NURS 115 TEST BANK ACTUAL EXAM 2 LATEST VERSION WITH
UPDATED QUESTIONS AND CORRECT DETAILED ANSWERS
\\COMPLETE EXAM WITH VERIFIED ANSWERS \ACTUAL EXAM
GUARANTEED PASS ALREADY GRADED A+
- Wash feet daily with soap and water & dry feet
Nursing considerations when thoroughly after washing, especially the areas in
providing foot care between the toes the prevent fungal infections.
- Apply lotion, including to the heels of the feet, but not between
the toes.
- Inspect feet for cuts, blisters, cracked skin, or redness to
prevent infection.
Describe how to properly use When using an alcohol-based hand sanitizer, place the product
an alcohol- based hand on the hands and rub together, making sure to cover all
surfaces for approximately 20 seconds total, until the hands are
sanitizer dry.
Assistive hygiene devices for A battery-powered toothbrush; a 'tuning fork' flossing tool that
a client who has an can be used with one hand; an electric razor for shaving, which
is easier to manipulate than a straight-edge blade and is
amputated limb usually large enough to be used in conjunction with a prosthesis
The mucous membranes of the nose contain cilia, hair-like
structures that trap
Explain the purpose of the
particles that a person inhales when breathing. The cilia push
mucous membranes of the the particles to either the front of the nose or the back of the
nose throat. When the person coughs or sneezes, this action ejects
the particles, thereby preventing them from invading the body.
- performed anytime care of client is transferred
Medication Reconciliation - reviewing client's meds
- ensures continuity of care
Professional Identity formed as a person transitions from lay person to nurse and is
fostered throughout career as they are challenged and as they
mature through professional experience
Integrity - basis for trust
- do and act with consistency and purpose
Compassion - feeling what another is feeling
- constitutes a sense of response and accompanying action for
those in need
Courage - physical or moral
- nurse acts in best interest of patient
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Humility - view the world with equanimity
- realistic view of circumstances, events, and actions of others
Advocacy action as the last line of defense on behalf of a patient
Human Flourishing virtues or normative views of a discipline
Profesionalism integrity and work appropriate manners
Misconduct conduct that does not adhere to standards of practice or code of
ethics
- beginner stage
Novice Nurse (Stage 1) - includes nursing students
- can be from move to new area of nursing
- demonstrates skills
- needs help
- lack "big picture" approach to patient care
Advanced Beginner (Stage 2)
- distracted by tasks
- able to plan
- makes decisions
- deal with stress
Competent (Stage 3)
- little to no errors
- understands role
- modifies behavior
- adapts to situations
Proficient (Stage 4)
- resourceful and flexible
- deep understanding
- multi task easy
- teacher or preceptor
Expert (Stage 5)
- go-to nurse on unit
Assess
Diagnose Plan
Implement Evaluate
Nursing Process (ADPIE)
long term/inappropriate use liver damage, renal damage, leukopenia (decrease in white blood
of acetaminophen cells)
respiratory depression, seizures, nausea, vomiting,
side effects of opioids
constipation, itching, urinary retention, drowsiness
opioids administered PCA 6 mins
every
opioids administered orally 4-6 hours
every
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patient controlled analgesia; system in which an
PCA electronically controlled infusion pump immediately
delivered prescribed amount of analgesic to the patient
when the patient activates a button (without the nurse
to administer it)
if you did not document it You did not do it.
Medication given
Patient's pain rating when treatment
was given Symptoms patient is
things to document for pain
experiencing
Alternative
therapies tried
VITAL SIGNS
Patient education
how soon re-assessment of depends on the type of medication
pain occurs
Being empathetic to the needs of your patient,
compassionate care
especially patients with a substance abuse history and
reporting pain
impaction hard fecal mass patient is unable to pass
flatulence mixture of gasses in intestine; by-products of digestive process
- ostomy
- stoma
types of bowel diversions
- colostomy
- ileostomy
- renal/urinary system
genitourinary (GU) tract - responsible for electrolytes and pH balance, blood
volume and pressure, and eliminates waste as
urine
oliguria reduced or decreased urine volume (more than 100 but less than
500 mL)
nocturia excessive urination at night
dysuira painful urination
detect parasites in stool and determine cause of
stool culture
diarrhea; ordered if patient complains of diarrhea for
several days or blood/mucus noted in loose stools
fecal occult blood test testing for the presence of blood in the feces
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performed to determine the amount of creatinine
24 hour urine collection cleared through the kidneys. Also used to measure
levels of protein, hormones, minerals, and other
chemical compounds in the urine
radiologic study that defines the anatomy of the upper
barium swallow
digestive tract to visualize the esophagus, stomach,
and duodenum
- Foods and activities that promote elimination
educate the patient
- Hygiene considerations: skin, urination, post sexual intercourse
aspiration pneumonia rare, high mortality rate
who is the first health care nurses
provider to notice signs or
symptoms of aspiration of
pneumonia
buddhist/hindus no meat or meat byproducts
clear liquid liquids that are fully clear (short term and limited nutrients)
examples of clear liquid water, ice, apple juice, broth, black coffee, tea (without cream),
gelatin, sport drink
food placed into a blender and made into a pulplike
pureed diet
mixture (cannot safely chew or swallow)
thickened liquids
examples of thickened liquids honey thick, nectar thick, pudding thick
NPO nothing by mouth
diabetic diet diets to control amount of calories by controlling carbohydrate
intake
diets used to control dietary intake of foods that
cardiac diet
contribute to conditions affecting cardiovascular
system (low-cholesterol and low-sodium)
diets to help slow kidney damage (low-potassium, low-
renal diet
sodium, low-phosphorus, and low-protein)
nasojejunal jejunum
jejunostomy feeding tube that leads through an article external opening into
the small intestine
when social systems are challenged by factors (racism,
sociocultural
economic hardship, or politics)
stressor event or stimulus that disrupts the person's sense of equilibrium
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