Term 1 Final review

Physiologic

Utilizing Maslow's model, a nurse understands that a patient wants to use the bathroom before taking his medication is attempting to meet which need?

Stomach mixing and churning food to chyme

What is an example of mechanical digestion?

Kyphosis

What is the name of the curvature of the thoracic spine that causes a bent-over appearance in some older adults?

Lower GI tract

What is the probable source of bright red blood in stool?

Glomerulus

What the clusters of filtering capillaries in the renal tubes?

Genetic theory

What theory claims that there is a hereditary basis for aging?

Implementation

When the nurse performs nursing interventions as stated on the care plan, it is recognized that she is participating in which phase of the nursing process?

Osteoblasts

Which cells in bone tissue secret an intercellular matrix?

The client with Type AB

Which client can receive a blood transfusion from any donor?

Lack of dietary fiber

Which factor contributes to constipation in an older person?

It is the same as sterile technique

Which of the following best described surgical asepsis?

A 75-year-old hemiplegic client recovering from a recent stroke

Which of the following clients is the best candidate for rehabilitative health services in a long-term care setting?

1. dehydration 2. malnutrition 3. poor personal hygiene

Which of the following is a physical sign or symptom of neglect? (SATA-3)

The patient is human being deserves dignity, courtesy, and respect

Which of the following principles should the nurse remember when admitting, discharging, or transferring a client?

1. B 2. C

Which of the following vitamins are water soluble? (SATA-2)

Endocrine

Which type of gland secretes hormones into the blood?

Check the formula rate, strength and volume, any of these may be too high

A 15-year-old trauma patient has been started on NG feedings. Shortly after, the patient complains of abdominal cramping & nausea. What is an appropriate nursing action?

The Coude catheter

A newly licensed nurse is preparing to insert an indwelling urinary catheter in an elderly male patient with a history of enlarged prostate. Which type of catheter will the nurse select?

Turn the client on his side before starting oral care

A nurse in a long-term care facility is caring for a client who is unresponsive. When performing oral hygiene for the client, which of the following actions should the nurse take?

Lower the height of the solution container

A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?

Airbone

A nurse is assisting with the admission of a client who has tuberculosis with a productive cough. Which type of isolation precautions should the nurse initiate for the client?

Provide humidified air

A nurse is assisting with the care of a client who is 2 days postoperative following the creation of a tracheostomy. Which of the following actions should the nurse plan to take?

Denial

A nurse is caring for a client in the emergency department who had a traumatic amputation of his left arm in an industrial accident 1 hr ago. The nurse should expect the client to be in which of the following stages of grief?

"Client found lying on the floor with a 3-cm laceration 1 cm above left eyebrow. Client oriented to name only."

A nurse is caring for a client who received a sedative medication at bedtime and becomes confused during the night. The client falls while getting out of bed, sustaining a laceration to the head that requires suturing. Which of the following notations should the nurse make when documenting in the client's medical record?

Determine the location of the pain

A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

Mechanical soft diet

A nurse is caring for a patient with dysphagia. Which of the following diet is most suitable for this patient?

Request a meal tray without pork

A nurse is contributing to the plan of care for a client who practices the Muslim faith. Which of the following actions should the nurse include in the plan?

Seroussanguineous

A nurse is performing a dressing change on a 2-day post-surgical client. Which term should the nurse document to describe a pale, red, watery drainage?

Secure new tracheostomy ties before removing the old ones

A nurse is performing tracheostomy care for a client. Which of the following actions should the nurse take?

"Information about a client can be disclosed to family members at any time."

A nurse is reviewing HIPAA with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further instruction?

Civil battery

An adult elderly client has refused an intramuscular injection. The nurse waits until the client is asleep and gives the injection anyway. The nurse could be charged with:

Sterile syringe tip

Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic speciment?

Emulsification

Bile can split fat globules into tiny pieces to be broken down and absorbed. What is this process called?

Bradycardia

During a physical assessment, the nurse notes that a patient's heart rate is only 56 beats/min. What should the nurse document that the patient is experiencing?

Surfactant

Each alveolus is coated with a thin coating of a detergent-like substance that prevents it from collapsing after each breath. The liquid substance is called:

Towards the face

How should the nurse position the earpieces on a stethoscope to ensure optimum reception?

Prostate

In males, the gland surrounding the urethra is called the:

Low

In terms of negative feedback, additional TSH will be secreted in response to ___ blood levels of T3 & T4?

Prone

In which position is the patient lying face down or chest down?

1. protection 2. thermoregulation 3. Vitamin D synthesis

Major functions of the skin and related structures include: (SATA-3)

1. record fluid intake and output 2. perform catheter care twice daily or before every shift 3. secure the catheter tubing to prevent tension

Nursing interventions for the patient with a urinary drainage system are aimed at early detection and prevention of infection and trauma. Which interventions are included in the nurse's plan of care? (SATA-3)

120-139 mm/Hg

Pre-hypertensive SYSTOLIC blood pressure for an adult is:

Adrenal glands

Regulating metabolism and interacting with the sympathetic nervous system in response to stress are functions of the:

1. orange juice 2. green bell peppers 3. strawberries

Select foods that have the richest content in Vitamin C. (SATA-3)

Brain and spinal cord

The central nervous system includes which set of structures?

Biscuspid valve

The mitral valve is also known as the:

Active

The nurse explains that when range-of-motion is performed by the client alone, it is called:

Visualization of half of the field

The nurse is assessing the vision of an older adult patient. Which finding is not associated with the aging process?

Progressive damage from several small strokes

The nurse is caring for a patient who was diagnosed with vascular dementia. The nurse understands that the patient has likely also experienced which condition?

Partial thickness tissue loss of dermis; shallow open area with 0.2 cm blister

The nurse is reviewing documentation from the previous shift. The nurse is correct when determining the patient has a stage 2 pressure injury based on which note?

Reminiscing about past important events

The nurse is working in a long-term care facility. Which activity will help the residents to meet the developmental task of ego integrity as described by Erikson?

Abandonment

The nurse leaves their post prior to the arrival of a relief nurse, after assuming the obligation of that patient's care, this is termed as:

Less than 6 months

The nurse reassures that most acute pain is intense and of short duration, usually lasting:

Metabolism

The nurse stresses that nutrients are part of a combination of all chemical process that take place in the body to regulate body processes. This basic process is called:

Handwashing

The nurse tells the patient that the most important preventive technique for interrupting the infection process is:

Foramen

The opening in a bone through which blood vessels, nerves, and ligaments pass is called a:

Transport oxygen to the tissues

The primary function of a mature erythrocyte is:

Tarsals

The seven short bones that make up each ankle are called:

Oropharynx

The structure is the second portion of the pharynx

The lens

To focus on an object that is close or at a distance, the ciliary muscle contract and relax to change the shape of what structure?