Nur215 Mod 11-13

Question 1

Comprehensive care delivered in variety of ways & can be implemented when pt is not expected to live longer than 6 mnths

Accepted Answer

Hospice Care

Question 2

Factors that influence metabolism, select all that apply

Accepted Answer

medication-metabolizing enzymes, nutrtional status, similar metabolic pathways, first-pass affect

Question 3

Pain, Discomfort, or Burning When Urinating. Define

Accepted Answer

Dysuria

Question 4

Normal range for calcium

Accepted Answer

9.0-10.5 mEq/L

Question 5

Normal range for magnesium

Accepted Answer

1.3- 2.1 mEq/L

Question 6

What vital sign changes will you see in dehydration? Select all that apply

Accepted Answer

flattened neck veins, Decreased central venous pressure, Hypotension, Tachycardia

Question 7

Condition in which you wake up during the night because you have to urinate. Define

Accepted Answer

Nocturia

Question 8

Decreased Production of Urine. Define?

Accepted Answer

Oliguria

Question 9

When assessing a newly created colostomy stoma, what would you expect to find?

Accepted Answer

No excess purulent drainage, Moist and Shiny, Pink in color

Question 10

What is the max long term dose of acetaminophen for a 24 hour period you can give?

Accepted Answer

4 grams

Question 11

Which hormone causes the kidneys to retain fluid?

Accepted Answer

Antidiuretic hormone

Question 12

What are two things you should do when you get get a weird pulse oximeter reading?

Accepted Answer

Check Equipment, Assess Patient

Question 13

What are the phases of pharmacokinetics? Select all that apply

Accepted Answer

Excretion, Absorption, Metabolism, Distribution

Question 14

After giving a medication through an IM route when should nurse re-evaluate the patient?

Accepted Answer

10-30 minutes

Question 15

What medications would you administer for hyperkalemia? Select all that apply

Accepted Answer

Ketorolac, Insulin, IV Calcium Gluconate

Question 16

What electrolyte imbalance can be caused by NG-tube suctioning?

Accepted Answer

Potassium

Question 17

What can cause abnormal pulse ox readings? Select all that apply

Accepted Answer

Acrylic Nails, Temperature, Clubbing or long nails, Nail Polish

Question 18

55 yr old pt is upset & discussing recent losses.Which type of losses is this pt most likely experiencing based on age?

Accepted Answer

New onset medical problem, Stress and job-related issues, Children leaving the home

Question 19

After giving a medication through an oral route when should nurse re-evaluate the patient?

Accepted Answer

30 minutes

Question 20

How can we prevent UTIs for patients with a urinary catheter? Select all that apply

Accepted Answer

Use aseptic technique when inserting catheters, Assess ongoing need for indwelling urinary catheter daily, Provide perineal hygiene routinely (8 hours) & after soiling, Prevent obstruction & backflow of urine thru catheter, drainage tubing

Question 21

What is the reversal agent for opioids?

Accepted Answer

Narcan

Question 22

Which functions of the kidney are considered secondary functions? Select all that apply.

Accepted Answer

Vitamin D activation, Erythroprotein Secretion, Renin production

Question 23

Urinary retention from bladder overdistention & loss of small amounts of urine due to obstruction of urinary outlet

Accepted Answer

Overflow Incontinence

Question 24

Which are functions of the colon? Select all that apply.

Accepted Answer

Vitamin absorption, Water absorption, Facilitate Stool Passage

Question 25

Which imbalance would be reflected by the ABG result of pH 7.35, Pco2 38, HCO3 18?

Accepted Answer

Compensated metabolic acidosis

Question 26

Inability to stop urine flow enough to reach bathroom due to an overactive detrusor muscle w/ increased bladder pressure

Accepted Answer

Urge Incontinence

Question 27

What body system is a priority when a patient has hyperkalemia?

Accepted Answer

Cardiovascular System

Question 28

If another nurse draws up a medication in a syringe should you be the one to administer it?

Accepted Answer

No

Question 29

Which of the following are approiate coping strategies for a nurse who lost a client?

Accepted Answer

Communicating in writing to the family, Attending debriefing sessions with colleagues, Going to the patient’s funeral, Using stress management techniques

Question 30

When overhydrated what vital sign change will you see?

Accepted Answer

High BP

Question 31

Anything clients define as loss but that is not obvious or verifiable to others.

Accepted Answer

Perceived Loss

Question 32

Where is the final check when giving medication?

Accepted Answer

With the Medication, MAR and patient at bedside

Question 33

What patient teaching can we do for patients with different types of incontinence? Select all that apply

Accepted Answer

Toileting Schedule, Bladder Training, Sensory Training, Limit Caffeine Intake

Question 34

Dorsal part of tongue has small furrows or grooves caused by dehydration. Define

Accepted Answer

Furrowed Tongue

Question 35

Upon entering the room what are two things you must always check before giving medication?

Accepted Answer

Ask patient if they have any allergies, Ask patient to identify themselves with name and date of birth

Question 36

What are indications for inserting an indwelling Foley catheter? Select all that apply

Accepted Answer

Pressure ulcers, Acute obstruction, Neurogenic Bladder, Long surgeries

Question 37

What position should you place a patient in when doing an enema?

Accepted Answer

Sim's Position

Question 38

What are signs and symptoms that a patient may be depressed phase of the grief process?

Accepted Answer

Nausea, Intense Feelings of Guilt, Chest Pain, Changes in Sleep Patterns. Fatigue, Palpitations, Headaches

Question 39

Who is at risk for fluid volume deficit? Select all that apply

Accepted Answer

Trauma Victims, Altered Cognition Patients, Elderly Patients, Burn Victims

Question 40

"Letting go" of an object or person before the loss- terminal illness

Accepted Answer

Anticipatory Grief

Question 41

A new antibiotic is prescribed to treat a pt w/pneumonia. What resource should RN use to obtain info about the med?

Accepted Answer

Nursing drug handbook

Question 42

After giving a medication through an IV route when should nurse re-evaluate the patient?

Accepted Answer

immediately

Question 43

Which of the following are Topical medication placements? Select all that apply

Accepted Answer

Rectal Suppositories, Eyes, Nasal, Ears

Question 44

What should a nurse do if a patient is refusing their medication? Select all that apply

Accepted Answer

Nodify the provider, Document, Educate

Question 45

Which of the following increase a patient's chance of drug toxicity?

Accepted Answer

Secretion of the drugs, Impaired metabolism

Question 46

What is the normal minimum urine outpul (mL/hr)?

Accepted Answer

30 mL/hr

Question 47

What are normal manifestations of the grief process? Select all that apply

Accepted Answer

Depression, Denial, Bargaining, Anger

Question 48

A loss related to a change that is part of the cycle of life and is anticipated but still can be intensely felt. Define

Accepted Answer

Necessary Loss

Question 49

When do you need to document after administration of medication to a patient?

Accepted Answer

Immediately after

Question 50

When doing a manual fecal impaction, what vital sign do we need to monitor?

Accepted Answer

Heart Rate

Question 51

What are expected changes in urinary elimination for the older adult?

Accepted Answer

Fewer nephrons, Factors that interfere with mobility and dexterity, Loss of muscle tone of the bladder leading to frequency, Presence of chronic illness

Question 52

What are the signs and symptoms of impending death within the next 24 hours? Select all that apply

Accepted Answer

Decreased level of consciousness, Loss of muscle tone, with obvious relaxation of the face, Touch diminished, but patient is able to feel the pressure of touch, Mucus collecting in large airways

Question 53

When a patient is dehydarted what vital sign change will you see?

Accepted Answer

Low BP

Question 54

Which system is the primary source for fluid and electrolyte balance?

Accepted Answer

Renal System

Question 55

If a patient has renal or hepatic disease whats the max dose of acetaminophen for a 24 hour period?

Accepted Answer

2 grams

Question 56

PT has a new med ordered for 0800 that RN is not familiar w/. What info should be researched before giving this?

Accepted Answer

Body system affected, The use of the medication, Classification of drug

Question 57

Any loss of a valued person, item, or status (loss of a job) that others can recognize

Accepted Answer

Actual Loss

Question 58

Which of the following are examples of nursing interventions for grief? Select all that apply

Accepted Answer

Allow time for the grieving process., Identify expected grieving behaviors, Use therapeutic communication related to the client'sstage of grief., Use silence and personal presence to facilitate mourning.

Question 59

Normal range for sodium

Accepted Answer

136-145 mEq/L

Question 60

Use for admin med, fluid, and blood products.Vascular access devices can be 4 short-term use(catheters)or long-term use

Accepted Answer

Intravenous

Question 61

Use for small doses of nonirritating, water-soluble medications (insulin and heparin). 25-27 guage

Accepted Answer

Subcutaneous

Question 62

Which of the following components should be on a prescription?

Accepted Answer

Name of medication and strength and dosage of medication, Date and time of prescription, Route of administration and time and frequency of administration, Client's full name

Question 63

Involuntary loss of moderate amount of urine usually w/o warning due to hyperreflexia of detrusor muscle

Accepted Answer

Reflex Incontinence

Question 64

What is the max acute dose of acetaminophen for a 24 hour period?

Accepted Answer

3 gram

Nur215 Mod 11-13

Questions 74

Nur215 Mod 11-13

Questions 74