Nur215 Exam #4 Mod8-10

Question 1

Deeper light sleep, 10-20 minutes long, vital signs & metabolism continuing to slow

Accepted Answer

NREM Stage 2

Question 2

High-pitched whistling, musical sounds as air passes through narrowed or obstructed airways,usually louder on expiration

Accepted Answer

Wheezes

Question 3

Normal Respiratory Rate & Rhythm

Accepted Answer

Eupnea

Question 4

What is the local adaptation syndrome system? Select all that apply

Accepted Answer

Localized, Short-term attempt to restore homeostasis, Involving stress to a specific body part, tissue, or organ, Reflex Pain Response & Inflammatory Response

Question 5

The upper airway involves which of the following?

Accepted Answer

Pharynx, Nasal Cavity, Larynx

Question 6

Uncontrollable movement of legs during sleep/rest is, what type of disorder or syndrome?

Accepted Answer

Restless leg syndrome

Question 7

Vivid Dreaming, About 90 Minutes After Falling Asleep, Recurring Every 90 Minutes, Longer with Each Sleep Cycle

Accepted Answer

REM

Question 8

Excessive Sleeping (Especially during daytime), what type of sleep disorder is this?

Accepted Answer

Hypersomnia

Question 9

Which part of the body is responsible for auditory exclusion during fight or flight?

Accepted Answer

Ears

Question 10

The lower airway involves which of the following?

Accepted Answer

Anything below the Trachea

Question 11

Deeper breaths that may quicken, followed by a hypoventilation & progress to apnea

Accepted Answer

Cheyne-stokes

Question 12

This develops when a person must assume opposing roles with in compatible expectations. Type of Role

Accepted Answer

Role Conflict

Question 13

Sleep walking and talking is also referred to as…

Accepted Answer

Parasomnias

Question 14

Distress threatens health; eustress (literally, “good stress”) is protective. Type of stressor?

Accepted Answer

Distress Stressors

Question 15

In response to event or anxiety, pt uses usual coping strategies, has no symptoms,denies feeling stress,Stage of crisis?

Accepted Answer

Precrisis Stage

Question 16

Dry, grating, or rubbing sound as inflamed visceral & rub against each other during inspiration or expiration

Accepted Answer

Pleural Friction Rub

Question 17

>5 breathing cessations lasting longer than 10 sec per hr during sleep, resulting in decreased arterial O2 levels.Define

Accepted Answer

Sleep Apnea

Question 18

What is the flow rate for partial rebreather?

Accepted Answer

6-11 L/ min

Question 19

What are some things that can cause a patient difficulty falling asleep at night?

Accepted Answer

Age, Diet and Fatigue, Illness, Emotional stress or Mental Illness, Envirnmental Factors

Question 20

What are signs and symptoms of the alarm stage of general adaptation sydrome?

Accepted Answer

Elevated Blood Pressure, Heightened Mental Alertness, Increased Blood Flow to Muscles, Elevated Heart Rate

Question 21

Patients who do NOT endure _____ Sleep have problems with impaired memory & decreased learning.

Accepted Answer

REM

Question 22

How often should oral care be done on patients with a Nasal Cannula & Mask minimum?

Accepted Answer

2 times a day

Question 23

Structures in the mouth and throat relax during sleep & occlude the upper airway, type of sleep apnea.

Accepted Answer

Obstructive Sleep Apnea

Question 24

Late signs and symptoms of hypoxia? Select all that apply

Accepted Answer

Metabolic Acidosis, Decreased Level of Consciousness, Decreased Activity Level

Question 25

Slow Wave Sleep or Delta Sleep, Vital Signs Decreasing, More Difficult to Awaken

Accepted Answer

NREM Stage 3

Question 26

What are the three common approaches to coping?

Accepted Answer

Avoiding the stressor, Adapting to the Stressor, Altering the Stressor

Question 27

Recommened amount of sleep for adolescents

Accepted Answer

9-10 hrs

Question 28

Faster & Deeper Respirations Without Pauses

Accepted Answer

Kussmaul's

Question 29

REM sleep accounts for ____ % of sleep time

Accepted Answer

20-25%

Question 30

Which of the following are nursing interventions/ client education is appropriate for a pt w/ nacrolepsy?

Accepted Answer

Eat small meals that are high in protein, Exercise regularly, Avoid activities that increase sleepiness, Take naps when drowsy or when narcoleptic events are likely

Question 31

Prolonged, Gasping Inspiration followed by extremely Short, Inefficient Expiration

Accepted Answer

Apneustic

Question 32

End of what stage results in either recovery or death.

Accepted Answer

Exhaustion Stage

Question 33

Coarse, loud, low-pitched rumbling sounds during either inspiration or expiration resulting from fluid or mucus

Accepted Answer

Rhonchi

Question 34

Signs and Symptoms of Burnout

Accepted Answer

Increased Risk of Error, Fatigue

Question 35

Stressors may be external to the person; ie death of a family member or excessive heat in a room. Type of Stressor?

Accepted Answer

External Stressor

Question 36

How can we promote sleep for a patient in the hospital? Select all that apply

Accepted Answer

Create a comfortable & restful environment, Limit naps during the day, Cluster/Schedule nursing care & other therapies, Administer/Complete client teaching about sleep-inducing medications

Question 37

How many seconds between breaths should there been when using an ambu-bag on an intubated pt?

Accepted Answer

6-12 seconds

Question 38

Simple face mask delivers what percent of O2?

Accepted Answer

40-60%

Question 39

How long does it take to cause oxygen toxicity when on oxygen therapy?

Accepted Answer

24-48 hours

Question 40

Uncertainty about what is expected when assuming a role; creates confusion. Type of Role

Accepted Answer

Role Ambiguity

Question 41

Flow rate for nasal cannula?

Accepted Answer

1-6 L/min

Question 42

The heart beat accelerates during fight or flight.

Accepted Answer

True

Question 43

Sleeping well for a few days and then having insomnia for a few days, what type of insomnia is this?

Accepted Answer

intermitent insomnia

Question 44

Recommended amount of sleep for infants and toddlers

Accepted Answer

9-15 hrs

Question 45

What teaching should we do with a patient with asthma? Select all that apply

Accepted Answer

Avoid Triggers, Avoid Excessive Exercising, Keep Inhaler Close By, Extreme Temperatures

Question 46

What S&S does the nurse expect to find in a patient with chronic stress?

Accepted Answer

Anxiety & Fear, Anger, Depression, Ego Defense Mechanisms

Question 47

Absence of Breathing (May be Periodic)

Accepted Answer

Apnea

Question 48

CNS dysfunction in resp. control center of the brain that fails to trigger breathing during sleep,type of sleep apnea

Accepted Answer

Central Sleep Apnea

Question 49

Chronic disorder caused by the brain’s ineffectiveness in regulating sleep-wake cycles normally. This is referred to as?

Accepted Answer

Nacrolepsy

Question 50

Recommened amount of sleep for adults

Accepted Answer

7-8 hrs

Question 51

What should you do first if you notice a patient’s oxygen level is low? Select all that apply

Accepted Answer

Assess Patient, Check Equipment

Question 52

What type of stress may be related to financial concerns?

Accepted Answer

Psychological Stress

Question 53

Slow but Regular Respirations

Accepted Answer

Bradypnea

Question 54

Most responsibility and roles than are manageable; very common. What type of role is this?

Accepted Answer

Role Overload

Question 55

Flow rate for simple face mask?

Accepted Answer

5-8 L/ min

Question 56

How many liters do you need to have to use humidification with oxygen therapy?

Accepted Answer

More than 4

Question 57

What signs and symptoms can occur in both early and late stage hypoxia? Select all that apply

Accepted Answer

Diaphoresis, Decreased Urine Output, Unexplained Fatigue

Question 58

The body part respondes to fight or flight by causing production of hormones?

Accepted Answer

Adrenal Glands

Question 59

The body part respondes to fight or flight by signaling the adrenal gland?

Accepted Answer

Brain

Question 60

How can we promote sleep for older adults?

Accepted Answer

Healthy Fat, Low-Carb Snacks (Cheese, Nuts, Yogurt, Avocado, Peanut Butter), Limit Fluid Intake Two Hours Prior to Bed, Sleep Hygiene, Appropriate Medications Per Morning or Night

Question 61

Early signs and symptoms of hypoxia? select all that apply

Accepted Answer

Restless, Tachypnea, Confusion, Pale skin/ mucous membrances

Question 62

How can we promote sleep for our patients?

Accepted Answer

Exercise regularly at least 2 hours before bedtime, Limit alcohol, caffeine, and nicotine at least 4 hours before bedtime, Arrange the sleep environment for comfort, Establish a bedtime routine & a regular sleep pattern

Question 63

What are examples of positive coping mechanisms? Select all that apply

Accepted Answer

Yoga, Exercise, Music/ Pet Therapy

Question 64

How would you educate a patient on sleep aid medications? Select all that apply

Accepted Answer

Meant for short-term use, Can be habit-forming, Should be used as a last resort

Nur215 Exam #4 Mod8-10

Questions 84

Nur215 Exam #4 Mod8-10

Questions 84