midterm tut

Question 1

When you administer the wrong medication to a client , and you report this what component of professionalism is this demonstrating.

Answer 1

accountability since it was your action

Question 2

when you are talking to someone who is a school age child how do you speak to the child ( therapeutic communication)

Answer 2

SIt at Eye level with child so they don’t get scared

Question 2

you wrote in patients record the heart rate of patient but you didn’t actually check this is

Answer 2

falsification

Question 3

supervisor is in the lunch room and a nurse enters and states to inform you on what she heard about husbands habit of drug abuse with no proof

Answer 3

Slander

Question 4

what increases risk for delirium

Answer 4

Drug and alcohol abuse

Question 5

another case of delirium patient is in ICU . What is priority patient of icu

Answer 5

someone watches them “ one to one observation “

Question 5

a good example of normal memory change or lapse of memory

Answer 5

occasional forgetfulness or inability to recall names or facts

Question 6

effects of aging in the CNS

Answer 6

decrease conduction speed of neurons

Question 7

First line of defense

Answer 7

Sweat

Question 7

the most effective method to control spread of disease

Answer 7

teaching families proper hand washing technique

Question 8

the immunity system holds and involves

Answer 8

tonsils spleen lympnodes and liver

Question 9

patient has allergic reaction to penicillin and went into shock and had difficulty of breathing

Answer 9

administer oxygen

Question 10

patient has dementia due to disease and does not want to wear clothes what is the appropriate action

Answer 10

tell them family is coming and gently dress

Question 11

which medication is NOT for ALZEHMIERS

Answer 11

Haldol is antipsychotic so

Question 12

first physiological response during general adductive syndrome ( I think that the syndrome didn’t hear TBH)

Answer 12

This would stimulate the central nervous system ( still confused come back later to review )

Question 13

Manifestation of prolonged stress

Answer 13

Impaired immune function which higher risk of infection

Question 14

physiological Sources of stress

Answer 14

Burn injury

Question 15

you re managing vaccines and client ask why so many are being recommended what is proper response to client

Answer 15

vaccines are recommended to prevent people from getting serious diseases

Question 16

who is responsible for new cells of skin

Answer 16

stratum germantivum

Question 17

what staff do u not assign to patient who has herpes

Answer 17

someone who’s never had chickenpox

Question 17

dead cells of skin

Answer 17

Stratum cornium

Question 18

patient has herpess simplex what statement is true

Answer 18

can cause sponteiusn abotr\tion and early delivery

Question 19

you are making a nursing diagnosis etiology of deficient fluid volume for patient with second degree burn

Answer 19

Increase the capillary permeability and puts patient at risk for hyposomeshit

Question 20

what happen when oxygen is directed out the arteries to the capillaries

Answer 20

Diffusion just think higher to lower since capillaries are smaller then arteries

Question 20

What process allows fluids to move through compatemnrt intra to extra cellar compartment

Answer 20

osmosis

Question 21

remember rule of 9

Answer 21

remember figure of 9 recheck when studying

Question 22

how much fluid do you give in the first 8 hours

Answer 22

Don’t forge the formula and ONLY 50 PERCENT FIRST 8 HOURS [ 4ML X KG X TOTAL SURFACE AREA }

Question 23

FLUID RESSASATION USE BAXTER AND PARKLAND FORMULA

Answer 23

FIRST 8 HOURS ONLY

Question 24

percentage of burn patients

Answer 24

Study rule of 9

Question 25

Bleeding gastric ulcer that is in the stomach

Answer 25

patient will shit and the stool will be black and tart due to mix with acid

Question 26

simple non medical diagnosis of chrons disease [ think of Neons chump ass ]

Answer 26

Spread out of inflammation has appearance of patch work quilt

Question 26

Patient is in icu after sustain 3 rd degree injury and was diagnosed with cholecystitis

Answer 26

acalculous cholecystitis can happen in clients who are critically ill and not related to gall stone

Question 27

patient needs cholecystectomy why do they need to do that whats the rationale lol

Answer 27

gall bladder had gall stones so the gall bladder has become inflamed

Question 28

risk factors for Gerd [ Gastric esphoygal reflux disease

Answer 28

Avoid alcohol and caffeine

Question 29

client states parents died due to GI Bleeding , what would help lower chance of peptic ulcer

Answer 29

avoid consuming under cooked foods

Question 29

what precaution should you do for this patient { didn’t hear }

Answer 29

balance may be affected

Question 30

diagnosis hep C , how is it transmitted

Answer 30

coming intact with infected blood like a dirty needle

Question 31

patient has long term symptom of Gerd, what is proper client education

Answer 31

it is important to follow up with GI specialist most likely has a burned esophagus

Question 32

abdominal cytisis is alerted and orientated x3 uses cane but forget at home

Answer 32

Fall risk

Question 32

beneficial info for heital hernia

Answer 32

it would increase risk for Gerd

Question 33

patient is going home what instructions would you give patient with peptic ulcer

Answer 33

monitor for any changes since stool I dark or black

Question 34

new diagnosis of liver disease signs and symptoms

Answer 34

piuritus [ its itchiness ]

Question 35

what is elevated in liver disease

Answer 35

ALBUMIN

Question 36

Patient has psoriasis of the liver what would we include I patient education

Answer 36

high sodium food , canned soups and vegetables proccesed meat

Question 37

you are discharging patient with acute pancreatitis what education should you do

Answer 37

stop smoking and consuming alcohol

Question 38

diagnosis of oral herpes simplex type one

Answer 38

patient has a cold sore, recommend salt water and replace tooth brush with new one after illness