating a environment that is harmful to germs

Which laboratory result indicates a presence of malnutrition

Albumin

How may a nurse demonstrate cultural confidence when responding to a patient in pain?

Avoid stereotypical responses to pain in clients

Patients family is concerned that the patient may be receiving to much pain medicine after surgery and become addicted to the med if he is on a patient controlled analgesia PCA pump, they also voice concern of the effectiveness of it, the nurse should instruct the family and the patient

Because the device provides medication as soon as the patient needs it they will probably use less medication

your caring for a client who complains about sleep apnea what device do you think will be used?

CPAP

from reviewing an adult clients chart nurse notices average daily intake of fluids is 2000 a day what should she do based on that

Continue with the care this is normal

Select all apply. The nurse prevents self-injury to self by using which of the following?

Correct posture, effective body mechanics, effective lifting techniques

The nurse is preparing to insert a urinary catheter the packages is dry but show signs of yellowing inside the wrapper.

Discard the entire package.

A middle age client is reporting acute joint pain to a nurse who is assessing the pain in the clinic what question related to pain assessment should you ask?

Does the pain level change after taking medications?

A nurse implements back massage as an intervention to relieve pain, what theory is a motivation for this?

Gate control theory

Client with cancer pain and is taking morphine knowing constipation is a common side effect what would the nurse recommend to the client?

Increase fluid and high fiber foods, use mild laxative if necessary.

What information do anthropometric measurements provide in adults?

Indirect measurement in protein and fat stores

A nurse ask a client to rate his pain on a scale of 0-10 (0=no pain, 10=worst)

Intensity

Why is acute pain said to be protective in nature?

It warns a individual of tissue damage or disease

A client is experiencing pain at a 7 on a scale of 1-10, despite having medication 2 hours prior what is the best response.

Let me reposition you and rub you back to help relieve the pain

Assess a client just admitted from the ED with pain in the lower right quadrant physicians order read diets as tolerated. which conclusion will impact nurses' decision regarding the client's diet.

NPO

Which client would be most likely to have decreased anxiety about and response to pain in result to a past experience?

One who had pain and was relieved.

What function of the skeletal system is essential of proper function of all cells and tissues?

Producing blood cells

When preparing to move a patient in bed the nurse should?

Raise the bed to a working height

Patient is an elderly gentleman who has been on bedrest for the past several days. When getting the patient up the nurse should?

Raise the head of the bed before dangling

Client in a physician office has a blood pressure of 150/92 what must be considered before being diagnose as having hypertension

The client must have at least more 2 readings before diagnoese

Nurses preparing to reposition a patient Which of the following is a principle of safe patient transfer?

The wider the base of support the greater the stability of the nose

The nurse is applying for a job at a local hospital and wants to look her best for the interview and decides to wear artificial nails she does this knowing

They can lead to fungal growth under the nail

A mother calls a nurse practitioner to say " i dont know whats wrong with my baby he kept crying all night and pulling at his ear" how would the nurse respond?

This could mean his ear hurt please bring him in to be checked

Graduated compression stocking are ordered for the patient on bed rest after surgery. The nurse explains to the patient the primary purpose is

To provide external pressure

The following procedures have been ordered and implemented by a hospitalized client which procedure carries the greatest risk for a healthcare associated infection

Urinary catheterization

Your feeding a client what statement would most maintain their dignity

What part of your meal would you like to eat first

fill in the blank: Pain that extend beyond the period of healing and often lacks in identified pathology is known as

chronic pain

What the rationale to use CPAP to treat sleep apnea

air pressure holds the airway open

What is a term used to describe a pharmaceutical agent that relieves pain?

analgesics

Client visits health care facility reports loss of appetite following a prolonged illness 4836

anorexia

What are the recommended cleansing agents for hand hygiene in any setting where the risk of infection is high

anti-microbial products

client developed a UTI after being catheterized during surgery the nurse anticipates the health care provider will prescribe

antibiotic

Which statement about glove use in hand hygiene is true

artificial fingernails should not be worn by staff involved in direct client care

On the first post op day clients assisted to the bathroom its important for the nurse to?

assess safety

client who has had abdominal surgery developed an infection in the womb while still hospitalized what is likely the cause?

bacteria

Which statement accurately describes pain experienced by the older adult

boredom and depression may affect and older person perception of pain

A nurse is providing care who has been newly admitted to the long-term care facility what is the primary criteria for the nurse's decision whether to use a mechanized assisted devices for transferring?

client's ability to assist.

Why does a nurse move a patient who has been complied to bed for few days slowly from sitting to standing?

concern of orthostatic hypertension

Patient that is hospitalized for several days multiple iv antibiotics and knows had 3 episodes of severe fowl smelling diarrhea, the nurse should institute what kind of precautions

contact

If you are going to do oral care if client has dentures what action do you do first

dawn gloves

The nurse observes that even though several clients are experiencing pain, the pain response intolerance are different what factors would you keep in mind for assessing the pain

developmental stage, individual values, ethnic and cultural beliefs, emotions

Which term should the nurse recognize for the process of which food is broken down in the gi tract releasing nutrients into the body

digestion

The nurse is performing a physical assessment on a client a note the client has a large number of dental carries and missing numerous teeth what are his concerns about the clients nutritional status. Which is most likely the concern youd voice?

digestion begins in the mouth with the process of chewing

Nonforma cological approach that the nurse may implement for patients that are experiencing pain focuses on diverting their attention away from the pain by promoting pleasurable and meaningful stimuli

distraction

To promote health in the fetus, the nurse should instruct the mother in her first trimester of pregnancy

eat foods high is folic acid

The nurse provides education to a client who needs an increase intake of complete proteins the nurse knows its effective if the client chooses the food

eggs

Select all that apply: Nurse is concerned that a client experiencing chronic pain which psychological symptoms did the nurse assess to make this determination

fatigue, low self-esteem, depression

23yo female diagnosed with a yeast infection, whats the type of pathogen

fungi

Before entering the room of a patient in isolation where all protective barriers are required what would the nurse dawn first

gown

A client with chronic pain reports that pretending to be lying on a beach with the sun warming the legs seems to relieve the hip and leg pain

guided imagery

Caring for patients the nurse understands the single most important technique to prevent and control and transmission of infection.

hand hygiene

Caring for a client who has been on bed rest, primary care provider has just written a new order for the client to sit in the chair 3 times a day. what is most effective to transport them safely?

having the client sit on the side of the bed for a several minutes before moving to the chair

A nurse is educating adolescents on how to prevent infections what statement by one indicates more education is needed?

i dont wear a condom when i have sex but i know my partners

Which misconception is common in clients with pain

i will get addicted to pain meds

A nurses care for a client with terminal lung cancer stats their pain keeps getting worse and worse and the morphine isnt helping

intractable

What is the route for administration of TPN

intravenous

Nurses care for client who is receiving morphine via a patients controlled analgesia pump notes that the clients respiratory rate is 10bpm he is somnolent, minimal response to physical stimulation, what should she prepare to administer?

intravenous Naloxone

Client has been prescribed a clear liquid diet what food or fluid would be served

jello, carbonated beverages, apple juice

A nurse has documented that a client has anorexia what is his pain

lack of apetite

LPN LBN is a sign to feed a client who was admitted with a diagnosis of cerebral vascular accident the ability to swallow is intact but chewing remains difficulty what type of food would mostly likely cause the LPN to consult the with RN

mechanical soft puree

What natural chemical does the body produce at night to decrease wakefulness and promote sleep?

melatonin

student has been assigned to provide hygiene care to 4 clients which one would require special consideration for perianal care

middle age women with foley catheter

a nurse's care for a client who is ambulating for the first time after surgery, upon standing he reports dizziness, faintness his blood pressure 90/50

orthostatic hypotension

A nurse calculates the BMI of a client given general survey is 26

overweight

The nurse assists the client to the bathroom sink to preform morning care observes the client wash face, arms, abdomen and legs, the nurse washes the back and rectal are and applies soap to the back. The client brushes his own teeth and emulates to a chair in his room with assistance. How will the nurse describe the care?

partial care

who are the following individuals who can best determine the experience of pain

person who has the pain

The whole possible nursing interventions to break the chain of infection

practicing hand hygeine

Before long term care resident goes to sleep at night the dentures are placed in a denture cup with clean water. Why?

prevent drying and warping of the plastic

A nurse is providing perineal care to a female client, which direction would she move the wash cloth

pubic to anal

Nurse is taking a clients temperature and wants the most accurate measurement based on core body temperature

rectal

A client asks why his shoulder is hurting when the problem is in the abdomen what type of pain could that be

referred pain

When removing the mask after an aseptic procedure what should the nurse do first?

remove gloves

The nurse is planning to bathe the client who has thigh high anti embolism stockings in place. What would you do?

removes them during the bath

Client tells the nurse she is experiencing stabbing pain in her mouth gums and teeth when she brushes her teeth

trigeminal neuralgia

for patients with which of the following conditions should the nurse implement airborne precautions?

tuberculosis

client is diagnosed with narcolepsy what is the characteristic.

uncontrollable desire to sleep