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256 Final
256 Final
71 terms
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1
Kegel exercises
are recommended for women only
are difficult to do when lying flat
strengthen muscle tone promoting normal urination
are performed by putting pressure over the bladder
2
What percentage of all adults have 20/20 vision without glasses, contacts or corrective surgery?
35%
11%
64%
75%
3
DKA
Tachypnea and dysuria
ABG result showing alkalosis and slow, shallow respirations
Polydipsia and shortness of breath
Tachycardia and orthostatic hypotension
4
define palliative care
relieving/reducing the intensity of uncomfortable symptoms
a document stating a person's wishes before death
care after the body after death
the support and care given during the time surrounding death
5
What role will a nurse often assume in an acute care setting?
Care coordinator
Patient Advocate
Supply runner
Massage therapist
6
Type 1 diabetes is caused by
Insulin resistance in the cells
Autoimmune destruction of the beta cells
Reduction in the number of beta cells
Insulin resistance and autoimmune destruction on beta cells
7
Lung or breast cancer metastasis is the usual source of brain tumors in adults.
False
True
8
Which of the following is the most common major challenge for older adults?
Dealing with the needs of their children
The decline of intellectual abilities
Loss of the ability to reminisce about the past
Chronic health problems leading to the loss of independence
9
Who should get the HPV Vaccination?
None of the above
Females and Males 14-26
Just males 14-26
Just Females 14-26
10
A diabetes nurse is teaching about sick day rules, what important lesson should be taught?
Reduce food intake and insulin doses in times of illness.
Do not eliminate insulin when nauseated and vomiting.
Report elevated glucose levels greater than 150 mg/dL.
Eat three substantial meals a day, if possible.
11
A hypertensive crisis is considered to be a true emergency when:
patient has a history of seizures.
patient becomes non-compliant with meds.
signs of central nervous system dysfunction are present.
diastolic pressure is greater than 90 mmHg.
12
What are some of breast cancer symptoms?
Lump in breast
Changes in shape of breast/nipple
Bloody discharge from the phon bloody discharge from nipple
All of the above
13
Tadalafil is used to treat:
ED
HTN
ADHD
SOB
14
Which ABG represents uncompensated respiratory acidosis? (pH/CO
2
/HCO
3
)
7.36/42/30
7.48/40/30
7.30/50/22
7.50/30/16
15
End of shift report should include
All of these
care given this shift
care to be given during other shifts
the person's current condition
16
Four pts. had a hysterectomy. Who should the nurse see first.
Patient who has pain of “4” on a scale of 0 to 10
Patient who has had two saturated perineal pads in the last 2 hours
Patient with a urinary catheter output of 150 mL in the last 3 hours
Pt with a temp of 99° F (37.2° C) and bp of 115/73 mm Hg
17
Atherosclerosis is.....
The collapse of arteries
The rupture of arteries
A safe and natural process
The build of plaque in the arteries
18
Presence of ketones in urine
ketouria
ketonuria
crystalluria
proteinuria
19
Which of the following regarding hypertensive urgency is correct?
Acute, progressive end-organ dysfunction is present
Extremely high BP in the absence of end-organ damage
It requires hospitalization for treatment with IV medication
The definition is high blood pressure greater than 160/110
20
Excessive diarrhea and loss of electrolytes.
(SATA)
Fatigue
Cardiac disorders
Dehydration
Diaphoresis
21
What is NOT included in Palliative Care?
Providing antibiotics to relieve cystitis symptoms in a lung cancer patient
Providing advice on managing anxiety
When patient does not have quality of life, to hasten death
Making sure patient's religious needs are addressed
22
Some of the symptoms of Prostate Cancer are...
Fever, rashes, cold sweats
Erectile dysfunction and pain during urination
Blood in the seminal fluid
Frequent urination and blood in your urine. Urge to pee a lot in the night
23
Which is NOT something associated with peripheral neuropathy?
Burning
Worse at night
Headache
Tingling
24
laryngectomy is
Surgical repair of the larynx
Surgical removal of the bronchus
Surgical repair of the bronchus
Surgical removal of the larynx
25
The advantages of having a PCA pump include
PCA pump delivers smaller, safer doses of medication
Patient is able to self manage their pain
The PCA pump contains a larger dose of pain medication
PCA pump provides a more even level of pain medication
26
Smoking is a risk factor of:
Cancer
Diabetes
Cardiovascular disease
Asthma
27
what is the purpose of the third lumen in a three-way indwelling Foley catheter?
obtain urine specimen
provide hemostasis
instill irrigation fluids
prevent urine reflux
28
COPD is the......
development over time of thicker bronchiole walls.
development of a lower surface area of the alveoli.
development over time of the increase in mucus production.
development of the decrease in lung elasticity.
29
the nursing diagnosis of activity intolerance for a patient with asthma is based on which etiologic factor
Fear of suffocation
Effects of medications
Work of breathing
Anxiety and restlessness
30
One of the contraindications of hormone replacement therapy is
purpura
history of breast cancer
burns
epistaxis
31
Cataract surgery is a day surgery.
True
False
32
A hospital acquired pneumonia is also called
Walking Pneumonia
Nosocomial pneumonia
Community Acquired pneumonia
VAP
33
What can be a factor that affects pain?
Spending time with your family
Chronic Pain
Watching a happy movie
Past pain experience
34
Splinting is an effective method for pain control after ABD or cardiac surgery
True
False
35
The normal conduction of the heart
AV node, SA node, Purkinjie fibers, bundle of HIS
bundle of HIS, Purkinjie fibers, SA node, AV nod
sinoatrial node, AV node, bundle of HIS, Purkinjie Fibers,
SA node, bundle of HIS, AV node, Purkinjie fibers
36
How do you prioritize Palliative Care management plan?
Address the most troublesome issue to the patient first
Treat pain first as ll theo ther symptoms are related to pain
Treat the symptom that you are best in managing
Plan, address the psychological symptoms first
37
What are some of the symptoms of Tuberculosis?
Swelling/soreness in the tongue, brittle nails, dizziness
Rash on the torso, headache, ear infections
Swollen abdomen, diarrhoea, weight loss, weakness
Night sweats, fever, coughing, chest pains
38
What is the purpose of hemodynamic monitoring?
Assess heart function
Effects of drugs on cardiac output
Assess fluid balance
Temperature dysregulation
39
What happens to metabolism as a person gets older?
stays the same
decreases
increases
40
Common side effects of opiates in PACU?
Sedation, Hypotension, Decreased respirations.
Paranoia.
GI upset, Nausea and Vomiting.
Dizziness, Tachycardia.
41
A postoperative patient is at high risk for
Hypertension
Dementia
DVT
Hypoglycemia
42
Cholinergic antagonist cause with in the PNS
Increase GI motility
Bronchodilation by inhibiting the PNS
Decrease the heart rate
Bronchoconstriction by stimulating the PNS
43
Signs and symptoms of retinal detachment include:
paralysis of upward gaze and greater than 50% loss of central vision
immediate pain and total loss of vision following blunt eye trauma.
flashing lights, specks, or floaters in the field of vision.
double vision and partial or complete loss of peripheral vision.
44
Which of the following is a treatment for Trichomoniasis?
Zithromax/azithromycin
Penicillin G
"Warm Crispy Bacon"
Flagyl/metronidazole
45
After a mastectomy, the patient should:
Rest arm at all times on the affected side
Have Blood pressure taken on the affected side
Wear a sling at all times on the affected side
Perform gentle exercise on the affected side
46
Lasix may cause all EXCEPT which of the following lab values?
hyperkalemia
hypomagnesemia
hypokalemia
hyponatremia
47
Why can smoking lead to peripheral artery disease?
Damaging the endothelium, plaque builds up on artery walls.
Can cause cance, making the bad air clog up your arteries.
48
Brain natriuretic peptide is
used as an indicator for heart failure
used as an indicator for MI
49
Obstructive Sleep Apnea
Collapsed Airway
Condition where the airway becomes obstructed
Condition in which airflow pauses or decreases during sleep.
Snoring
50
What is the purpose of patch testing?
To determine allergies someone has
To identify allergens that cause contact dermatitis
To test the duration someone needs medication for allergies
To transfer medication through the skin
51
Non-pharmaceutical pain management may include all EXCEPT
Relaxation
Morphine
Distraction
Aromatherapy
52
HTN is directly linked to...
MS
FBI
COPD
CVA
53
Expected clinical manifestation of BPH
Frequent nocturia
Increased urinary output
Tea colored urine
Swelling of scrotum
54
The most common site of cancer in the head & neck occurs where?
Larynx
Maxillary sinus
Oral Cavity
Nasopharynx
55
Cancer cells that spread are known as a:
Tumour
Metastasis
Benign
Carcinoma
56
A dangerous build up of ketones due to high blood sugar, a complication of Diabetes, is called:
Ketonuria
Ketogenic
Ketoacidosis
Ketosis
57
Asthma medications reduce?
All of the above
Secretion of nutrients to the lungs
Muscle constriction of airway walls
Mucus absorption in airways
58
What manifestations characterized external otitis?
Discharge, edema, pruritis
Pain, tenderness, erythema
Hearing loss & feelings of fullness in the ear
Insomnia, hearing loss, feeling of emptiness
59
What is the first step in how Cancer spread or Metastasize
Spreads by moving into nearby tissue
It does not spread at all
Spreads by moving into nearby organs
Spreads by moving into nearby lymph nodes
60
Postoperative complications include all of the following EXCEPT
fluid overload
DVT
pneumonia
pain medication overdose
61
A male client with a history of smoking and HTN has calf pain at rest. What's the #1 NDx?
Ineffective health management R/T smoking
Impaired mobility R/T stress secondary to pain
Risk for injury R/T muscle spasms
Alteration in tissue perfusion R/T compromised circulation
62
What does SBAR mean?
Situation, Background, Recommendation, Assessment
Situation, Assessment, Recommendation, Background
Situation, Background, Assessment, recommendation
Situation, Assessment, background, Recommendation
63
What is the treatment for Tuberculosis?
Prevention by vaccination. There is no treatment
Anti-bacterial medication
Anti-fungal medication
Anti-parasitic medication
64
Period of the cardiac cycle when a heart chamber is relaxed.
diastole
systole
artery
atria
65
Which is a S/S of Abdominal Aortic Aneurysm (AAA)?
Flank / Back Pain
Mood Changes
Headache
Oliguria
66
What is true about venous ulcers?
irregular wound edges
All of the above
varicose vein
swelling
67
A patient may shower at home with antimicrobial soap before surgery to:
Determine if the patient is allergic to the soap
Reduce the amount of time for the pre-op prep
Leave a visible film so the prep borders will show
Achieve a cumulative antimicrobial effect
68
testicular cancer can be diagnosed by,
back pain
tenderness or a lump/ enlargement of testicles
not producing semen/ having pain genital areas
69
In Type I diabetes
liver does not make glucagon
pancreas cannot make insulin
liver cannot convert glycogen
pancreas cannot accept insulin
70
What rolls does the Circulating OR nurse perform?
Administers anesthesia agents
Patriciates in hand off report in the PACU
Closes the surgical wound
Assess's ETCO2 when O2 drops and HR increases
71
What is a sign of fluid overload?
edema
crackles
all of these
confusion