Nursing 111 Final Exam UPDATED ACTUAL Questions and CORRECT Answers

Nursing 111 Final Exam UPDATED ACTUAL Questions and CORRECT Answers Medicare disease Medicaid federal program for those 65 or older, those with disabilities, end stage renal state program, for those of lower income EMR electronic medical record (This visit) EHR electronic health record (all past visits) Quantitative numbers & measurments Qualitative emotional or feeling benefits of physical fitness -reduced risk of disease -cardiovascular health and endurance -muscular strength, flexibility -improved mobility, agility, balance, coordination, rapid reaction time Aerobic -oxygen is used for energy to perform the activity -target heart rate, endurance activities (ex. Running) Anaerobic -Glucose is used for energy to perform activity -short bursts of energy (ex. Weight lifting) Isotonic -Muscle movement against tension (weight lifting) -build bone density & strength -Improve ROM Isokinetic -Controlled form of strength training -movement as a constant set speed -treadmill, stationary bike Isometric -Low impact -tension on muscles without movement of the joint -strengthen and stretch the body -wall sits, yoga, pilates objective data information that is seen, heard, felt, or smelled by an observer; signs things a person tells you about that you cannot observe through your Subjective data senses; symptoms Primary source Secondary sources -friends -medical records -laboratory tests Directive interview -the patient -family members -nurse takes charge of the conversational flow -interview is highly structured, gathering details -asking questions and the patient responds with answers -closed questions nondirective interview -rapport building -patient to take charge of the conversational flow, its purpose, subject matter, and pacing -open ended Preparing for patient interview -nurse should avoid standing -nurse should sit at a 45 degree angle to patient direction -if standing, stand at foot of the bed, behind table, chair -2-3 feet away Percussion sounds -Dullness -resonance -hyperresonance -tympany cartilage -flatness -Flexible connective tissues -less flexible than muscle, not as ridged as bones -does not contain blood vessels unlike ligaments and tendons do Ligaments Tendons -connect bones to other bones to form a joint -connect bones to muscle for movement Normothermia -96.8-101.3 Hyperthermia -101-102 Hypothermia -core body temp 95 -mild 89.6-95 -moderate 82.4-89.6 -severe 82.4 Malignant Hyperthermia A hereditary condition of uncontrolled heat production that occurs when susceptible people receive certain anesthetic drugs. Brown adipose tissue -infants born with brown adipose tissue surrounding their abdominal organs, used to keep them warm, once tissue is used up its gone, infants at risk for hypothermia. Cyanosis Bluish discoloration of the skin short-term memory activated memory that holds a few items briefly before the information is stored or forgotten long-term memory -Information stored indefinitely. -Consciously:Facts and verbal information or personal experiences. -Unconsciously:How to walk, ride a bike, or drive. Confusion -Difficulty thinking clearly, making judgements, focusing attention -Disorientation: Can not recall person, place, time, or situation. Psychosis Delusions Abnormal mental state: Alters person perception of reality. -Rigid, false beliefs -Persecution, reference, or grandeur Hallucinations -Sensory experiences that do not represent reality. -Auditory, visual, or tactile. Amnesia Loss of recent or remote memory Confabulation Compensate for memory gaps with fabricated events Agnosia Aphasia Anomia Inability to recognize objects Inability to use or understand language Person can't recall names of everyday objects Alogia Lack of speech/ impoverished speech Dyspraxia Apraxia Difficulty with motor coordination through growth, and development. Alterations in speech resulting from impaired motor function. Ataxia Balance, coordination problems associated with neurological dysfunctions. Dyskinesia Difficulty with muscle coordination