NUR 163 Final Exam Questions and Correct Answers, With Complete Solution 2024.

NUR 163 Final Exam Questions and Correct Answers, With Complete Solution 2024. If someone is in menopause for awhile and they have vaginal bleeding, should it be reported? Yes What is a uterine prolapse and when does it happen? Usually happens after multiple vaginal births, A hysterectomy is a treatment for Multiple Vaginal Births Signs and symptoms of an enlarged prostate: Decreased urine output Weak stream of urine Nocturia Frequent UTI'S What happens if you see scattered bruising areas on patients fore arms Normal Age related change for bruising, this is due to capillaries becoming fragile FVD causes- not enough in, too much out (Lasix), alcohol, hypernatremia, D/V, sweating/hemorrhaging S/S- Decrease in BP, increase ing HR, headache, dry mucous membranes, confusion/altered mental status, concentrated urine, decreased UO, weak thready pulse Interventions- IV fluids (cautious of elderly, can cause pulmonary edema if done too quickly), oral fluids, hold diuretic, treat underlying cause, monitor i/o, monitor vitals, decrease sodium intake stress s/s- decreased in immune resonse, lose/gain weight, decrease output, increased frequency, constipation/diarrhea, teeth grinding, mood swings vitals- increased HR, BP, RR fatiguues/insomnia, gastic ulcer, blood glucose increased elderly and stress #1 cause - loss of loved one- child unexpected financial loss, loss of independence, lack of support. Elderly do not tend to fear/stress about death themselves at risk ineffective coping substance abuse, tobacco, alcohol, prescriptions, cognitive impairment, poor coping in younger years, poor support systems, chronic illness Can normal age changes contribute to sexual dysfunction? Yes what is the most effective form to prevent STI's besides abstinence? Condoms If an older female is experiencing vaginal dryness, what can we recommend? Water Based lube and pain medication 30 minutes before Why don't older people want to go to the doctor? No motivation, transportation and financial issues What would you question if a patient is being non-adherent with medication? As k them why, and how it makes them feel and if there are other contributing factors Why cant you use medial terminology with anyone who is familiar with it? It can become a communication barrier Is it normal for other cultures to not make eye contact? Yes A patient is waiting to get a chest X-ray, they have been waiting for 3-4 hours and they are becoming agitated, what do we do? Advocate for your patient by calling down to the x-ray department to see what is going on Evidence of a positive self image Self grooming, proper hygiene what is the concept of agism? Useless, helpless, and they are "all the same", physical impaired examples of ineffective coping: Maladaptive behaviors, such as substance abuse, isolating themselves If someone is doing a sudden revision of will and they are giving away priced possessions, what are they at risk for? Sucide What types of exercises would keep calcium and potassium in the bones? Weight bearing exercises (low impact) Benefits of exercise bone strength, weight loss, muscles, cardiac, resp, decrease blood glucose How do you speak to someone who is hard of hearing? low tone, eye level, face the patient What do we ask for when asking for a health history? medications (previous and current) Family history Chief complaint advance directives (if any) Hypervolemia and hypovolemic shock increased blood volume When you lose more than 20% of your bodies fluid supply cant pump enough blood measure fluid status daily by weight Normal pH levels 7.35-7.45 Hyperkalemia: Causes: Signs/Symptoms: Treatment/interventions: Potassium overloadC: Burns, too much K intake (IV, foods), kidney failure S/s: N/V/D, skeletal muscle WEAKNESS, arrhythmia/dysrythmias, T: Diuretics, sodium bicarb, low potassium diet Hypokalemia Causes S/s: Treatment/interventions: Not enough potassium C: Low potassium diet, diarrhea, alcohol, lassie, sweating, diuretics S/S: ABD dissection, muscle cramps, skeletal muscle weakness, constipation/vomiting prostate exams At 40 years yearly Mini-Cog Test Determines alertness, tests for cognitive impairment