NUR 166 Exam #4 (Chapter 20, 28, and 38)

Which of the following foods is recommended for an adult who is constipated? a. Cheese b. Fruit c. Cabbage d. Eggs

B

Nurses incorporate telecare in patient care plans. Which services are MOST representative of this technologic advance? Select all that apply. a. Diagnostic testing b. Easy access to specialists c. Health and fitness apps d. Early warning and detection technologies e. Digital medication reminder systems f. Monitoring of progress following treatment

B, C, D

A nurse works for a health care provider who practices the naturopathic system of medicine. What is the focus of nursing actions based on this type of medical practice? Select all that apply. a. Treating the symptoms of the disease b. Providing patient education c. Focusing on treating individual body systems d. Making appropriate interventions to prevent illness e. Believing in the healing power of nature f. Encouraging patients to take responsibility for their own health

B, D, E, F

______ is the accumulation of data from various sources, combined with new technologies that allow for the transformation of data to information.

Big Data

______ is the collection in the rectum of hardened feces that cannot be passed

Fecal Impaction

______ is the involuntary or inappropriate passing of stool or flatus

Fecal Incontinance

______ is the name for intestinal waste products

Feces

______ is a linear break on the margin of the anus.

Fissure

______ is the excessive formation of gases in the gastrointestinal tract

Flatulence

______ is the name for intestinal gas.

Flatus

______ is the specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice

Nurse Informaticist

______ is a standard and agreed upon terms used in an electronic health record to improve data trending and sharing.

Standard Terminology

______ is an artificial opening for waste excretion located on the body surface

Stoma

______is excreted feces.

Stool

______ is the inability of the anal sphincter to control the discharge of fecal and gaseous material

Bowel Incontinance

______ is a program that manipulates factors within a person's control (timing of defecation, exercise, diet) to produce a regular pattern of comfortable defecation without medication or enemas.

Bowel Training Program

A nurse is scheduling tests for a patient who has been experiencing epigastric pain. The health care provider ordered the following tests: (a) barium enema, (b) fecal occult blood test, (c) endoscopic studies, and (d) upper gastrointestinal series. Which is the correct order in which the tests would normally be performed? 1. c, b, d, a 2. d, c, a, b 3. a, b, d, c 4. b, a, d, c

4

______ is an oval- or cone-shaped substance that is inserted into a body cavity and that melts at body temperature

Suppository

A nurse is assessing the abdomen of a patient who is experiencing frequent bouts of diarrhea. The nurse first observes the contour of the abdomen, noting any masses, scars, or areas of distention. What action would the nurse perform next? a. Auscultate the abdomen using an orderly clockwise approach in all abdominal quadrants. b. Percuss all quadrants of the abdomen in a systematic clockwise manner to identify masses, fluid, or air in the abdomen. c. Lightly palpate over the abdominal quadrants; first checking for any areas of pain or discomfort. d. Deeply palpate over the abdominal quadrants, noting muscular resistance, tenderness, organ enlargement, or masses.

A

______ is the passage of liquid and unformed stools.

Diarrhea

______ is the procedure consisting of placing very thin, short, sterile needles at particular acupoints, believed to be centers of nerve and vascular tissue, along a meridian to either increase or decrease the flow of chi along the meridian, restoring the balance of yin and yang, and thereby contributing to healing.

Acupuncture

______ is the discovery, interpretation, and communication of meaningful patterns in data.

Analytics

Nurses test new technology in phases. In which phase would the nurse "test drive" the new system? a. Unit b. Function c. User acceptance d. Integration

C

______ is the drug used to induce emptying of the intestinal tract

Laxative

______ is the paralysis of intestinal peristalsis

Paralytic Ileus

______ is the development cycle for an information technology system that includes the following phases: (1) Analyze and Plan (2) Design (3) Test (4) Train (5) Implement (6) Maintain (7) Evaluate

System Development Lifecycle (SDLC)

______ is the profession that focuses on the relationship between the body's structure—mainly the spine—and its functioning; its practitioners primarily perform adjustments (manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function, and supporting the body's natural ability to heal itself.

Chiropractic Healthcare

______ is the computer-based system designed for collecting, storing, manipulating, and making available clinical information important to the health care delivery process data visualization: presentation of data in a pictorial or graphical format.

Clinical Information System (CIS)

______ is an opening into the colon that permits feces to exit through the stoma.

Colostomy

______ are the interventions that can be used with conventional medical interventions.

Complementary Health Approaches

______ is the passage of dry, hard fecal material.

Constipation

______ is the (1) study of the structure and interactions of all genes in the human body, including their interactions with each other as well as the environment or is the (2) emerging discipline in which genomic information about a person is used in their clinical care (e.g., for diagnostic or therapeutic decision making).

Genomics

______ is when a person is using all five senses to imagine an event or body process unfolding according to a plan, focusing on evoking pleasant images to replace negative or stressful feelings and to promote relaxation.

Guided Imagery

______ is the process that uses a collection of energy techniques to assess and treat the human energy system, thereby affecting physical, emotional, mental, and spiritual health and healing.

Healing Touch

______ is the standard and agreed upon terms used in an electronic health record to improve data trending and sharing.

Health Information Technology (IT)

______ is the theory and philosophy that focuses on connections and interactions between parts of the whole

Holism

______ is the nursing practice built on a holistic philosophy.

Holistic Nursing

______ is the practice of medicine based on the belief of supporting the body while the symptoms are allowed to "run their course" to stimulate and strengthen the immune system and promote healing.

Homeopathy

______ is the use of certified electronic health record technology to achieve health and efficiency goals, with a financial incentive from Medicare and Medicaid.

Meaningful Use

A nurse is caring for a patient who has crippling rheumatoid arthritis. Which nursing interventions best represents the use of integrative care? a. The nurse administers naproxen and uses guided imagery to take the patient's mind off the pain. b. The nurse prepares the patient's health care provider-approved herbal tea and uses meditation to relax the patient prior to bed. c. The nurse administers naproxen and performs prescribed range-of-motion exercises. d. The nurse arranges for acupuncture for the patient and designs a menu high in omega-3 fatty acids.

A

A nurse is caring for a patient who is post-surgical following an IPAA. For which adverse effect would the nurse monitor in this patient? a. Incontinence b. Constipation c. Electrolyte imbalances d. Infection

A

A nurse is caring for an older adult who has constipation. Which laxative would be contraindicated for this patient? a. A saline osmotic laxative b. A bulk-forming laxative c. Methylcellulose d. A stool softener

A

A nurse is preparing a hospitalized patient for a colonoscopy. Which nursing action is the recommended preparation for this test? a. Have the patient follow a low-fiber diet several days before the test. b. Have the patient take Bisacodyl and ingest a gallon of bowel cleaner on day 1. c. Prepare the patient for the use of general anesthesia during the test. d. Explain that barium contrast mixture will be given to drink before the test.

A

A nurse manager who works in a hospital setting is researching the use of energy healing to use as an integrative care practice. Which patient would be the best candidate for this type of CHA? a. A patient who is anxious about residual pain from cervical spinal surgery b. A patient who is experiencing abdominal discomfort c. A patient who has chronic pain from diabetes d. A patient who has frequent cluster headaches

A

Population health addresses the health status and health issues of aggregate populations and addresses ways in which resources may be allocated to address these concerns. What is the driving force behind the use by health corporations of analytics and big data support the population health. a. The transition from fee-for-service models to value-based payment models b. A growing older population with more complicated health needs c. The overcrowding and understaffing of hospitals d. The shortage of healthcare professionals, particularly nurses.

A

A nurse cares for patients in a chiropractic office. What patient education might this nurse perform? Select all that apply. a. Applying heat or ice to an extremity b. Explaining the use of electrical stimulation c. Teaching a patient relaxation techniques d. Teaching a patient about a prescription e. Explaining an invasive procedure to a patient f. Teaching about dietary supplements

A, B, C, F

A nurse mentor is teaching a new nurse about the underlying beliefs of CHAs versus allopathic therapies. Which statements by the new nurse indicate that teaching was effective? Select all that apply. a. "CHA proponents believe the mind, body, and spirit are integrated and together influence health and illness." b. "CHA proponents believe that health is a balance of body systems: mental, social, and spiritual, as well as physical." c. "Allopathy proponents believe that the main cause of illness is an imbalance or disharmony in the body systems." d. "Curing according to CHA proponents seeks to destroy the invading organism or repair the affected part." e. "The emphasis is on disease for allopathic proponents and drugs, surgery, and radiation are key tools for curing." f. "According to CHA proponents, health is the absence of disease."

A, B, E

A nurse working in a hospital includes abdominal assessment as part of patient assessment. In which patients would a nurse expect to find decreased or absent bowel sounds after listening for 5 minutes? Select all that apply. a. A patient diagnosed with peritonitis b. A patient who is on prolonged bedrest c. A patient who has diarrhea d. A patient who has gastroenteritis e. A patient who has an early bowel obstruction f. A patient who has paralytic ileus caused by surgery

A, B, F

A nurse is using the steps in informatics evaluation to evaluate the use of a portal as a patient resource. What are examples of activities that might occur in the "determining the question" step? Select all that apply. a. The nurse develops a clear, focused question to determine the data to be collected. b. The nurse determines what to evaluate c. The nurse determines how the data should be reported

A, C

After instituting a new system fir recording patient data, a nurse evaluates the "usability" of the system. Which actions by the nurse BEST reflect this goal? Select all that apply. a. The nurse checks the screens are formatted to allow for ease of access b. The nurse reorders the screen sequencing to maximize effective use of the system. c. The nurse ensures that the computers can be used by specified users effectively d. The nurse checks that the system is intuitive, and supportive of nurses e. The nurse improves end-user skills and satisfaction with the new system f. The nurses ensures patient data is able to be shared across health care systems

A, C, D

A nurse is caring for a patient who has an NG tube in place for gastric decompression. Which nursing actions are appropriate when irrigating an NG tube connected to suction? Select all that apply. a. Draw up 30 mL of saline solution into the syringe. b. Unclamp the suction tubing near the connection site to instill solution. c. Place the tip of the syringe in the tube to gently insert saline solution. d. Place the syringe in the blue air vent of a Salem sump or double-lumen tube. e. After instilling irrigant, hold the end of the NG tube over an irrigation tray. f. Observe for return flow of NG drainage into an available container.

A, C, E, F

Tell whether the following statement is true or false. Healing touch can be used to stimulate wound healing. A. True B. False

A. True

Tell whether the following statement is true or false. When collecting stool using the technique "timed specimen," the nurse should consider the first stool passed by the patient as the start of the collection period. A. True B. False

A. True

______ is the term generally used to describe "traditional" medical care (biomedicine), dominant for about 100 years, which spearheaded remarkable advances in biotechnology, surgical interventions, pharmaceutical approaches, and diagnostic tools.

Allopathic Medicine

______ is the opening at the end of anal canal

Anus

______ is the use of essential oils of plants to treat symptoms

Aromatherapy

______ is the science of life that delineates the diet, medicines, and behaviors that are beneficial or harmful for life and considers that balance among people, the environment, and the larger cosmos is integral to human health.

Ayurveda

A home health care nurse is using the steps of the SDLC to design a new system for home health care documentation. The nurse analyzes the old system and develops plans for the new system. What is the next step of the nurse in this process? a. Test b. Design c. Implement d. Evaluate

B

A nurse is using informatics technology to decide which patients may be at risk for readmission. What is the term for this type of analytic? a. Data visualization b. Predictive analytics c. Big Data d. Data recall

B

A nurse working in a long-term care facility incorporates aromatherapy into her practice. For which patient would this nurse use the herb ginger? a. A patient who has insomnia b. A patient who has nausea c. A patient who has dementia d. A patient who has migraine headaches

B

At a follow up visit, a patient recovering from myocardial infarction tells the nurse: " I feel like my life is out of control ever since I had a heart attack. I would like to sign up for yoga, but I don't think I'm strong enough to hold poses for long." What would be the nurses best response? a. "Right now you should concentrate on relaxing and taking your blood pressure medication regularly , instead of worrying about yoga." b. "There is a slower-paced yoga called Kripalu that focuses on coming into balance and relaxation that you could look into. c. "Ashtanga yoga is a gentle paced yoga that would help with your with your breathing and blood pressure." d. "Yoga is contraindicated for patients who have had a heart attack."

B

For which patient would a nurse expect the primary care provider to order colostomy irrigation? a. A patient with IBS b. A patient with a left-sided end colostomy in the sigmoid colon c. A patient with post-radiation damage to the bowel d. A patient with Crohn's disease

B

Which of the following direct visualization tests uses a long, flexible, fiberoptic-lighted scope to visualize the rectum, colon, and distal small bowel? a. Esophagogastroduodenoscopy b. Colonoscopy c. Sigmoidoscopy d. UGI series

B

A nurse assesses the stool of patients who are experiencing gastrointestinal problems. In which patients would diarrhea be a possible finding? Select all that apply. a. A patient who is taking narcotics for pain b. A patient who is taking metformin for type 2 diabetes mellitus c. A patient who is taking diuretics d. A patient who is dehydrated e. A patient who is taking amoxicillin for an infection f. A patient taking over-the-counter antacids

B, E, F

Tell whether the following statement is true or false. Allopathic medical care has been totally effective in dealing with chronic illnesses. A. True B. False

B. False

A nurse is administering a large-volume cleansing enema to a patient prior to surgery. Once the enema solution is introduced, the patient reports severe cramping. What nursing intervention would the nurse perform next based on this patient reaction? a. Elevate the head of the bed 30 degrees and reposition the rectal tube. b. Place the patient in a supine position and modify the amount of solution. c. Lower the solution container and check the temperature and flow rate. d. Remove the rectal tube and notify the primary care provider.

C

A nurse is assisting a patient to empty and change an ostomy appliance. When the procedure is finished, the nurse notes that the stoma is protruding into the bag. What would be the nurse's first action in this situation? a. Reassure the patient that this is a normal finding with a new ostomy. b. Notify the primary care provider that the stoma is prolapsed. c. Have the patient rest for 30 minutes to see if the prolapse resolves. d. Remove the appliance and redo the procedure using a larger appliance.

C

A nurse is guiding a patient in the practice of meditation. Which teaching point is most useful in helping the patient to achieve a state of calmness, physical relaxation, and psychological balance? a. Teach the patient to always lie down in a comfortable position during meditation. b. Teach the patient to focus on multiple problems that the patient feels demand attention. c. Teach the patient to let distractions come and go naturally without judging them. d. Teach the patient to suppress distracting or wandering thoughts to maintain focus.

C

A nurse is performing digital removal of stool on a patient with a fecal impaction. During the procedure the patient tells the nurse she is feeling dizzy and nauseated, and then vomits. What should be the nurse's next action? a. Reassure the patient that this is a normal reaction to the procedure. b. Stop the procedure, prepare to administer CPR, and notify the primary care provider. c. Stop the procedure, assess vital signs, and notify the primary care provider. d. Stop the procedure, wait 5 minutes, and then resume the procedure.

C

A nurse is providing a lecture on CHAs to a group of patients in a rehab facility. Which teaching point should the nurse include? a. CHAs are safe interventions used to supplement traditional care. b. Many patients use CHA as outpatients but do not wish to continue as inpatients c. Many nurses are expanding their clinical practice by incorporating CHA to meet the demands of patients d. Most complementary and alternative therapies are relatively new and their efficacy has not been established.

C

A nurse is using information from informatics technology that is synthesized that is synthesized so that relationships between lung cancer diagnoses and smoking are identified. What part of "DIKW" does this represent? a. Data b. Information c. Knowledge d. Wisdom

C

A patient has a fecal impaction. Which nursing action is correctly performed when administering an oil-retention enema for this patient? a. The nurse administers a large volume of solution (500 to 1,000 mL) b. The nurse mixes milk and molasses in equal parts for an enema c. The nurse instructs the patient to retain the enema for at least 30 minutes d. The nurse administers the enema while the patient is sitting on the toilet

C

A nurse designing a new EHR system for a pediatric office follows usability concepts in system design.? Select all that apply. a. Users should not explore with forgiveness for unintended consequences. b. Shortcuts for frequent users should not be incorporated into the system. c. Content emphasis should be on information needed for decision making. d. The less time users need to apply prior experience to a new system the better e. All the information needed should be presented to reduce cognitive load. f. The number of steps it takes to complete tasks should be minimized.

C, E, F

A nurse is caring for a postoperative patient who is experiencing pain. Which CHA might the nurse use to ensure active participation by the patient to achieve effective pre- or postoperative pain control? a. Acupuncture b. TT c. Botanical supplements d. Guided imagery

D

A nurse is planning a bowel-training program for a patient with frequent constipation. What is a recommended intervention? a. Using a diet that is low in bulk b. Decreasing fluid intake to 1,000 mL c. Administering an enema once a day to stimulate peristalsis d. Monitoring bowel movements

D

A nurse is testing a new computer program designed to store patient data. In what phase of testing would the nurse determine if the system can handle high volume of end-users or care providers using the system at the same time? a. Unit b. Function c. Integration d. Performance

D

Which enema would be used for a patient with intestinal parasites? a. Oil-retention enema b. Carminative enema c. Nutritive enema d. Anthelmintic enema

D

A nurse prepares to assist a patient with a newly created ileostomy. Which recommended patient teaching points would the nurse stress? Select all that apply. "When you inspect the stoma, it should be dark purple-blue." "The size of the stoma will stabilize within 2 weeks." "Keep the skin around the stoma site clean and moist." "The stool from an ileostomy is normally liquid." "You should eat dark-green vegetables to control the odor of the stool." "You may have a tendency to develop food blockages."

D, E, F

______ is the Diaemptying of the intestinal tract; synonym for bowel movement.

Defection

______ is the digital version of a patient's chart that may contain the patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and effectiveness, efficiency, and satisfaction in a specified context of use laboratory test results.

Electronic Health Record (EHR)

______ is the direct visualization of hollow organs of the body using an endoscope (a flexible, lighted tube).

Endoscopy

______ is the introduction of solution into the lower bowel

Enema

ileostomy: opening into the small intestine allows fecal content from the ileum to be eliminated through the stoma

Ileostomy

______ is moisture-associated skin breakdown caused by prolonged contact of the skin with urine or feces

Incontinance- Associated Dermatitis

______ drives innovation that is defining future approaches to information and knowledge management in biomedical research, clinical care, and public health.

Informatics

______ is the combination of complementary health and conventional health approaches in a coordinated way.

Integrative Health

______ is the ability of a system to exchange electronic health information with and use electronic health information from other systems without special effort on the part of the user.

Interoperability

______ is the specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice.

Nursing Informatics (NI)

______ is the blood present in such minute quantities that it cannot be detected with the unassisted eye.

Occult Blood

strategies to improve processes, maximize effective use, reduce errors, reduce costs, eliminate workflow inefficiencies, improve clinical decision support, and improve end-user skills and satisfaction with the system.

Optimization

______ is the general term referring to an artificial opening; usually used to refer to an opening created for the excretion of body wastes.

Ostomy

______ is the web-based tool with secure access that allows patients to communicate with and receive information from their health care providers.

Patient Portal

______ is the involuntary, progressive, wave-like movement of the musculature of the gastrointestinal tract

Peristalsis

______ is the use of information about a person's genetic makeup, or genome, to choose the drugs and drug doses that are likely to work best for that person.

Pharmacogenomics

______ is the variety of statistical techniques that analyze current and historical facts to make predictions about future or otherwise unknown events.

Predictive Analytics

______ is the system of posture, exercise (both gentle and dynamic), breathing techniques, and visualization that regulates the qi.

QI Gong

______ are the technologies that provide for patient safety and independence at home, such as health and fitness apps, sensors and tools that connect the patient with caregivers, digital medication reminder systems, and early warning and detection technologies.

Telecare

______ is the use of electronic information and telecommunications technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health, and health administration.

Telehealth

______ is the use of telecommunications technologies to support the delivery of all types of medical, diagnostic, and treatment-related services, usually by physicians or nurse practitioners.

Telemedicine

______ is an alternative therapy that involves using one's hands to consciously direct an energy exchange from the practitioner to the patient to facilitate healing or pain relief.

Therapeutic Touch (TT)

______ is a unique view of the world and the human body that is different from Western medicine concepts.

Traditional Chinese Medicine

______ is the extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use

Usability

______ is the action of forcible exhalation against a closed glottis, resulting in increased intrathoracic pressure

Valsalva maneuver

______ is the name for abnormally distended rectal veins.

hemorrhoids