stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
FUND EXAM 4 Flashcards | StudBud
Explore
/
FUND EXAM 4
FUND EXAM 4
44 terms
·
StudBud Administration
·
37 plays
Imported from external platform
Flashcards
44 cards
F
Practice quiz
P
Host live
L
Questions
44
Answers
1
The nurse is analyzing a client's electrolyte levels. Which electrolyte result is most concerning to the nurse?
Sodium 132 mEg/L
Calcium 10.7 mg/dL
Magnesium 2.2 mEq/L
Potassium 6.4 mEg/L
2
When assessing a client with fluid volume excess, the nurse should expect which clinical manifestation?
stridor
Clear lung sounds
Absent breath sounds
Crackles in the lungs
3
Which statement made by a client indicates maladaptive coping mechanisms for stress?
I exercise 30 minutes a day three times per week
I finish a bottle of wine every night to help me sleep.
I make sure I eat a well-balanced diet every day
I think about being on the beach when I get anxious
4
What intervention should the nurse suggest as the most safe and inexpensive complimentary therapy?
Weekly massage from a health spa
Chiropractic adjustments
Yoga
Herbal supplements from a health food store
5
What assessments findings is indicating of fluid volume excess?
Thready pulse
Shortness of breath
Weight loss
Flattened neck veins
6
What should you do if a client states
"I can't stand this- I have to get out of here!
while undergoing a MRI?
Contact the health care provider.
Medicate the client with lorazepam
Ask the client to take several deep breaths.
Stop the magnetic imaging.
7
Which finding is a clinical manifestation of hypokalemia?
Hyperactive bowel sounds
Muscle weakness
Hypertension
Cerebral edema
8
Examples of CAM included Biofeedback, acupuncture, meditation
True
False
9
What is Developmental stress?
positive type of stress that can be beneficial to your health
normal growing experiences of childhood
experiencing an increased stress response in anticipation of a difficult
temporary feeling of pressure or tension in situations
10
Who are at risk of fluid volume deficit?
A client with kidney failure
client who has vomiting and diarrhea
A client with chest pain
A client with right-sided heart failure
11
What position should a patient be when administering a tap water enema?
Semi-fowler's position
Fowler's position
Sim's position
Lateral position
12
The nurse is caring for a client who has an ileostomy. Which action by the nurse is most appropriate?
Measuring the correct size for the barrier device while leaving a 1/2-inch
Emptying the pouch if it is more than one-third to one-half full
Scrub the skin around the stoma with betadine before applying a new wafer
Changing the skin barrier portion of the ostomy pouch every 12 hours
13
Hypovolemia where the body has abnormally high levels of fluids or blood
False
True
14
What nursing assessment is priority when providing colostomy care to a client with a newly placed colostomy?
Assessing the stoma.
Assessing the skin when applying a new barrier.
Emptying the colostomy bag.
Measuring the output from the bag.
15
The patient has hemorrhoids and small bleeding but I should still admin the enema?
False
True
16
FREE TRUE JUST A REMINDER: Hyper high too much VS HYPO low too less
False
True
17
What is Situational stress?
normal growing experiences of childhood
positive type of stress that can be beneficial to your health
experiencing an increased stress response in anticipation of a difficult
temporary feeling of pressure or tension in situations
18
Post surgery a patient has 125mL of urine. Which should you do?
Notify the provider about the client's urine output
Do nothing; this is normal postoperative urine output
increase the infusion rate of the client's IV fluids
Administer the client's PRN diuretic dose
19
Which finding below is an indication for the nurse to insert an indwelling urinary catheter with an order?
A client who is at risk for falls
A stable client in the intensive care unit
A client with a stage IV pressure ulcer located on the coccyx
A client with frequent urinary incontinence
20
decreased BP and increased Pulse and RR is early indication which stage of the General Adaption Syndrome?
Alarm
Reflex
Exhaustion
Resistance
21
Size16 French foley insert: What action should be perform to prevent infections?
Ensure equipment is an open system.
Clean the external portion of the catheter at least 4 inches.
Clean the external portion of the catheter once a day.
Place the foley on the bed when transferring the client.
22
The nurse further educates the UAP on catheter care what is important to include in the plan?
Empty the urine bag at least once on a 12-hr shift
clean the catheter starting at the meatus and move outward
If the client is up in a chair, hang the urine bag on the arm of the chair
23
Hyponatremia where the level of sodium in your blood is lower than normal
True
False
24
Leaving a job and finding a new on because of how unhappy you are is what kind of coping strategy?
Accepting the stressor
Adapting to the stressor
Aggravating the stressor
Altering the stressor
25
Which finding is not an expected finding with hyponatremia?
Lethargy
Seizures
Bradycardia
Confusion
26
Urge to incontinence: Which statement requires further education?
should restrict my intake of caffeine."
I will limit my fluid during the day."
I will take my diuretics in the morning."
I should establish a toileting schedule."
27
Hypervolemia a condition where there is less fluid in the body
False
True
28
Nurse cares for a client at an urgent care, which nursing action is most appropriate to assess for stress?
Ask about the client's medication history.
Assess the client's support system.
Complete a Holmes-Race Social Readjustment Scale.
Obtain a complete set of vital signs from the client.
29
During a physical EXAM Which discovery is most concerning?
Muscle tension
Teeth clenching
Blood pressure 130/80mmHg
Dilated pupils
30
Client had bowel surgery 2hrs ago. Urine output for the past 2 hours is 50mL. What should you do?
Insert a foley catheter
Notify the health care provider
None, as this is normal postoperative urine output
Apply a condom catheter
31
A Client stress level is on a scale of 8/10 what referral should the nurse request to the health care provider?
Smoking cessation support group.
Dietician for nutritional counseling.
Social worker for thorough assessment of support system
Physical therapy for development of exercise plan.
32
60 year old client, high demands of stress CEO for 40+ years. What indicates the clients needs further evaluation?
Rested after sleeping for 7 hours
No known illnesses for the past year.
Weight gain of 20 pounds over the last year.
Bowel movement every other day.
33
Client states they are stressed about being hospitalized, which intervention leads to reduction for this client?
Turn off the lights, shut the door and tell the client to go to sleep
Tell the client to buy a sound machine and have someone bring it from home
Tell the client a joke so the client will laugh.
Take the client for a walk in the hallway.
34
What is Eustress stress?
experiencing an increased stress response in anticipation of a difficult
positive type of stress that can be beneficial to your health
temporary feeling of pressure or tension in situations
normal growing experiences of childhood
35
What techniques have been successful to decreasing sympathetic nervous system effects of stress during college exams?
Clearer thoughts
Dry mouth
Sweaty palms
Muscle tension
36
For anxiety what can be used for an holistic approach?
Request a prescription for an anxiety medication for the client.
Encourage the client to take slow, deep breaths
Assess the client's oxygen saturation level.
Obtain blood work from the client.
37
Which intravenous fluid should be administer for a patient with an order for isotonic IV fluids?
D5 Lactated Ringers
10% dextrose in water
0.9% sodium chloride
0.45% sodium chloride
38
increased stress related to financial concerns is known to be what kind of stress?
Developmental
Psychosocial
Physiological
Eustress
39
Which finding is not an expected finding in client's with chronic stress?
Headaches
Constipation
Decreased memory
Increased energy
40
What is Anticipatory stress?
experiencing an increased stress response in anticipation of a difficult
temporary feeling of pressure or tension in situations
positive type of stress that can be beneficial to your health
normal growing experiences of childhood
41
What type of incontinence is a ''laugh or sneeze'' followed by wet pants?
Functional
Stress
Urge
Overflow
42
What does CAM stand for?
Complementary alternative medicine
Can alternative medicine
Complementary alternative medication
Complementary acupuncture medicine
43
Hypokalemia occurs when potassium levels in the blood are lower than normal
True
False
44
CKD resulting in potassium imbalance: Which findings is a clinical manifestation of hyperkalemia?
Cerebral edema
Wheezing
Cardiac dysrhythmias
Hypoactive bowel sounds
