Questions practice exam Flashcards
To motivate pt to commit a chronic illness lifestyle changes, must first help to identify ways of having positive personal outcome, then can do other things like identify the risk of no adherence, or give info easy to read and understand and schEdule sessions with them
Yes
Physical findings indicate pt death is imminent
Cold extremities
Ice bag should be filled up to 2/3 of the bag. Numbness is always a bad sign that skin gets too cold.
True
Protein normal intake
1-1.5g/day would promote healing
True or False: vitamin E do not essentially promote in healing
True. But still promote in like scar healing
Fluid intake mL/kg?
30-35 mL/kg
What time should nurse discuss discharge planning?
At the time of admission to the facility care
Unemancipated minors (Ex:15 year old kid) can sign consent form for treatment if suspicion is leading. Don’t wait parents for severe case. Other family members who is available now at the hospital do not have the consent to sign form unless they are the legal guardian
True
Warm milk to give pt is ok, however, if have chocolate or cocoa, should not bc they are stimulants. Temperature cool and dark environment generally preference for people to sleep in. Don’t exercise for 2-3 hours before sleep
True
Normal volume to collect for a sputum collection?
4-10 mL, when client rises in the morning. Should not be in the evening.
Restorative health care
Rehab facilities, skilled nursing facilities, home health care
Federally funded health care
Medicare
Medicaid
Tertiary care health service
ICU
Oncology treatment center
Burn center
It is nurse basic understanding to give pt full liquid diet after the 24 hour post operative inguinal hernia repair
True
What data support patient is having pain and pain management is not reinforced?
Pt is nonadherent with coughing, deep breathing and dangling
Pain may have pain every 4 to 6 hr but accept it every 6 to 7 hours (stronger dose suggestion?)
The client vital signs HR 110/min, RR 20/min, temp 98.6, BP 136/80 (when having pain, generally have high heart rate and respiratory rate)
Nurse review meds and effects it may have on the pt is what component of critical thinking?
Knowledge
What critical thinking attitudes nurse use when they conduct a head to toe approach of a physical assess,ent on a patient who will need to undergo treatment?
Discipline
What is crede maneuver?
A technique helps person to drain bladder that involve putting pressure in the lower abdomen to help person to urinate
Person having stress incontinence, what to help to control the elimination of incontinence?
Decrease caffeine, perform kegel exercise, avoid drinking alcohol
24 hour urine collection process rule
Discard first voiding and keep refrigerated or cold on ice
Don’t urinate in toilet but urinate in the urinal or cup then pour into storage container big one
Risk of UTI factors with recurrent UTI due to
Frequent sexual intercourse, location of urethra in relation to the anus, frequent catheterization
Bladder training
Want to increase intervals of urination, have the pt to record the interval time, remind pt to hold urine until next scheduled urination to decrease frequency hopefully
Is advance directives mean not keep person on a breathing machine or CPR?
Yes
A nurse was seen taking break, drowsy when not her break, what to do?
Report her?
A whistle sound of hearing aid mean?
Excessive wax in the ear canal.
Does prescription of a transfusion of RBCs needed informed consent form?
Yes
Low BP can lead to dilates pupil
Yes
True or False, UTI can cause confusion
True
People who practice Judaism stay with decreased until burial
True
Heat brings more blood to the area, ice reduce bleeding
True
To treat phlebitis, what to do?
Apply warm, moist heat compress to the site
Remove the IV catheter
Change the infusion tubing when suspect the infusion tubing is punctured, contaminated, occluded or expired
Flush IV catheter might worsen the situation
Length hold dropper to otic
1 cm (0.5 inch)
Should nurse only apply pressure to nasolacrimal duct when applying eye drop, not optic antibiotics
True
Nurse can apply a cotton ball into the most outer part of ear canal and remove after 15 minutes of applying an otic antibiotics
True
Why inflate cuff of endotracheal tube?
To stabilize the position of the tube, prevent aspiration of secretions, prevent air leaks
Calcium range
8.5-10.5