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R/D > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

Which of the following patients are at risk for altered mobility?

A

someone with a TBI

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2
Q

What screenings should someone get at 55 years old?

A

-pap smear
-colonoscopy
-mammogram
-dexascan
-vision
-mental health

(everything except for metabolic disorder screening)

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3
Q

What is a nurse’s priority for someone who lacks range of motion?

A

fall precautions

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4
Q

What erikson stage of development is aimed toward contributing to the wellbeing of the next generation?

A

generativity vs stagnation

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5
Q

a nurse is holding a seminar for 35-55 year olds for preventative care for heart disease. What teaching should she include?

A

walking for 30 minutes a day

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6
Q

What should the nurse teach the patient about orthostatic hypotension?

A

get up slowly

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7
Q

How should a nurse prevent a patient from falling in the shower?

A

place a chair in the shower so they can sit down

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8
Q

A patient has petechiae and is complaining of SOB, what should the nurse do?

A

apply o2 and call for help

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9
Q

A person comes into the clinic with a leg fracture from a car accident, what is the nurse’s priority?

A

immobilize and ice the fracture

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10
Q

A child has broken their tibia along the epiphyseal plate. What may occur if not healed correctly?

A

it could affect growth

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11
Q

What signs would a patient with a fat embolism show?

A

petechiae

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12
Q

A patient has a fracture to his femur. What should the nurse do?

A

assess capillary refill (Circulatory Motor Sensory checks)

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13
Q

What is a CMS check?

A

circulatory, motor, sensory

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14
Q

A nurse has administered a patient IV morphine 15 minutes ago and the patient does not seem to get better. What should the nurse do?

A

report unrelieved or increasing pain

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15
Q

How long should it take for a 4 year old’s fracture to heal?

A

4 weeks

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16
Q

What is the difference between a plaster and synthetic cast?

A

synthetic casts are lighter

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17
Q

What should a nurse do when a cast is removed from a child and he is upset?

A

soak in the bath

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18
Q

How often should a Pavlik harness be checked by a provider?

A

every 1-2 weeks

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19
Q

a child has DDH and is in a hip spica cast, which of the following statements made by the parents is wrong?

A

“I can’t even give my child sponge baths until the cast is taken off”

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20
Q

Which of the following is a contributing factor to smaller family sizes and having children at an older age?

A

a rapid influx of women in the workplace

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21
Q

A genogram is part of which assessment?

A

structural

22
Q

A family member moving out of the house is an example of which assessment?

A

developmental

23
Q

Which assessment would describe someone who does all of the grocery shopping?

A

functiona;

24
Q

SATA about someone who has skeletal traction

A

-check pins
-check for immobility complications
-check weights

25
Q

A woman whos husband has died cannot drive anymore. She lives in a rural area and there is no public transportation. What should the nurse be concerned about?

A

social isolation

26
Q

An older man has had 3 friends die recently. What should the nurse assess him for?

A

depression

27
Q

Which of the following terms describes caring for parents, adult children, and grandchildren?

A

sandwich generation

28
Q

A 50 year old woman comes into the clinic complaining of irregular periods and hot flashes, what should the nurse educate her on?

A

menopause

29
Q

a 35 year old man comes in for a heart disease check up, which testing should he get done?

A

lipid profile test

30
Q

Which of the following is an expected aging consideration for older people?

A

decreased intestinal motility

31
Q

a 65 year old has come into the clinic for a flu shot. What other shot should the nurse ask if he has received?

A

pneumococcal booster

32
Q

Which of the following are true about physiological changes of the older adult?

A

require fewer calories to maintain a healthy weight because the basal metabolic rate (BMR) decreases with age

33
Q

Which of the following may be an indication of elder abuse?

A

multiple visits to 3 different EDs in the past month

34
Q

Which of the following indicates an infection?

A

-increased pain
-major warmth
-major redness (erythema)
-major swelling (edema)
-purulent drainage
-WBC count > 14000 (8000 is normal)

35
Q

Which of the following indicates an infection from a fracture?

A

warmth under the cast (hot spots)

36
Q

Which of the following should be done after having a cast placed?

A

elevate above heart level for the first 48 hours

37
Q

Which of the following is a normal change for older adults?

A

slower response time

38
Q

A nurse is talking with the student nurse about family dynamics. Which of the following indicates a need for further teaching?

A

families stay stable

39
Q

An older adult complains about losing their sense of smell. What should the nurse tell them?

A

this is a normal change in aging

40
Q

Which of the following should the nurse educate older patients about?

A

practicing safe sex habits

41
Q

How often should the nurse turn a patient with a pressure ulcer?

A

every 2 hours

42
Q

A patient has osteomyelitis. Which of the doctor’s orders would the nurse question?

A

patient can bear weight on the effected side

43
Q

A nurse is conducting therapy for mom, dad, and 2 adolescent kids. Which statement shows effective communication?

A

“Can you tell me more about why it makes you upset when I go to the mall?”

44
Q

A patient has recently gotten a short-arm fiberglass cast. Which of the following indicates an understanding of the nurse’s education?

A

I will keep my arm elevated above my heart

45
Q

Which of the following symptoms is unique to fat embolisms compared to other embolisms?

A

petechiae

46
Q

Which of the following questions would the nurse ask during a functional assessment?

A

“Which family member cooks all of the meals?”

47
Q

Which of the following shows the members of the family as well as their medical history?

A

genogram

48
Q

Which of the following diets should the nurse recommend the older adult for bone health?

A

Vitamin D and calcium

49
Q

A patient with breast cancer does not have support from her family. What should the nurse do?

A

-sit with the pt and talk to her
-offer resources to support groups with other cancer patients
-volunteer to call other family members or friends for support

50
Q

What are some goals of nursing care regarding the care of a family?

A

-help family reach health goals and fix areas of concern
-assist with family transition of illness and health?
-Improving or maintaining health of family as a whole

R/D (4 decks)

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