Week 6 Flashcards
A patient has been diagnosed with obstructive sleep apnea (OSA) and is experiencing daytime sleepiness and excessive snoring. Which nursing hypotheses are appropriate for this patient?
Fatigue
Impaired sleep (quality)
Which outcome is most appropriate for a patient who snores during sleep and reports feeling very tired after awakening?
Patient experiences fewer apneic-hypopneic episodes per night.
A hospitalized patient reports disturbed sleep caused by the nurse monitoring vital signs at regular intervals in the night. Which outcome is appropriate for this patient with the nursing hypothesis Impaired Sleep (quality)?
Patient will sleep for at least 90 minutes at a time during hospitalization.
Which outcome is appropriate for the nurse to include in the plan of care for an older patient who feels sleepy during the day despite getting enough sleep at night?
Patient should take two 20-minute naps daily.
Which solutions would be appropriate for a patient with a nursing hypothesis of Fatigue?
Patient education about sleep hygiene
Adjusting work schedule to allow for healthy sleep schedule
Patient education about stress management
Which example is an appropriate long-term goal for the nurse to include in a plan of care for a patient who is suffering from insomnia related to psychological job stress?
Patient will achieve 6 to 7 hours of sleep each night within 4 weeks.
A patient admitted to the hospital with a concussion after falling while sleepwalking is currently alert and oriented. Which outcomes are appropriate when planning care for this patient?
Patient will remain injury-free during hospitalization.
Patient will reduce the number of sleepwalking episodes prior to discharge.
Which outcome would the nurse include in the plan of care for a patient who frequently sleepwalks?
Patient will remain injury-free during hospitalization.
A value less than which number is considered a normal hemoglobin A1c?
5.7
A value less than which number is considered a normal hemoglobin A1c?
5.7
Which substance does the body fail to metabolize when an infant is diagnosed with PKU?
Phenylalanine
Neuropathy is a consequence of which metabolic condition?
Diabetes mellitus
An unconscious patient is brought to the emergency department by ambulance. Initial assessment findings by the nurse and health care provider include skin that is dry and yellow in color, noticeable thinness, eyes set back in the head, and a strong odor of alcohol. Severe malnutrition from alcoholism is suspected. Which laboratory tests would the nurse expect to see prescribed for a nutrition assessment?
Blood glucose
Albumin
BUN and creatinine
CBC
The nurse is caring for an older adult who lives alone. The nurse becomes concerned that the patient is getting inadequate nutrition based on which neurologic manifestations?
Decreased alertness
Slower muscle response time
Slower problem-solving
The nurse is caring for an older adult with Alzheimer disease and a secondary diagnosis of malnutrition. Which neurologic functions affect the patient’s ability to receive adequate nutrition?
Functional ability
Cognitive ability
Memory
An adult patient is being treated in the hospital for hypertensive crisis. Which nutritional modification should the patient make immediately that can positively impact blood pressure?
Decrease salt
An athletic adolescent girl is being treated for iron deficiency anemia. Which symptoms are expected with this condition?
Fatigue
Dizziness
Pale skin
A patient in the telemetry unit is recovering from a heart attack. The nurse teaches the patient that blood flow to part of the heart was occluded by plaque from which substances?
Cholesterol
Lipids
Which complications may result from malabsorption?
Poor wound healing
Weight loss
Fatigue
Parents of an infant diagnosed with phenylketonuria (PKU) are informed that the condition is a result of failure to metabolize amino acids after consuming which substance?
Protein
A patient presents to the hospital with persistent bloody diarrhea, vomiting, and stomatitis. Laboratory values indicate the patient has suffered nutritional imbalance as a result of recent decreased food intake and diarrhea. Which inflammatory bowel disease could be responsible?
Crohn disease
A high school nurse notes that girls on the cross-country team eat together each day. She notes that one of the girls only consumes an apple each day at lunch and has experienced a decline in her athletic performance. Which condition does the nurse suspect in this girl?
Anorexia nervosa
The nurse is completing the physical assessment on a patient just admitted to the hospital. The nurse is focusing on the nutritional aspects of this assessment. Which factors should the nurse pay close attention to when examining the patient?
Skin, hair, and dentition
A patient has been admitted to the hospital for malnutrition, and the nurse is explaining the plan of care. When the nurse comes in to take blood for the physical assessment, which statement is most appropriate for the nurse to make to the patient?
“A laboratory study will allow us as your health care providers to thoroughly assess your nutritional status.”
