Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing 142 > 142 > Flashcards

142 Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

which of the following are instrumental ADL’s? (Select all that apply)

a. ) dressing
b. ) toiletting
c. ) medications
d. ) banking

A

C and D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q 
Which nutrient is the body's main source of fuel?
		A. Protein
		B. Lipids
		C. Carbohydrates
		D. water
A

C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is Erythema?

A

Redness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Ecchymosis?

A

Bruising

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Pallor?

A

paleness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Cyanosis?

A

blueness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Flush?

A

blush or sudden reddening of the face or neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is Jaundice?

A

yellowing of the skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is Pruritus?

A

itchy skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is Tenting?

A

skin stays pinched or moves back slowly, may indicate dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Clubbing?

A

condition is which the angle between the nail and the nail bed is 180 degrees or greater

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Petechiae?

A

commonly appear in clusters and look like a rash, usually flat to touch, don’t lose colour when you touch them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is Edema?

A

fluid that accumulates in interstitial spaces that isn’t normally present.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Energy Balance?

A

energy in = energy out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are macro minerals? Give 3 examples

A

minerals that your body requires more than 100mg per day of

ex. Calcium, sodium, potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are micro minerals? Give 3 examples

A

minerals that your body requires less than 100mg per day (trace elements)
ex. Iron, zinc, copper

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is BMI and how is it calculated?

A

Body Mass Index

patients weight in Kg divided by height in metres squared: Weight (kg)/ Height2 (m2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Name 4 Aspiration precautions

A
  1. Sitting patient up
  2. assessing for dysphagia
  3. Two completed swallows between mouthfuls
  4. assessing swallowing while feeding
19
Q

What is Dysphagia?

A

difficulty swallowing

20
Q

What is a “Huff Cough”

A

stimulates natural cough reflex, patient opens glottis by saying word “huff” with practice, patient exhales more air and may be able to progress to cascade cough

21
Q

What is a “Cascade Cough”

A

patient takes slow deep breath and holds for 2 seconds while contracting expiratory muscles. Then opens mouth and performs series of coughs throughout expiration

22
Q

What is a “Quad Cough”

A

used for patients without abdominal muscle control such as paralyzed patients. While patient breathes out with maximum effort, nurse or patient pushes inward and upward on abdominal muscles causing the cough

23
Q

What is Orthostatic Hypotension?

A

when a normotensive person develops symptoms of low blood pressure when rising to an upright position.

24
Q

Where is the Aortic Area located in cardiovascular assessment?

A

second intercostal space, right side

25
Q

Where is the Pulmonic Area located in cardiovascular assessment?

A

second intercostal space, left side

26
Q

Where is the Erbs area located in cardiovascular assessment?

A

third intercostal space, left side along the sternal border

27
Q

Where is the Tricuspid area located in cardiovascular assessment?

A

fourth intercostal space, left side along the sternal border

28
Q

Where is the Mitral area located in cardiovascular assessment?

A

fifth intercostal space, left side, midclavicular line

29
Q

Which pulse is also located at the Mitral area?

A

Apical pulse

30
Q

When palpating the chest for a cardiovascular assessment, we palpate from the ______ to the _______ of the heart

A

base to the apex

31
Q

When assessing skin colour during a cardiovascular assessment, What are we looking for?

A

cyanosis, and pallor

32
Q 
During rounds on the night shift, the nurse notes that a patient stops breathing for 1 to 2 minutes several times during the shift. What is this condition called?
A. Cataplexy
B. Insomnia
C. Narcolepsy
D. Sleep apnea
A

D. sleep apnea

33
Q

To holistically care for patients, nurses must
understand the difference between religion and
spirituality. How does religious care help patients?
A. It maintains their belief systems and worship
practices.
B. It helps them develop a relationship with a higher
being or life force.
C. It establishes a cultural connectedness with the
purpose of life.
D. It achieves the balance needed to maintain health
and well-being.

A

A. It maintains their belief systems and worship

practices.

34
Q

What is the best action a nurse can take in order to assess,
evaluate, and support a patient’s spirituality?
A. Assist the patient to use faith in order to get well.
B. Refer the patient to the health care facility chaplain.
C. Provide the patient with a variety of religious literature.
D. Determine the patient’s perceptions and belief system.

A

D. Determine the patient’s perceptions and belief system.

35
Q

Which of the following statements is true about foods that have a low glycemic index?
A. These foods should be encouraged because they have long-term benefits.
B. These foods should be encouraged because they provide energy in the short term.
C. These foods should be discouraged because they are linked to diabetes and heart disease.
D. These foods should be discouraged because they do not provide enough glucose for activities of daily living.

A

A. These foods should be encouraged because they have long-term benefits.

36
Q

Which of the following factors may account for an
increased risk of undernutrition in new immigrant
families? (select all that apply)
A. Limited income results in decreased access to
nutritious foods
B. Familiar foods may be difficult to obtain
C. Nutrition education resources do not provide
culture-specific information
D. Lack of knowledge about where and how to
purchase, prepare, and store available foods

A

A,B,C,D

37
Q

A new mother is reluctant to breastfeed because
she is afraid that it will be painful. What should the
nurse do?
A. Tell the mother that she must breastfeed because it is
best for the baby
B. Tell her that breastfeeding is recommended by the
Canadian Paediatric Society
C. Listen to her concerns, and provide information
related to breastfeeding
D. Listen to her concerns, and provide information
related to baby formulas

A

C. Listen to her concerns, and provide information

related to breastfeeding

38
Q 
Which of the following body measurements
would indicate higher risk for coronary artery
disease?
A. Weight 72 kg, height 175 cm
B. Body mass index of 23
C. Gynoid obesity (waist–hip ratio)
D. Android obesity (waist–hip ratio)
A

D. Android obesity (waist–hip ratio)

39
Q

Josh emphasizes to Elyse the importance of taking vitamins,
especially because she is malnourished as a result of the excessive
vomiting. Fat-soluble vitamins include vitamins A, D, E, and K. Is this
statement true or false?
A. True
B. False

A

A. True

40
Q

The nurse has completed preoperative teaching
related to pressure stockings for a surgical patient.
Which statement assures the nurse that the patient
understands the teaching?
A. “I can remove them at night and leave them off until
morning.”
B. “I can roll them no lower than my calf muscle.”
C. “I wear them for only 4 hours at a time, then remove.”
D. “I can remove them for 30 minutes every 8 hours.”

A

D. “I can remove them for 30 minutes every 8 hours.”

41
Q

When repositioning Mrs. Stone in bed or moving her from the bed to
the wheelchair, James is careful to lift her right leg, as opposed to
dragging it across the bed, to prevent ____________ and
_____________ that may lead to injuries to epidermis and tissue
necrosis.

A

friction, shear

42
Q

A patient is admitted with pneumonia. When
auscultating the patient’s chest, the nurse hears lowpitched
moist sounds over the bilateral bases. How
would these sounds be labelled?
A. Crackles
B. Rhonchi
C. Wheezes
D. Pleural rub

A

A. Crackles

43
Q

A patient with a tracheostomy has thick, tenacious
secretions. In order to maintain the airway, what is the
most appropriate action for the nurse to include?
A. Tracheal suctioning
B. Oropharyngeal suctioning
C. Nasotracheal suctioning
D. Orotracheal suctioning

A

A. Tracheal suctioning

44
Q

When auscultating an adult patient’s lungs, the nurse hears a
loud, low pitched, rumbling coarse sound during inspiration
and expiration. What do these sounds indicate?
a) Crackles, caused by increased fluid in the airways
b) Normal breath sounds
c) Rhonchi, caused by secretions in the bronchial airways
d) Wheezes, a normal variation in adults with COPD

A

c) Rhonchi, caused by secretions in the bronchial airways

Nursing 142 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions