Fall 21 Health & Illness Exam 1 Content

Which lab test screens for anemia?

CBC

Eating ____ ounces of fish that is low in mercury can be beneficial for those older than age 12 and for those who are not pregnant or nursing

12

men should limit alcohol intake to ____ per day.

2

Consume at least ____ servings of fruits and vegetables each day.

5

determines the extent to which goals were met.

evaluation

Which lab test screens for diabetes?

glucose

is a way of thinking to increase overall health and well-being

health promotion

A ________________ liquid can be eaten with a spoon but not sipped with a straw.

honey thickened

is a coping mechanism used by those with chronic illnesses

illness behavior

is the initiation of nursing actions to achieve goals.

implementation

is performed by the nurse and does not require a provider's order.

independent nursing action

When the client effectively learns and shares information this is the ____________ aspect of health and wellness.

intellectual

Any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes is called

intervention

Drag the words into the correct boxes Jenny is a 38-year-old female who was in a motor vehicle accident. When she arrived at the hospital, she was taken emergently for abdominal surgery. She had multiple wounds, tubes, and an abdominal incision from surgery. Jenny's pain management would be at a ___________________ on the WHO ladder immediately post-op (after surgery) On the fifth day post-op, her pain management level was changed to a __________________ on the WHO ladder. Before discharge, her pain management level was changed to a __________________ on the WHO ladder. Included in all stages of her hospitalization was the use of ________________________ methods of pain management.

level 3, level 2, level 1, non-pharmacologic

A ___________ diet requires minimal chewing.

mechanical soft

The second step of the WHO ladder is for __________________ such as codeine or tramadol.

mild opioids

risk factor is one that includes lifestyle choices.

modifiable

A _________________ liquid can be sipped through a straw but is thicker than water

nectar thickened

When a caregiver fails to provide the basic needs for an older adult it is called

neglect

_______________ pain results from damaged nerves and may be described as a tingling, burning or shooting pain.

neuropathic

Burning or shooting pain that is often intense is classified as ________________

neuropathic pain

_________________ pain is a category that includes both somatic and visceral pain and it results from actual or potential tissue damage or inflammation.

nociceptive

risk factor cannot be changed

non-modifiable

If a patient has pain rated 1-4 on a scale of 0-10 and not severe according to the patient _________________ analgesics are suggested as a first line medication.

non-opioid

Ice, heat, positioning, and distraction are ___________________ measures for pain relief.

non-pharmacologic

You are the nurse in the Emergency Room caring for Joe, a 17-year-old male who might have a broken ankle from playing soccer. The best choice of a pain assessment tool is the ________________________. Non-pharmacologic pain management strategies includes __________________ to decrease inflammation.

numeric rating scale, cold therapy

a clinical judgment about an individual, family, or community in response to actual or potential health problems

nursing diagnosis

is the the promotion of health, prevention of illness, care of the ill and disabled in the healthcare and home settings.

nursing management

When the client balances work and rest this is the _______ aspect of health and wellness.

occupational

_____________ medications would be used when she is discharged from the hospital.

oral

The nurse should teach postmenopausal women the importance of preventing ________________ by taking _________________ and vitamin D supplements and to do ______________ exercises to ______________ bones. ________________ exercises are essential to promote circulation and prevent joint contractions.

osteoporosis, calcium, weight-bearing, strengthen, range of motion

The condition at the end of treatment is called

outcome

When a patient has an amputation of a limb, they can experience pain in the limb that was amputated, which is called __________________ pain.

phantom

When the client is able to perform activities of daily living is the ____________ aspect of health and wellness.

physical

Designing interventions to achieve the goals and outcomes of healthcare delivery

plan

Non-pharmacologic measures to reduce pain include _____________________ for comfort.

positioning

Screening for women over the age of 65 is a form of ____________ prevention.

secondary

Which lab test screens for the risk of developing heart disease?

total cholesterol

In the hospital, the patient asks for Kosher foods to comply with traditional laws with the ____________ religion. The nurse notifies the dietary department of this request.

Jewish

The _________________ is excellent for use with children and has cartoon faces numbered 0-10.

Wong-Baker Faces Scale

You are the nurse in the peri-operative unit caring for Ava, a 5-year-old female undergoing a minor tonsillectomy procedure (removal of tonsils). The best choice for a pain assessment tool is the __________________ pain scale for children. Ava reports it "hurts a little bit." The anticipated level of analgesia based on the WHO ladder is ______________

Wong-Baker Faces, step 1

Osteoarthritis is classified as ____________________ type of pain. It results from worn cartilage and is a normal response to tissue injury. Joint replacement is common for those with severely damaged cartilage.

a nociceptive

When there is mismanagement or misuse of property, physical force resulting in bodily injury and/or emotional threats this is called

abuse

Which lab test is a test for pancreatic diseases?

amylase and lipase

In the hospital, the patient who strictly follows the dietary restrictions of the Seventh Day Adventist will most likely have a diet that does not include _____________ The diet is called _______________ The nurse will educate the patient on adding foods high in ________ to their diet or take a supplement.

animal products, vegetarianism, vitamin B12

Clients who are taking medications, such as _______________ should be monitored more closely for fall risk

benzodiazepines

benefit of PCA pump

can press the button for increased pain.

When a person has had the pain for more than 6 months, this is called _______________

chronic pain

when 2 or more people work toward a common goal.

collboration

is a secondary disease or condition that develops in the course of a primary disease or condition.

complication

The nurse anticipates a patient who has drooling, choking after eating, and gagging should have an evaluation for ___________

dysphagia

When the client adapts to stress and expresses emotion, this is the __________ aspect of health and wellness.

emotional

When the client creates measures to improve quality of life is the __________ aspect of health and wellness.

environmental

Which lab test screens for malnutrition?

albumin

Women should limit alcohol intake to ____ drink per day

1

Consume less than _______mg of salt per day by limiting canned and processed foods.

2300

Instruct clients on the importance of making fruits and vegetables _____ percent of the plate, according to MyPlate.

50

Have a goal to consume less than ____ percent of caloric intake from saturated fats.

7

Patient B has had a moderate decline in food intake, lost 4 pounds in the last three months, is bed-bound, has had no psychological distress or neuropsychological problems, and the BMI is 18. This patient has a score of ______ which means patient B is ________________

7, malnourished

Patient A has no decline in food intake, no weight loss in the past three months, is bed bound, suffered from psychological distress, has no neuropsychological problems, and has a BMI of 22. Patient A has a score of _______ which means patient A is _______________

9, at risk for malnutrition

a nurse is caring for a patient after surgery (postoperatively). The client is likely to be on a ________________ to start.

Clear liquid diet

observations, signs, or symptoms associated with an illness or disease.

Clinical Manifestations

The _____________ scale works well with infants, as it measures body movements, crying, and inconsolability.

FLACC

The _________________________would be used for most adults, although older individuals sometimes are challenged by rating their pain as a number.

Numeric Rating Scale

Drag the words into the correct boxes When assessing pain for a client with severe dementia who cannot speak, the nurse would assess pain by observing body language, facial expressions, and the ability to calm the client. The nurse would use the _______________ scale.

PAINAD

You are the nurse caring for Mr. Crow, a 79-year-old male with advanced dementia, lung disease, heart disease, and arthritis. He is lethargic, confused, and unable to answer questions. He receives oxygen by nasal cannula and cries out whenever he moved in the bed. The best choice of pain assessment tool is the ____________________. The nurse begins at step 1 on the WHO Pain Ladder. An analgesic from the first step is an NSAID. This analgesic has the side effect _____________. Other non-pharmacologic pain management strategies include hot and cold therapy as well as ___________________.

PAINAD, gastric irritation and bleeding, positioning

When Jenny initially came back from the OR, she was on a ______________________with an infusion of opioids to manage the pain.

PCA pump

In long term care, the nurse notices today's meal contains ________ and one of his patients is of the ____________ religion, which would require an alternate meal.

Pork, Muslim

The patient with an illness who is recovering with a wound infection should increase the ______________ in their diet to promote healing.

Protein

_______________________ are scheduled daily on the eMAR to prevent constipation associated with opioid use.

Stool Softeners

is a procedure or lab test used to diagnose the presence of illness or disease.

diagnostic test

drawback of PCA pump

pt. might be too sleepy to press the button

Pain that travels to another part of the body is described as ________________

radiating

When the client interacts with others this is the _________ aspect of health and wellness.

social

The pain that is caused by a twisted ankle is called _________________ pain.

somatic

When the client adopts a belief that provides meaning to life is the _______________ aspect of health and wellness.

spiritual

You are the nurse on the surgical unit caring for Mrs. Chavez, an anxious Spanish-speaking 56-year-old female on the first post-operative day following stomach surgery. She rates her pain as moderate and a 5/10 during your initial post-op assessment. The anticipated level of analgesia based on the WHO ladder ________________. One non-pharmacologic strategy specific to abdominal surgery is ______________________. An important side effect associated with opioid analgesics is ____________________. Route of administration would be _________________ with possible use of a PCA pump.

step 2, abdominal splinting, respiratory depression, intravenous

You are the nurse in the cancer clinic caring for Mr. Thomas, a 45-year-old male receiving radiation therapy and chemotherapy for cancer of the throat. He complains of severe throat pain (7/10) and tells you that his oxycodone tablets are not providing enough relief. The anticipated level of analgesia based on the WHO ladder is _______________ for severe pain relief. The physician has written orders for Mr. Thomas to be discharged home. The best route of administration for Mr. Thomas is ________________ opioids, like a Fentanyl patch.

step 3, transdermal

The third step is reserved for severe pain (rated 5 or greater) and are suggested on the WHO ladder.

strong opioids

Which lab test is low for patients with excessive alcohol use?

thiamine

The pain that is caused by a ruptured appendix is called _________________ pain, because it arises from an organ.

visceral