AMB-BC vocabulary exam questions &
answers31
AAACN professional organization for RN's in amb care settings - ANSWERS-responsible for
establishing and maintaining the satandards for current practice
Conceptual framework of Amb care nursing - ANSWERS-3 concepts:
1-patient
2-environment- internal and external
3-Nursing
Patient education for colonoscopy prep (lower GI to view large intestine) - ANSWERS-low-fiber
diet for 2 days before
clear liquid diet for 1 day before
prescription laxative the night before
BP readings - ANSWERS--ask patient if they took antihypertensives
-seat patient for 5 min in chair w/ back supported and feet flat on ground
-no caffeine 1 hr prior
-no smoking 30 min prior
-2 readings/visit on both arms
-standing recommended for >65 yrs, those with Diabetes, dizziness/weakness on standing and
before starting meds or changing meds
hypertensive emergency - ANSWERS-acute elevation of BP w/ evidence of end-organ damage
(EOD) >180 systolic. >120 Diastolic
,usually dysfunction of cardio, cerebrovascular, pulmonary, or renal
s/s-headache, dizziness, epitaxis, vomit, palpitations , dyspnea, angina, arrhythmia,
syncope,focal deficit
***WITHOUT S/S of EOD, its Hypertensive URGENCY
DASH (Dietary Approaches to Stop Hypertension) - ANSWERS-high in fruits and vegetables and
low-fat dairy products, reported improved calcium balance
overall reduced consumption of saturated and total fat
low sodium
BP reductions shown to range 2-20 mmhg
Pain management for terminal illness - ANSWERS-Antidepressant medications. to improve pain
control
Antidepressant uses to tx variety of pain conditions because they potentiate (increase
effectiveness) of opioid analgesia w/added benefit of tx depression, anxiety, & insomnia
Education for preparing family for imminent death of family member - ANSWERS-Family
sometimes has fear of giving last dose of pain medication thinking it will hasten death
moderate sedation= conscious sedation - ANSWERS-Amnesia and/or analgesia
,patient responds purposefully to verbal commands either alone or accompanied by light tactile
stimulation
patient independently maintains patent airway
cardiovascular function usually maintained
Guaica-based fecal occult blood test (gFOBT) - ANSWERS-used to dx GI bleed
can be collected @ office or home
done to test microscopic blood in feces
can be performed as part of colon cancer screening (50-75yrs)
gFOBT (guaiac fecal occult blood test) education - ANSWERS-avoid NSAIDS, red meat 3 days
prior to test (can lead to false +)
avoid large amounts of citrus juices & vitamin C (can lead to false +)
Assessment of patient w/low back pain - ANSWERS--location, duration,severity
-details of prior back pain
-How current symptoms DIFFER from previous symptoms
-assess for unintentional weight loss
-what makes better/worse
-therapies used/attempted
-neurological symptoms
, -Hx of bacterial infection
Patient w/low back pain -emergent/urgent consultation needed for following: - ANSWERS-
indication of sensory/motor nerve damage
neurological deficits
complaint of problems moving extremities, loss of balance, or foot drop
upper respiratory infection emergent s/s - ANSWERS-moderate to severe respiratory distress
unable to speak/cry due to distress
grunting w/ each breath
slow, shallow breathing
altered LOC
Newborns <4 weeks w/ fever of 100.4 F or higher
Fever >105 F
drooling/spitting r/t inablility to swallow
Plan of care for upper respiratory tract infection - ANSWERS-<4 yrs: tylenol/ibuprofen for
fever/pain, NO OTC cold/cough meds
answers31
AAACN professional organization for RN's in amb care settings - ANSWERS-responsible for
establishing and maintaining the satandards for current practice
Conceptual framework of Amb care nursing - ANSWERS-3 concepts:
1-patient
2-environment- internal and external
3-Nursing
Patient education for colonoscopy prep (lower GI to view large intestine) - ANSWERS-low-fiber
diet for 2 days before
clear liquid diet for 1 day before
prescription laxative the night before
BP readings - ANSWERS--ask patient if they took antihypertensives
-seat patient for 5 min in chair w/ back supported and feet flat on ground
-no caffeine 1 hr prior
-no smoking 30 min prior
-2 readings/visit on both arms
-standing recommended for >65 yrs, those with Diabetes, dizziness/weakness on standing and
before starting meds or changing meds
hypertensive emergency - ANSWERS-acute elevation of BP w/ evidence of end-organ damage
(EOD) >180 systolic. >120 Diastolic
,usually dysfunction of cardio, cerebrovascular, pulmonary, or renal
s/s-headache, dizziness, epitaxis, vomit, palpitations , dyspnea, angina, arrhythmia,
syncope,focal deficit
***WITHOUT S/S of EOD, its Hypertensive URGENCY
DASH (Dietary Approaches to Stop Hypertension) - ANSWERS-high in fruits and vegetables and
low-fat dairy products, reported improved calcium balance
overall reduced consumption of saturated and total fat
low sodium
BP reductions shown to range 2-20 mmhg
Pain management for terminal illness - ANSWERS-Antidepressant medications. to improve pain
control
Antidepressant uses to tx variety of pain conditions because they potentiate (increase
effectiveness) of opioid analgesia w/added benefit of tx depression, anxiety, & insomnia
Education for preparing family for imminent death of family member - ANSWERS-Family
sometimes has fear of giving last dose of pain medication thinking it will hasten death
moderate sedation= conscious sedation - ANSWERS-Amnesia and/or analgesia
,patient responds purposefully to verbal commands either alone or accompanied by light tactile
stimulation
patient independently maintains patent airway
cardiovascular function usually maintained
Guaica-based fecal occult blood test (gFOBT) - ANSWERS-used to dx GI bleed
can be collected @ office or home
done to test microscopic blood in feces
can be performed as part of colon cancer screening (50-75yrs)
gFOBT (guaiac fecal occult blood test) education - ANSWERS-avoid NSAIDS, red meat 3 days
prior to test (can lead to false +)
avoid large amounts of citrus juices & vitamin C (can lead to false +)
Assessment of patient w/low back pain - ANSWERS--location, duration,severity
-details of prior back pain
-How current symptoms DIFFER from previous symptoms
-assess for unintentional weight loss
-what makes better/worse
-therapies used/attempted
-neurological symptoms
, -Hx of bacterial infection
Patient w/low back pain -emergent/urgent consultation needed for following: - ANSWERS-
indication of sensory/motor nerve damage
neurological deficits
complaint of problems moving extremities, loss of balance, or foot drop
upper respiratory infection emergent s/s - ANSWERS-moderate to severe respiratory distress
unable to speak/cry due to distress
grunting w/ each breath
slow, shallow breathing
altered LOC
Newborns <4 weeks w/ fever of 100.4 F or higher
Fever >105 F
drooling/spitting r/t inablility to swallow
Plan of care for upper respiratory tract infection - ANSWERS-<4 yrs: tylenol/ibuprofen for
fever/pain, NO OTC cold/cough meds
