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NSG 310 EXAM 2 Flashcards | StudBud
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NSG 310 EXAM 2
NSG 310 EXAM 2
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Questions
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Answers
1
What are some behaviors that indicate low literacy levels? (Select all that apply)
Unemployment
Showing up to appointments slightly late
"I am too tired to read"
Frequently missed appointments
2
Which technique is the best to show the client understands the insulin administration education they received?
Have the client perform a return demonstration
Have a discussion that is under 30 min
Provide written info at the appropriate educational level
Use role-playing with other clients
3
What can a nurse do to manage delirium? (Select all that apply)
Keep the television on in the patient's room
Provide frequent reorientation
Promote adequate sleep
Limit restraint use
4
RCA - involves a set of "where's" for finding the root cause of an error
True
False
5
Define allostatic load.
Continued shifting between homeostasis and allostasis
Prevention of allostatic procedure, lessening the stress response
Phenomena where allostasis is maintained but homeostasis is not reached
Increased metabolic capacity of an individual under constant stress
6
Prevention of central line associated infection is one of the most common examples of a bundled practice/care bundle.
True
False
7
Select the options that best describe a sentinel event.
Healthcare-related error resulting in death or serious injury
Medical error that results in loss of property
Events that must be reported to governing bodies like the JC
Error that occurs specifically in assisted-living facilities
8
True or False: Allostasis is the restoration of balance from a state of stress by the hypothalamus & other mechanisms.
True
False
9
Which of the three cognitive conditions has the highest risk for caregiver role strain?
Dementia
Depression
Delirium
10
Components of a nursing diagnosis. (Select all that apply)
diagnostic label
defining characteristics
interventions required
related factors
11
True or False: Depression is chronic and progressive and does not have a formal treatment.
True
False
12
When should the nurse obtain cultures from a patient with a suspected infection?
As soon as they wake up
Before their first dose of antibiotics
30 min after medication administration
1 hr before eating
13
The nurse is working in the community as a public health nurse. Which action/client type best matches their role?
Providing follow-up with a client at a home visit
Educating a client regarding preventative methods
Advocate for the availability of low-cost healthcare for at-risk children
Medication review with families that attend a community clinic
14
Which wound drain/description pair is incorrect?
Jackson Pratt - automated drain used for pressure wound treatment.
Penrose - tube placed in the wound, but no suction.
Hemovac - more commonly used in surgery.
Hemovac - suction present, usually in a bloody cavity.
15
A patient has good comprehension but struggles to write and speak. What type of aphasia do they have?
Expressive (Broca's) Aphasia
Anomic Aphasia
Global Aphasia
Receptive (Wernicke's) Aphasia
16
True or False: Serosanguineous drainage is a pale pink-yellow color.
False
True
17
Which of the following term-definition pairs is incorrect?
Appraisal - when something happens, is it a stress?
Stress - process that alters our psychological and physiological systems
coping - when something happens, it it a stress?
adaptation - successfully coping with a stressor
18
Which is not a function of the skin?
Metabolism
Thermoregulation
Protection
Movement
19
Which of these are inhibitory actions of the sympathetic nervous system? (Select all that apply)
increased heart rate
increased release of insulin
decreased digestive function
prevention of urination
20
True or False: Bundling is the combination of multiple interventions for purposes of speeding up processes.
True
False
21
What is a characteristic of primary wound healing? (Select all that apply)
No granulation tissue visible
Occurs when edges are well approximated
Seen in surgeries in combination with the usage of sutures/stiches
Limited scarring occurs
22
Which of these is not a symptom of Systemic Inflammatory Response Syndrome (SIRS) & could indicate early sepsis? (SATA)
WBC > 12,000
HR > 90 bpm
RR < 15
Temp > 38 °C
23
In what cases would you not want to apply heat therapy? (Select all that apply)
Very young child with impaired thermoregulation
Elderly patient due to increased sensitivity to pain/heat
Pain is sudden and acute (indicating appendicitis)
On broken skin or deep open wounds
24
What are the core qualities of a teaching-learning relationship? (Select all that apply)
Negotiative
Diagnosis-focused
Patient-focused
One-sided
25
Which characteristic describes a stage II pressure ulcer?
Slough
Partial-thickness loss of dermis
Tunneling
Non-blanchable redness
26
What are some components/characteristics of apnea testing?
If the patient desaturates while off ventilation, the test is passed
Used for lower brainstem functioning/ determining brain-dead status
If ABG with/without assist are very different, pt is said to be stable
ABG is obtained while on ventilation (full assist) and on full-patient mode
27
True or False: If a wound is present, the WOCN nurse should be the first to assess.
True
False
28
Alterations in which of the following factors can alter a patient's cognitive function? (Select all that apply).
Potassium
Glucose
Medications
Oxygen
29
Which of the following is the priority action for a nurse caring for a (new) patient with hearing loss?
Stand directly beside the patient
Determine if they use hearing aids
Make use of translator services
Lower tone/volume of voice
30
What is another name for wound vac?
Negative Pressure Wound Therapy
Penrose
Hemovac
Wet-to-Dry Dressing Change
31
What is not a key point of a teaching session?
Use of medical terminology for purposes of education
Focus on the perspective of the patient
Short sessions that cover one point at a time
Use of positive words and phrases
32
Which of these is not one of the four phases of wound healing?
They are all phases of wound healing
Inflammatory
Proliferative
Hemostasis
33
Which age group and potential skin concerns are incorrectly paired?
Toddler/Pre-K - sunscreen needed, playing can cause injuries
Newborn - reduced ability to thermoregulate, higher risk of rashes
Adulthood & Older Adult - higher risk of blistering and chafing
School-age/ Adolescent - lice, scabies, and impetigo can be common; acne
34
Which of these term-definition pairs is not correct?
Cognitive - refers to thinking/intellect, starting with simple concepts...
Psychomotor - refers to optimal learning style...
Affective - refers to emotions or feelings...
35
Which assessment or lab data correlates with systemic inflammation? (Select all that apply)
Erythema
Malaise
Leukocytosis
Anorexia
36
Which term-definition pairing is incorrect?
Frontotemporal dementia - nerve cell loss and impairment of frontal lobe
Vascular dementia - impairement as a result of aterial brain lesions
Lewy body dem. - if dementia is dx over a year following parkinsons dx
Alzheimer's dementia - cerebral atrophy
37
True or False: Demonstration, discussion, written material, role playing, & lecture are all ways of providing education.
True
False
38
What is the primary indication for the most appropriate usage of cyanoacrylate glue?
Used after surgery
Used for purposes of compression
Used for distal areas of the body
Used for an area that does not experience tension or stretching
39
When assessing for acute delirium, what is the most important thing to be aware of?
Circumstances surrounding patients' home life
Family history of cognitive impairment
Patient's age
Baseline cognition of the patient
40
What is the main corticosteroid released under stress?
Albumin
Cortisol
Glucose
Epinephrine
41
What tool will a nurse use to assess delirium?
Confusion Assessment Scale (CAM)
Mini-Mental State Examination (MMSE)
Glasgow Coma Scale (GCS)
Depression/Anxiety/Stress Scale (DASS)
42
What are some risk factors for developing delirium? (Select all that apply)
Being in the ICU
Dementia
Isolation
Lack of hygiene
43
True or False: Surgical, enzymatic, autolytic, and automatic are all types of debridement.
False
True
44
Which WBC component would correlate with synthesis of immunoglobulins?
T lymphocytes
Phagocytes
B lymphocytes
Monocytes
45
What do these have in common: Financial status, inconvenience, denial, lack of social support, nonacceptance....
Reasons why a patient avoids nursing interaction
Reasons why a patient refuses to accept care
Reasons why a patient does not follow through with a treatment plan
Reasons why a patient reaches out for medical treatment
46
Which is an example of a teaching method within the psychomotor learning domain?
Lecture
Repeated practice
Reflection
Role-play
47
What do Lewy Body dementia and Parkinson's Disease dementia have in common? (Select all that apply)
Usually diagnosed at the same time (concurrent)
Short term neurodegeneration
Related to dumps of protein aggregates
Associated with an increased risk of falls
48
What behaviors may occur normally as part of the grieving process? (Select all that apply)
Neglect of personal hygiene
Loss of interest in work
Increased interest in people
Slow and disorganized thinking
49
True or False: Resilience is the ability to recover from an adverse event.
True
False
50
Which is an example of primary prevention?
Breast examinations
Support groups
Seat restraints
Immunizations
51
Which of these is not an example of a maladaptive coping practice?
Exercising 30 minutes 3x a day
Substance usage
Implementing a vegetarian diet
Eating 5 meals a day
52
Which defense mechanism is not properly paired with its definition? (Select all that apply)
Dissociation - immersing something in unconcious level of thought
Somatization - used to deal with a deficiency by emphasizing ones strengths
Projection - attributing ones' own thoughts to another
Denial - refusing to believe or accept something
53
At-risk behavior: nurse is unaware that what's being done is unsafe. Reckless behavior: falsifying records.
False
True
54
What are some physical signs that a patient's death is imminent? (Select all that apply)
Bounding pulse
Irregular and shallow respirations
Sweating (diaphoretic)
Loss of appetite
55
True or False: To prevent caregiver burnout, caregivers should be rotated daily when caring for a dementia patient.
True
False
56
What does long term release of cortisol/experiences of stress cause in the body? (Select all that apply)
Hypertension
Hypotension
Increased awareness and cognition
Decreased immune response, resulting in higher instances of illness
57
Which cognitive function-altering condition has the quickest onset?
Depression
Dementia
Brain cancer
Delirium
58
A _________ concentration of less than ___ in the WBC count indicates a persistent or severe infection.
Basophil, 50%
Neutrophil, 25%
Neutrophil, 50%
Basophil, 25%
59
What WBC components would correlate with an allergic reaction?
Basophils
Eosinophils
Monocytes
Neutrophils
60
True or False: Endotoxin infections occur with gram-positive bacteria and drive the inflammatory response.
False
True