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102 Final fall 2023 Flashcards | StudBud
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102 Final fall 2023
102 Final fall 2023
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1
What priority action should the post-op nurse take to prevent a DVT in a patient?
Maintain complete bed rest.
Put pillows under the knees.
Place tight clothing on the legs and waist.
Position properly with use of antiembolic stockings.
2
Which patient would be at highest risk of perioperative hypothermia?
a 16 y/o patient who had an appendectomy
a 56 y/o patient who had a mastectomy
a 21 y/o patient who had a colectomy
an 80 y/o patient who had a hip replacement
3
Renal calculi are more common in men
True
False
4
The following are the functions of the Integumentary system except
Produces Vitamin D
Maintain body temperature
Barrier against germs and injuries
Produces Nutrients
5
Which type of incontinence of urine results from sneezing, coughing, and running?
Mixed
Urge
Stress
Functional
6
Which of the following diet should thenurse educate an osteoporosis in?
Cereal, yogurt, and glass of milk
Turkey, corn, and a cup of coffee
Chicken, Chips, doctor pepper
Steak, potato's, cauliflower
7
Which of these care caused of GERD
all are causes
pregnancy
obesity
smoking
8
What patient has the highest risk factor for an UTI?
25-year-old women with a femur fracture
A 49-year-old women taking antibiotics for strep
91-year-old female who suffers from dementia
A male patient who is incontinent of urine.
9
What statement explains what primary prevention is?
Teaching about the high risks of smoking to clients
Assess the patient's family history for cancerous tumors.
Getting an MRI scan to detect tumors early.
Getting a biopsy done on a mole that looks unusual.
10
what is the universial sign/symptom of electrolyte inbalance is?
parethesia
anorexia
tachycardia
paresis
11
What statement should the educate about GERD?
Each your last meal late at night
Elevate the HOB to help with S/S
Eat 3 big meals per day
Make sure to include citru food in your diet.
12
S & S of Fluid Volume Deficit/Hypovolemia/Dehydration
weakness, diminished capillary refill, & ascites
tachycardia, hypotension, & distended neck veins
tachypnea, cold & clammy skin, and acute weight gain
hypotension, flattened neck veins, & dry mucous membranes
13
A RN is delegating a task to a UAP. Which of the following tasksneed immediate intervention?
UAP walking a patient with a gait belt on
UAP doing morning vital signs
UAP giving a bath to an immune compromise student
UAP doing a head to toe
14
Priority nursing intervention with a patient experiencing evisceration?
Place a sterile dry dressing on area
Draw stat lab valuses
Place a sterile moist dressing on area
Call a code
15
A common cause of fluid body deficit in the perioperative period is
increased ingestion of foods containing sodium
the administration of exogenous corticosteroids
an excessive administration of intravenous fluids
excess losses of GIT fluid, eg vomiting, diarrhoea, suction
16
The perioperative experience includes _____phases
four
three
two
one
17
The feces would be more liquid when the colostomy is located in what portion of the intestines?
the middle of the large intestine
the beginning of the small intestine
the end of the large intestine
the beginning of the large intestine
18
The post-op nurse should expect to draw what lab values?
Clotting times, CBC, ABG, blood glucose
Blood glusoce, BMP, CBC, ABG
Pregnancy test, CBC, BMP, clotting times
CBC, ABG, pregnancy test, blood glucise
19
Who documents on the intraoperative nurses’ notes?
Registered nurse first assistant (RNFA)
Scrub nurse
Circulating nurse
All of the above
20
Which of the following is a classic sign of Lupus?
moon face
a "hunch back"
a butterfly rash across the bridge of the nose and cheeks
swelling in the great toe
21
WHat is an epi pen used for?
severe allergic reactions
pregnant women who suffer from sickness
minor allergic reactions
severe intolerant reactions
22
The loss of fluid without the loss of electrolytes
Dehydration
Isotonic Fluid Volume Excess
Isotonic Fluid Volume Defecit
Hypovolemia
23
Fluid volume excess sign
Increased BUN
Sudden increase in weight
Urine specific gravity > 1.020
Extreme thirst
24
Are exercise-associatied cramps caused by an electrolyte inbalance?
no evidence found
no
idk
yes
25
What does the pre-operative Nurse not do ?
Complete pre-operative assessment.
Confirm all lab values are on the chart
Check and confirm signed informed consent.
Start IV antibiotics 30 min prior to surgery
26
Signs of a kidney stone are all but?
Hydronephrosis and hematuria
Severe flank pain, shaking and chills
An UTI
Fever, nausea, and vomiting
27
Patients with neutropenia are at risk of
fatigue
infection
dehydration
prolonged bleeding
28
UTI are?
Can be cause by dehydration, frequent bubble bath, multiple sexual partners
If left untreated could result in kidney failure
All are correct
Three times as many women than men
29
What lab test is used to look at hydration of a patient?
ESR
H & H
BUN
Specific gravity
30
What three vaalues in an urinalysis should be "0"?
Bacteria, glucose, protein
Glucose, leukocytes, ketones
Glucose, leukocytes, bacteria
Ph, glucose, ketones
31
Nursing priorities for peri-op are?
Pre-op - safety, intra-op - advocate, post-op discharge
Pre-op - safety, intra-op - infection control, post-op bleeding
Pre-op - safety, intra-op - advocate, post-op ABC
Pre-op - education, intra-op - advocate, post-op discharge
32
A mom has GERD. What are some interventions that should be given to reduce heartburn during the pregnancy?
Eat small and frequent meals
Enjoy sspicy foods
Eat large meals twice a day
Lie down after eating
33
With a resident with osteoarthritis is on bed rest for prolonged periods, the CNA is aware that she should:
Provide only passive range of motion & decrease stimulation.
Encourage coughing, deep breathing, and limit fluid intake.
Turn the resident every 2 hours and encourage coughing & deep breathing
Have the resident lie as still as possible.
34
A nurse is reviewing the labs of a pt who is dehydrated. Which of the following values would the nurse expect to find
Urine specific gravity of 1.050
Sodium 142 mEq/L
BUN 18 mg/dL
Urine specific gravity of 1.010
35
What are the four steps involved in SBAR nursing communication?
Situation, Background, Assessment, Recommendation
Service, Background, Assessment, Resources
Situation, Basic knowledge, Activity level, Recommendation
Service, Basic Knowledge, Activity level, Resources
36
When turning a patient in bed, you should assess for bed sores?
true
false
37
Which type of electrolyte inbalance would you be most concern about in this pt?
Hyponatraemia
Hypokalaemia
Hyperkalaemia
Hypernatraemia
38
Which of the following nursing interventions is most important for a 30 year old women with RA?
Position her on her abdomen several times a day.
Assist her with heat application and ROM exercises.
Massage the inflamed joints with cream and oils
Provide support to flex joints with pillows and pads
39
Signs of sepsis include?
Fast HR, no radial pulse, pale skin, slow capillary refill
Alt mental status, increased HR and RR, low BP, high glucose
Alt mental status, low HR and RR, high BP, low glucose
High glucose, warm dry skin, acetone smell to breath
40
Which of the following is the correct order of steps at which cancer develops?
Promotion, initiation, progression, metastasis
Initiation, promotion, progression, metastasis.
Initiation, progression, promotion, metastasis.
Metastasis, progression promotion, initiation
41
What is QSEN?patient centered care. B. quality control. C. quality and safety educationfor nurses. D. all of the above.
All of the above
Quality control
Patient centered care
Quality and safety educationfor nurses.
42
The first sign of dehydration is?
Dizziness
Hypertension
Thirst
Fatique
43
What is the most appropriate nursing strategy for a patient with ALL who is neutropenic
ensure patient avoids exertion
observe for increased bruising
prevent exposure to infections
monitor BP frequently
44
Which symptom determines if you are experiencing severe dehydration?
Dry Mouth
Vomiting and Diarrhea
Rapid Heartbeat
45
All are signs of hypervolemia except
Tachycardia
Hypotension
Crackles & wheezes
Pitting edema
46
For which electrolyte imbalance would hypertension be considered a possible sign?
hypomagnesemia
hypermagnesemia
hyponatremia
hyperkalemia
47
What are the rights of delegation
Circumstance, person, communication, medication, environment
Communication, task, accepting, person, supervision
Task, circumstance, person, communication, supervision
Environment, medication, skills, knowledge, education
48
Who is at the most risk for bed sores?
Active people who sleep 6-8 hours per night
Bedbound and elderly people
People with insomnia
Babies
49
What does specific gravity measure?
Density
Temperature
Bacteria
Ph
50
Bed sores, or decubitus ulcers, come from
lack of blood flow due to constant pressure on the skin
too much blood flow due to constant pressure on the skin
51
Persons with Lupus may be photosensitive, and when exposed to UV can an increase in rashes, fatigue and joint pain
True
False
52
What patient is at greatest risk for pressure ulcers?
Young adult paraplegic with pneumonia
Teenager with a sprained ankle on crutches
Middle age adult that can turn by self in bed
Middle-age adult with breast cancer
53
What is the nursing priority action with a pt having renal calculi?
Increase fluids
Treat pain
Decrease fluids
Place patient on bedrest
54
All except _____ are signs of hypervolemia?
Tachypnea
Decreased oxygenation
Tachycardia
Hypotension
55
For which electrolyte imbalance is constipation not a sign or symptom?
Hypocalcemia
Hypercalcemia
Hypokalemia
Hypomagnesemia
56
What nursing interventions take priority with hypervolemia?
Push fluids
Encourage to increase physical activity or exercise
Monitor: I & O, breath sounds, and peripheral edema.
Educat patient about a high sodium diet
57
A patient with a new colostomy would benefit from a ?
occupational therapy
physical therapy
case manager
wound ostomy continence nurse
58
Scrub nurses and circulating nurses care for patients during the ____________ phase of perioperative nursing.
Postoperative phase
Recovery phase
Pre-operative phase
Intraoperative phase
59
Osteoporosis can be reduced by consuming foods that have more...
calcium
fats
vitamins
sugars
60
Intraoperative nurses must have knowledge of the _________ technique.
Sterile
Antimicrobial
Clean
Disinfecting
61
Risk for infection, WBC depletion, and Neutropenia are common side effects of?
Radiation
Tanning beds
Sun bathing
Chemotherapy
62
Renal calculi can happen with what electrolyte imbalance?
hypercalcemia
hypkalemia
hypocalcemia
hypernatremia
63
The most serious electrolyte inbalance in ESRD is
Hypermagnesium
Hyponatremia
Metabolic Acidosis
Hyperkalemia
64
Normal lab values include all but
Na+ 136-145
Mg+ 1.0-2.3
K+ 3.5-5.0
Ca+ 9.0-10.5
