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PN 130 STUDY GUIDE EXAM 4 Flashcards | StudBud
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PN 130 STUDY GUIDE EXAM 4
PN 130 STUDY GUIDE EXAM 4
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1
(Signs of Fluid Imbalance) Temperature
Normal is fluid excess
Normal is fluid deficit
Elevated is fluid excess
Elevated is fluid deficit
2
Blocks sensation in an area but consciousness is unaffected (spinal, local, or topical)
General Anesthesia
Regional Anesthesia
3
A state in which a person is relieved of distress.
Sleep
Comfort
Rest
4
Stage 1 of general anesthesia
can be as short as 5-10 seconds with short acting barbiturates
lasts until patient loses consciousness
begins with administraion of anesthetic drug
can be as short as 10-15 seconds with short acting barbiturates
5
ICF (intracellular fluids) outside of the body cells
False
True
6
What is a risk factor for obesity?
happiness
good nutrition
adequate sleep
inadequate sleep
7
(Signs of Fluid Imbalance) Mucous membranes
Dry, sticky is fluid deficit
Dry, sticky is fluid excess
Moist is fluid excess
Moist is fluid deficit
8
Alcohol is a depressant
True
False
9
Stage 4 of general anesthesia includes respiratory paralysis
False
True
10
_____ means difficulty in falling asleep, awakening frequently during the night, or awakening early.
Insomnia
Hypersomnia
Sleep paralysis
Narcolepsy
11
(Signs of Fluid Imbalance) Jugular neck vein
Distended is fluid excess
Flat is fluid excess
Flat is fluid deficit
Distended is fluid deficit
12
Effective circulatory status, effective ____ regulation; and adequate fluid balance is all monitored during anesthesia.
heartbeat
sight
hearing
temperature
13
Talking is the first and last sense to come/go during anesthesia
True
False
14
____ technology requires unique safety precautions such as eye, fire, heat, and vapor protection. Everyone wears goggles
Laser
Radiation
Ultra Violet
Intravenous
15
Sudden onset of daytime sleep, short NREM period before the first REM phase, and pathologic manifestations of REM sleep
Narcolepsy
Cataplexy
Hypersomnia
Insomnia
16
Who will sign the informed consent if the patient is confused, unconscious, or mentally incompetent?
the doctor
power of attorney
nearest blood relative
spouse
17
Stage 2 of general anesthesia
physical reaction to pain at this stage although patient will not remember
patient is unconscious and no pain but may mumble and muscles are rigid
delerium and excitement
unecessary noise and motion avoided at this stage
18
Hypovolemia means low volume of ECF and may dehydrate you
False
True
19
When sleeping people prefer _____?
temperature control of 67-73
older adults prefer warmer
temperature control of 68-74
older adults prefer cooler
20
What is done in postoperative care?
circulation/ monitor vitals
leg exercises
fluid intake
maintain respiratory functions (obstruction, turn, cough, deep breaths)
21
Eliminates all sensation and consciousness or memory of the event (inhalants or injectibles)
Regional Anesthesia
General Anesthesia
22
Nursing assessment, patient education, physical preparation, administering meds, and completing the surgical checklist.
Activities that take place during post-op
Activities that take place during operation
Activities that take place during pre-op
23
A sudden loss of muscle tone triggered by an emotional change such as laughing or anger.
Narcolepsy
Insomnia
Hypersomnia
Cataplexy
24
The nurses role of obtaining informed consent is only to sign as a ____, nurses should never provide information.
witness
patient
friend
relative
25
The ____ period begins after the procedure is completed & the client is transported to recover from the anesthesia.
intraoperative
postoperative
preoperative
26
(Signs of Fluid Imbalance) Blood pressure
Low is fluid deficit
Low is fluid excess
High is fluid excess
High is fluid deficit
27
Hair is usually not removed before surgery unless it is likely to interfere with the incision.
True
False
28
____ care is care that clients receive before, during, and after surgery.
Intraoperative
Perioperative
Postoperative
29
(Signs of Fluid Imbalance) Weight
Weight loss less than 2 lb per 24 hours is fluid deficit
Weight gain greater than 2 lb per 24 hours is fluid excess
Weight loss greater than 2 lb per 24 hours is fluid deficit
Weight gain less than 2 lb per 24 hours is fluid excess
30
Shaving causes microabrasions. Institutions use electric or battery clippers rather than razors for hair removal.
False
True
31
What does hypervolemia mean?
lower than normal volume of H2O in ICF
causes fluid overload and edema
higher than normal volume of H2O in ICF
causes fluid decrease
32
(Signs of Fluid Imbalance) Respirations
Rapid, shallow is fluid deficit
Rapid, shallow is fluid excess
Moist, labored is fluid deficit
Moist, labored is fluid excess
33
(Signs of Fluid Imbalance) Cognition
Reduced is fluid deficit
Reduced is fluid excess
34
____ are conditions associated with activities that cause arousal, usually during transitions in NREM sleep.
narcolepsy
cataplexy
parasomnia
insomnia
35
The ____ period (the time during which the client undergoes surgery) takes place in the operating suite.
intraoperative
preoperative
postoperative
36
Stage 3 of general anesthesia
plane 3- muscles working and relfex present plane 4- patient breathing
plane 1- invasive procedures plane 2- patient not prepared for surgery
plane 3-muscles paralyzed/reflexes absent plane4-cardiopulmonary depression
plane 1- light for minor/noninvasive procedures plane 2- ready for surgery
37
(Signs of Fluid Imbalance) Pulse
Full, bounding is fluid excess
Rapid, weak, thready is fluid excess
Rapid, weak, thready is fluid deficit
Full, bounding is fluid deficit
38
Disorder is which a person cannot move for a few minutes just before falling asleep or awakening
Insomnia
Sleep paralysis
Cataplexy
Narcolepsy
39
(Signs of Fluid Imbalance) Lungs
Crackles, gurgles is fluid excess
Clear is fluid excess
Crackles, gurgles is fluid deficit
Clear is fluid deficit
40
What are some interruptions when it comes to sleep?
alcohol
melatonin
caffeine
hunger and thirst
41
A waking state characterized by reduced activity and mental stimulation
Comfort
Sleep
Rest
42
The ____ period starts when clients learn that surgery is necessary and ends when clients are transported to the OR.
postoperative
preoperative
intraoperative
43
A state of arousable unconsciousness.
Comfort
Sleep
Rest
44
Throughout the duration of & recovery from ___ , the client is monitored closely for effective breathing and oxygenation
sickness
surgery
anesthesia
incisions
45
Who is hypothermia most common in during anesthesia?
adults
elderly
teenagers
infants
46
(Signs of Fluid Imbalance) Breathing
Effortless is fluid excess
Dyspnea, orthopnea is fluid excess
Effortless is fluid deficit
dyspnea, orthopnea is fluid deficit
47
(Signs of Fluid Imbalance) Consciousness
Anxious is fluid excess
Sleepy is fluid excess
Anxious is fluid deficit
Sleepy is fluid deficit
48
(Signs of Fluid Imbalance) Eyes
Sunken is fluid deficit
Swollen is fluid excess
Sunken is fluid excess
Smollen is fluid deficit
49
The brain is active in concentration and thinking. However, the body is relaxed, immobile, often paralyzed, unresponsive
NREM (Non-Rapid Eye Movement)
REM (Rapid Eye Movement)
50
During anesthesia, the body temperature rises
False
True
51
A dream-like auditory or visual experiences while dozing or falling asleep.
Cataplexy
Insomnia
Narcolepsy
Hypnagogic hallucinations
52
(Signs of Fluid Imbalance) Stool
Dry, small volume is fluid deficit
Dry, small volume is fluid excess
Bulky is fluid excess
Bulky is fluid deficit
53
____ is quiet sleep; it is also called “slow-wave sleep” during this stage EEG waves appear as progressively slower.
REM
NREM
54
Nursing Diagnoses for sleep deprivation
ineffective coping/ fatigue/ insomnia/ disturbed sleep pattern
anxiety/ ineffective breathing pattern/ acute confusion
COPD/ bipolar disorder/ acute confusion/ hyperactive
disturbed sensory perception/ sleep deprived/ readiness for enhanced sleep
55
______ is a sleep disorder characterized by feeling sleepy despite getting normal sleep.
Narcolepsy
Insomnia
Sleep paralysis
Hypersomnia
56
Red/yellow means exciting for wall color choices.
True
False
57
How many stages are involved in general anesthesia?
7
4
5
2
58
(Signs of Fluid Imbalance) Energy
Fatigues easily is fluid excess
Weak is fluid excess
Weak is fluid deficit
Fatigues easily is fluid deficit
59
Blue and colors with blue tints, such as mauve and light green, promote ____.
Depression
Relaxation
Appetite
Anxiety
60
The purpose of sleep is to reduce fatigue, stabilize mood, improve blood flow, maintain the immune system, and ____.
Increase depression
Promote cellular growth
Boost seratonin
Improve capacity for learning and memory storage
61
Permission a client gives after an explanation of the risks, benefits, and alternatives is called?
witness
emancipation
informed consent
patient teaching
62
(Signs of Fluid Imbalance) Urine
Scant, dark yellow is fluid deficit
Light yellow is fluid deficit
Light yellow is fluid excess
Scant, dark yellow is fluid excess
63
ECT (extracellular) means _____?
all fluids under the body cells
all fluids outside of the body cells
all fluids inside the body cells
all fluids in between the body cells
64
(Signs of Fluid Imbalance) Skin
Warm, flushed, dry, poor skin turgor is fluid deficit
Cool, pale, moist, pitting edema is fluid deficit
Cool, pale, moist, pitting edema is fluid excess
Warm, flushed, dry, poor skin turgor is fluid excess
65
Darkness, sleep schedule, melatonin, comfort, quiet, rest, sedative drugs, L-tryptophan, optimal warmth and ventilation.
Sleep-promoting factors
Sleep-suppressing factors
66
Who is responsible for obtaining informed consent?
The patient's family
The nurse
The physician
The patient
