NU 136 Final Exam 5 Study Guide 1
1. Understand the cultural considerations for women of different cultures. When
would a male presence be required?
a. Islam
i. Modesty for women, particularly in dress, is highly important
ii. Women have limited ability to make health care decisions
iii. Husband’s presence is required when they sign health care
documents
iv. They prefer female care providers
b. Jewish
i. Woman is no longer pure during her menses/after birth of a child
ii. Nurses need to be sensitive to the woman’s needs
iii. Men cannot help the woman with her care, nurse will need to
2. Be able to recognize different aspects of the nursing process
a. Assessment (data collection)
i. Recognizing cues
ii. Data collection, organizing, documenting, and validating data
about a pt’s health status
iii. Obtained from pt, family, PCP, diagnostic tests, and information
about pt from other health professionals
b. Data analysis/problem identification (nursing diagnosis)
i. The assessment data are sorted and analyzed so specific actual
and potential health problems are identified
ii. Specific problem statements/nursing diagnoses are chosen for
pt’s care plan
iii. Organizing and linking the cues to how the pt presents
themselves to formulate hypotheses
iv. Prioritizing hypotheses
c. Planning
i. Generate solutions
ii. Nurse and pt set priorities and goals to eliminate or diminish the
identified problems
iii. Goals are stated as specific expected outcomes
iv. Expected outcomes and nursing interventions are listed on pt’s
nursing care plan
d. Implementation
i. Taking action/nursing interventions
ii. The patient’s response to the care given is documented
e. Evaluation
i. Evaluating outcomes
,NU 136 Final Exam 5 Study Guide 2
ii. Assessing pt’s response to the nursing interventions
iii. Comparing responses with expected outcomes whether they were
achieved or not
iv. Reassessing entire care plan and making changes
3. Table 32.1 know the different herbal OTC supplements and what medication
interactions can occur with some of them. (i.e. which ones increase risk of
bleeding?)
a. Aloe, topical
i. Helpful for psoriasis and some rashes
ii. Oral type may interfere with absorption of some medications and
lead to liver toxicity
iii. May lower blood glucose
b. Butterbur
i. Decreases frequency of migraines, may decrease hay fever
symptoms
ii. Contains pyrrolizidine alkaloids (Pas), can be harmful to liver
iii. May cause allergic reactions
c. Cranberry
i. Prevention of UTI
ii. Excessive can lead to gastrointestinal upset or diarrhea
iii. May affect levels of warfarin
d. Echinacea
i. May reduce incidence and duration of upper respiratory tract
infections
ii. Short-term use only, may cause severe allergic reaction (asthma)
iii. May cause rash, hives, GI symptoms
e. Evening primrose oil
i. Hot flashes, nerve pain
ii. Short-term use only
iii. Contraindicated in individuals with seizure disorders
iv. INCREASE RISK OF BLEEDING
f. Feverfew
i. Migraine headache prevention
ii. Cause GI symptoms
iii. Long-term users experience withdrawal symptoms (difficulty
sleeping, headaches, anxiety)
g. Garlic
i. May decrease cholesterol and may prevent some cancers
ii. INCREASE RISK OF BLEEDING
, NU 136 Final Exam 5 Study Guide 3
iii. Cause nausea, vomiting, and flatulence
h. Ginkgo biloba
i. May improve memory & conduction of ADLs
ii. Well tolerated
iii. Cause headache and GI symptoms
iv. MAY INCREASE RISK OF BLEEDING
v. Consuming raw or roasted ginkgo seeds can be poisonous
i. Ginseng
i. May improve mental performance and memory
ii. May enhance immune system
iii. Short-term use is safe
iv. May cause headaches, rash, and GI symptoms
j. Kava
i. Anxiety, stress reduction, insomnia
ii. Severe liver damage, avoid using with pt’s who have liver
problems
iii. Increase drowsiness
iv. Can cause heart issues and eye irritation
k. St. John’s wort
i. Short-term treatment for depression
ii. May lead to serious, interactions, supplements OTC drugs, or
prescription drugs
iii. Interactions with oral contraceptives, digoxin, warfarin, and other
medication
4. Be able to prioritize different nursing diagnoses
a. ABC (airway, breathing, circulation)
b. Maslow’s hierarchy
i. Physiologic—oxygenation, nutrition, elimination, safety, rest &
comfort, hygiene, activity, sexual procreation
ii. Safety and Security—psychological comfort, assistance in
meeting needs, comfortable environment
iii. Love and belonging—affection, intimacy, sexual expression,
loving (giving and receiving); social interaction, communication,
human caring, family community
iv. Self-esteem—independence, competence, exploration, roles,
motivation, learning, leisure, spiritual beliefs (ex: pt with
depression)
1. Understand the cultural considerations for women of different cultures. When
would a male presence be required?
a. Islam
i. Modesty for women, particularly in dress, is highly important
ii. Women have limited ability to make health care decisions
iii. Husband’s presence is required when they sign health care
documents
iv. They prefer female care providers
b. Jewish
i. Woman is no longer pure during her menses/after birth of a child
ii. Nurses need to be sensitive to the woman’s needs
iii. Men cannot help the woman with her care, nurse will need to
2. Be able to recognize different aspects of the nursing process
a. Assessment (data collection)
i. Recognizing cues
ii. Data collection, organizing, documenting, and validating data
about a pt’s health status
iii. Obtained from pt, family, PCP, diagnostic tests, and information
about pt from other health professionals
b. Data analysis/problem identification (nursing diagnosis)
i. The assessment data are sorted and analyzed so specific actual
and potential health problems are identified
ii. Specific problem statements/nursing diagnoses are chosen for
pt’s care plan
iii. Organizing and linking the cues to how the pt presents
themselves to formulate hypotheses
iv. Prioritizing hypotheses
c. Planning
i. Generate solutions
ii. Nurse and pt set priorities and goals to eliminate or diminish the
identified problems
iii. Goals are stated as specific expected outcomes
iv. Expected outcomes and nursing interventions are listed on pt’s
nursing care plan
d. Implementation
i. Taking action/nursing interventions
ii. The patient’s response to the care given is documented
e. Evaluation
i. Evaluating outcomes
,NU 136 Final Exam 5 Study Guide 2
ii. Assessing pt’s response to the nursing interventions
iii. Comparing responses with expected outcomes whether they were
achieved or not
iv. Reassessing entire care plan and making changes
3. Table 32.1 know the different herbal OTC supplements and what medication
interactions can occur with some of them. (i.e. which ones increase risk of
bleeding?)
a. Aloe, topical
i. Helpful for psoriasis and some rashes
ii. Oral type may interfere with absorption of some medications and
lead to liver toxicity
iii. May lower blood glucose
b. Butterbur
i. Decreases frequency of migraines, may decrease hay fever
symptoms
ii. Contains pyrrolizidine alkaloids (Pas), can be harmful to liver
iii. May cause allergic reactions
c. Cranberry
i. Prevention of UTI
ii. Excessive can lead to gastrointestinal upset or diarrhea
iii. May affect levels of warfarin
d. Echinacea
i. May reduce incidence and duration of upper respiratory tract
infections
ii. Short-term use only, may cause severe allergic reaction (asthma)
iii. May cause rash, hives, GI symptoms
e. Evening primrose oil
i. Hot flashes, nerve pain
ii. Short-term use only
iii. Contraindicated in individuals with seizure disorders
iv. INCREASE RISK OF BLEEDING
f. Feverfew
i. Migraine headache prevention
ii. Cause GI symptoms
iii. Long-term users experience withdrawal symptoms (difficulty
sleeping, headaches, anxiety)
g. Garlic
i. May decrease cholesterol and may prevent some cancers
ii. INCREASE RISK OF BLEEDING
, NU 136 Final Exam 5 Study Guide 3
iii. Cause nausea, vomiting, and flatulence
h. Ginkgo biloba
i. May improve memory & conduction of ADLs
ii. Well tolerated
iii. Cause headache and GI symptoms
iv. MAY INCREASE RISK OF BLEEDING
v. Consuming raw or roasted ginkgo seeds can be poisonous
i. Ginseng
i. May improve mental performance and memory
ii. May enhance immune system
iii. Short-term use is safe
iv. May cause headaches, rash, and GI symptoms
j. Kava
i. Anxiety, stress reduction, insomnia
ii. Severe liver damage, avoid using with pt’s who have liver
problems
iii. Increase drowsiness
iv. Can cause heart issues and eye irritation
k. St. John’s wort
i. Short-term treatment for depression
ii. May lead to serious, interactions, supplements OTC drugs, or
prescription drugs
iii. Interactions with oral contraceptives, digoxin, warfarin, and other
medication
4. Be able to prioritize different nursing diagnoses
a. ABC (airway, breathing, circulation)
b. Maslow’s hierarchy
i. Physiologic—oxygenation, nutrition, elimination, safety, rest &
comfort, hygiene, activity, sexual procreation
ii. Safety and Security—psychological comfort, assistance in
meeting needs, comfortable environment
iii. Love and belonging—affection, intimacy, sexual expression,
loving (giving and receiving); social interaction, communication,
human caring, family community
iv. Self-esteem—independence, competence, exploration, roles,
motivation, learning, leisure, spiritual beliefs (ex: pt with
depression)
