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Flashcards in Exam 3 Deck (56)
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1
Q

R.A.C.E.

A

Rescue those in danger, Activate alarm system, Confine by closing doors, Extinguish or evacuate as needed.

2
Q

Nursing Diagnoses related to behavior change

A

Ineffective health maintenance, Health seek behaviors, noncompliance, Knowledge deficit, Decisional conflict, Ineffective management of therapeutic regimen

3
Q

Physiological responses to pain

A

GI distress, tachycardia, chest pain, dizziness, tachypnea, dry mouth, tremors, diaphoresis, change in B.P.

4
Q

Benner’s Theory

A
Bottom: Novice (nursing student)
2nd: Advanced beginner (1st yr RN)
3rd: Competent (2-3 yr. RN)
4th: Proficient (Charge Nurse)
Top: Expert (preceptor)
5
Q

List critical thinking indicators

A

Self aware, genuine, effective communicator, curious, alert, analytical, logical and insightful, confident and resilient, autonomous, careful and prudent, realistic, proactive, courageous

6
Q

T.H.I.N.K.

A

Total recall, Habits, Inquiry, New ideas, Knowing

7
Q

Nursing Diagnoses for immobility

A

Activity intolerance, risk for inactivity, impaired mobility, risk for pressure ulcers, self-care deficit, risk for impaired skin integrity

8
Q

Disuse Syndrome

A

deterioration of body systems as a result of prescribed or unavoidable inactivity.

9
Q

stress incontinence

A

described as “little dribbling” due to decrease in bladder muscle tone, stimulus (laughing)

10
Q

urge incontinence

A

feels the urge to go but is not able to get to the bathroom in time due to immobility or decreased bladder muscle control

11
Q

functional incontinence

A

sudden, unpredictable voiding; often related to dementia or impaired cognition

12
Q

reflex (overflow) incontinence

A

not aware that bladder is full; common with neurological impairment or spinal cord injury

13
Q

total incontinence

A

unknown, constant voiding; as soon as urine is produced, it is voided.

14
Q

Bactrim use and side effects

A

Bacteriostatic - Used to treat UTIs; side effects: N, V, D, cough, SOB, Steven-Johnson’s

15
Q

Pyridium use and side effects

A

Analgesic - Used to relieve pain related to UTI; side effects: orange urine, headache, GI distress, jaundice

16
Q

This is defined as distended abdomen, anal leakage, with no BM for 3 or more days

A

fecal impaction

17
Q

7 Elements of Critical Thinking

A

clinical judgment, clinical reasoning, deliberate informed thought, controlled and purposeful, uses strategies, analyzes data, makes changes

18
Q

List 5 barriers of critical thinking

A

overuse of the habit mode, anxiety, working under deadlines, overcommittment to principles, lack of confidence

19
Q

List personal characteristics that affected one’s stress response.

A

hardiness, sense of coherence, resilience, attitude

20
Q

List the 3 Stages of GAS (general adaptation syndrome)

A

Alarm Reaction - fight/fight
Resistance - mobilize reserves, body coping
Exhaustion - energy expended, illness or fatality occur

21
Q

Nursing Diagnosis for coping, defined as a positive or negative coping mechanism.

A

ineffective denial

22
Q

Nursing Diagnosis defined as coping by masking issues with negative habits or behaviors.

A

ineffective coping

23
Q

Labs of importance when assessing for altered physical mobility

A

calcium, phosphorus, alkaline phosphatase, creatinine, lactate dehydrogenease

24
Q

List Primary preventions for immobility

A

nutrition, regular activity, ideal body weight, rest

25
Q

List Secondary preventions for immobility

A

fall risk assessment, skin integrity assessment (Braden Scale), screening for mobiliy

26
Q

Vision disturbance brought on suddenly with excruciating pain, N&V, red eye and vision change.

A

Primary Angle Closure Glaucoma

27
Q

Vision disturbance that develops over time, presents as tunnel vision.

A

Primary open-angle Glaucoma

28
Q

Normal Creatinine range

A

Female: 0.5-1.1 mg/dL
Male: 0.6-1.2 mg/dL

29
Q

BUN normal values

A

10-20 mg/dL

30
Q

Test to deter if there is backflow of the urine into bladder

A

Urodynamics

31
Q

Typically the last sensory system to disappear in the end of life.

A

hearing

32
Q

Pattern of breathing characterized by alternating periods of apnea and deep, rapid breathing.

A

Cheyne-Stokes respirations

33
Q

Vision disturbance presenting as decrease in vision, abnormal color perception, glare, poor night vision

A

Cataracts

34
Q

Anticholinergic agent used postoperatively to dilate the pupil

A

Cycloplegia

35
Q

Alpha adrenergic agonist that produces pupilary dilation and reduces inflammation in the eye; typically used postoperatively

A

Mydriatic

36
Q

It is important to teach patient using cycloplegics and mydriatics to do what?

A

Wear dark glasses to minimize photophobia and monitor for signs of systemic toxicity (tachycardia, CNS effects)

37
Q

Visual disturbance typically presenting asymptomatic; due to increased or decreased IOP and decrease peripheral vision

A

Glaucoma

38
Q

List of foods that may block an ileostomy

A

celery, coconut, coleslaw, mushrooms, corn, nuts, popcorn, raisins, seeds, stringy meats

39
Q

Sufficient oral intake range for adults

A

1200-1500 mL

40
Q

Normal values for RBCs in Urinalysis

A

Females: no more than 5
Males: no more than 3

41
Q

Normal lab value for pH of urine

A

4.5-7.8

42
Q

Immune-mediated disease; body’s T cells attack and destory pancreatic beta cells. Manifests as polydipsia, polyuria, polyphagia.

A

Type I Diabetes

43
Q

What does SPICES stand for when assessing older adults?

A

Sleep disorders, Problems with eating/feeding, Incontinence, Confusion, Evidence of falls, Skin breakdown

44
Q

An emotional, physical, cognitive or behavioral response to bereavement, separation or loss

A

Grief

45
Q

Known as complicated grief; overly intense or lasting longer than normal

A

Pathological grief

46
Q

Occurs when relationship with deceased was ambivalent. Initally not showing pain but feels sadness and guilt about the relationship later.

A

Conflicted grief

47
Q

No grief present, may occur later when loss is realized.

A

Absent grief

48
Q

Engaging in detrimental activities during a phase of prolonged grief.

A

Maladaptive/Dysfunctional grief

49
Q

Using adaptive behaviors to deal with grief

A

Adaptive grief

50
Q

Involves the intellectual and emotional responses and behaviors by which individuals, families, and communities attempt to work through the proess of modification based on perception of potential loss.

A

Anticipatory grief

51
Q

Encompasses grief and mourning and demotes emotions and behaviors of a person, group or community suffering a loss

A

Bereavement

52
Q

Defined as an irreversible loss of all brain function; coma, unresponsiveness, absence of brainstem reflexes and apnea.

A

Brain death

53
Q

Condition preventing the body from converting certain fats to energy. Mainfests in early childhood as vomiting, lethargy, hypoglycemia.

A

MCAD deficiency

54
Q

Sign of stress effecting decision making and memory.

A

Cognitive sign

55
Q

Sign of stress causing increase or decrease in appetite or other coping mechanisms (ETOH, drugs, sex)

A

Behavioral sign

56
Q

Sign of stress resulting in decreased immune system and an increased risk for cardiovascular disease

A

Physical sign