NUR1023C Final Exam Questions and Answers

NUR1023C Final Exam Questions and Answers Pain in the abdomen from a cholecystectomy is what kind of pain? - (ANSWER) Visceral The guy that fell out of the treat experienced what kind of pain? - (ANSWER) Somatic pain Post op education for a pt regarding pain includes: - (ANSWER) -relaxation techniques (music, headphones, meditation) -deep breathing before painful procedures -teaching pt to take meds before pain gets severe Regarding risk factors for a sleeping infant, which two would you not select? (This was a select all that apply from test 3) - (ANSWER) SIDS is NOT the most common cause of death Sleeping supine is NOT the most modifiable The rest on this select all that apply are correct :) Things that could cause OSA include: - (ANSWER) obesity, alcohol, large neck, deviated septum A pt with sleep apnea should be instructed to: - (ANSWER) Get 6-7 hours of sleep IV's and IM injections are considered to be: (invades the skin) - (ANSWER) parental Most important organs: - (ANSWER) Brain (neurologic), heart (cardio), and lungs (pulmonary) If a pt has a sodium level of 120, what should you do? (most important thing) - (ANSWER) They have hyponatremia and need to be put on SEIZURE PRECAUTIONS Most important thing to check for when administering narcotics: - (ANSWER) respirations Things you can collaborate with pt on: - (ANSWER) -health promotion -end of life care there is a 3rd one (select all that apply) but we can't remember what it was. So just know that there are 3 lol Shoulder pain/back pain related to appendicitis would be what kind of pain? - (ANSWER) referred Normal urine output and color is: - (ANSWER) 1440 ml/day and light yellow MOST IMPORTANT thing to monitor for pts with fluid volume issues: - (ANSWER) Daily weight I&O is also important but should focus on daily weight ***Systemic infection would not include - (ANSWER) Local infections such as sinus infections ***Having an excess of calories DOES NOT prevent - (ANSWER) malnutrition ***If anything is abnormal with a pt you will - (ANSWER) continue your assessment and document AFTER ***A teenager who spends time in his room and no longer participates in activities he used to enjoy - (ANSWER) should be assessed for depression ***What statement by pt would indicate no further education on a wound is needed? - (ANSWER) -the wound will need to be treated NOT that there will be puss because not all wounds will have pus. (Pus indicates infection) ***Immunizations and screening DO NOT ____________ - (ANSWER) prevent diseases ****Testicular exams should: - (ANSWER) be performed by adolescents regularly What is religion? - (ANSWER) Systematic and routine/organized. Structure of Spirituality What is spirituality? - (ANSWER) Searching the meaning of life. Affects behavior which effects decisions When should you assess a pts spirituality? - (ANSWER) change in diagnosis, before any major procedures Before making important decisions or before major procedures, a pt may turn to: - (ANSWER) Elders/chaplains/ higher authority within religion Some cultures may prefer what when receiving care? - (ANSWER) Males may prefer to be treated by males Females may prefer to be treated by females If the patient is wearing or has medallions/ religious articles on prior to procedure: - (ANSWER) -Educate pt on why they shouldn't wear it -Ask patient to explain about wishes for care -Respect their decision What should you do for a pt who has rituals or spirituality needs? - (ANSWER) allow them time and space to practice If you have stereotypes about religions/cultures, what should you do? - (ANSWER) Educate yourself to get past it What do you do if a pts spirituality is against your beliefs or something you're not comfortable with? - (ANSWER) Ask another nurse, get family member, chaplain (ask if they want a chaplain or other person, don't just bring one in without their permission). A translator must be: - (ANSWER) licensed What are important things to do when a pt is having an emergency/going through a difficult time? - (ANSWER) Keep patient updated, translator, stay with them, offer to call family members or religious leaders What is spiritual distress? - (ANSWER) a disturbance in a person's belief system. As an approved nursing diagnosis, spiritual distress is defined as "a disruption in the life principle that pervades a person's entire being and that integrates and transcends one's biological and psychological nature." What can you collaborate on with the pt? - (ANSWER) Their care plan 6 rights of medication: - (ANSWER) Patient, medication, route, dose, frequency (time), documentation How to give IM injections: - (ANSWER) 90 degree 21-25 gauge 1-3 inch needle Max amount 3 ml -Vastus Lateralis Muscle -Place one hand above the patella and one hand below the greater trochanter. Divide that area into 3 parts and inject in the middle. -Ventroguteal Muscle-Place palm on greater trochanter with thumb anterior to patients body. Place index finger on anterior iliac spine and middle finger on iliac crest. Inject in the middle V. -Deltoid Muscle-Find the acromion process and place fingers 2-3 breadths below (base of triangle), then draw an imaginary line at the axilla(tip of triangle). Inject needle into the center of this triangle. Giving IM's to different populations: - (ANSWER) Not completely sure - hopefully can clear up in study group. Maybe talking about obese population..? Most effective routes for medication administration in order/bioavailability: - (ANSWER) Parenteral (IV, IM), liquid suspensions Why do some medications need to be in a liquid form? - (ANSWER) for the body to more easily absorb it. If a medication error has been made, what is your first priority? - (ANSWER) assess for adverse effects Always determine plan of care based on: - (ANSWER) ABC's, LOC, safety (falls), pain A pt with multiple meds has: - (ANSWER) poly-pharmacy