NUR 163 Exam 2

1. The nurse is caring for four patents today. Which finding should the nurse immediately report to the RN? - Patient with positive Chvostek's signs 2. Which patient finding should cause the nurse to encourage oral (PO) fluid intake? - Diarrhea 3. The home health nurse is visiting a patient and notices the unpaid caregiver is having caregiver strain. The nurse knows, when communicating with the patient unpaid caregiver praise is the best way to improve caregiver strain. Which of the following would be the best response to the caregiver? - I've noticed all your time and effort with the patient. You are very important to the healthcare team" 4. Which patient will the nurse determine to have potential for hypernatremia? - The patient who consumes excessive amount of table salt 5. The LPN is preparing to discuss a plan of care with a 72-year-old patient who is hard of hearing. When communicating with the patient. What is the best approach? - Speak in a low pitch tone and face level with the patient 6. patient arrives in the emergency department (ED) and is diagnosed with hyperkalemia. The nurse will monitor the patient for which possible consequence of hyperkalemia. - Cardiac arrhythmias 7. Which of the following patients would least likely experience a fluid and electrolyte imbalance? - A 23-year-old with an upper extremity bone fracture 8. The older adult is waiting for test results from their doctor develops nausea and excessive gas. Which is the probable cause of these symptoms? - Slowing of peristalsis 9. Which nursing intervention would not be appropriate for a patient with fluid volume excess? - Increase in sodium intake 10. The nurse is obtaining a health history from a new resident at the assisted living facility. The nurse knows it is important to ask which question regarding fluids and electrolytes? - What medications, including dietary supplements, do you take?" 11. Which is true of an older adult who used coping skills effectively during his younger years? - They will continue to use similar coping behaviors throughout 12. The LPN is providing teaching on the use of complimentary and alternative therapies. Which statement by the geriatric patient shows an understanding of the teaching? - I am looking forward to starting the medication classes, and all the benefits it can have on my health 13. Which of the following is associated with an age-related complication, and could contribute to the geriatric patient's pain? - Bone demineralization and contractures 14. The patient is having a cardiac catherization in the morning. Which of the following is in response to stress? - Decreased production of digestive enzymes 15. Which comment about stress is true? - Interventions that reduce stress are beneficial 16. The nurse is evaluating the patient's use of a cane for left- sided weakness. The nurse should intervene if the patient is observed performing which action? - Moving the cane when the right leg is moved 17. Which strategy would be effective in reducing an elderly patient's stress? - Focusing on the emotions of the patient 18. The nurse is caring for a patient recently transferred to a long-term care facility from the community hospital. The patient refuses to eat, leave the room, or take prescribed medication. Which action will the nurse take? - Provide continuity of care by having the same nurse assigned to the patient as much as possible 19. The nurse is making a home visit to a patient diagnosed with hypertension. The patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective coping? - Neglecting personal grooming 20. The nurse is doing an assessment on a newly admitted elderly patient. The patient states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse understands the elderly patient is having trouble coping with this new situation. Which should be the best response by the nurse? - will notify Social Services and they can help you with getting assistance" 21. The LPN recognizes there are two steps to an older adult's ability to assess a stressor. The older adult must be able to evaluate the potential for harm (primary appraisal) and decide how to overcome the stressor secondary appraisal.) this requires which skill? - Cognitive skills 22. An elderly patient states, "I have been using spiritual counseling in one way or another to cope with stress since I was in college." The LPN knows that coping mechanisms correlate with which of the following statement? - Are adapted throughout our life; we identify a coping mechanism and adjust it as we age and grow to meet each new demands. 23. The LPN knows in problem- focused coping and elderly patient faced with a stressful event, is most likely to do which of the following? - Seek as much information about the situation they can 24. The LPN knows in emotion- focused coping, when faced with a stressful event, an elderly patient may do which of the following? - Attempt to control their emotional response 25. Which of these is a key factor for poor coping in older adult patients? - Limited cognitive functioning 26. The LPN knows that not all coping behaviors are healthy, some are maladaptive. Which of the following coping behaviors are considered maladaptive? SELECT ALL THAT APPLY – - Alcohol use Excessive eating Denial 27. The LPN knows when an elderly patient experiences chronic stress, there may be a response in the cardiovascular system. Which one of the following represents the best response to chronic stress related to the cardiovascular system? - Increased heart rate and blood pressure 28. The LPN knows primary prevention in stress management includes which of the following? - Activities to promote health and well-being 29. The LPN assessing a group of elderly patients at a community center chose the best complementary and alternative therapies to manage stress. The LPN knows which of the following are complimentary therapies? SELECT ALL THAT APPLY - Aroma therapy - Guided imagery - Massage therapy - Acupuncture