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Capstone > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

Who has the highest risk for osteoporosis?

A

-Menopausal Women
-Advanced Age of 65 or older
-smoking + alcohol use
-prolonged use of steroids, lasix, anticonvulsants
-immobility

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2
Q

Diet for osteoporosis?

A

High protein, calcium, and vitamin D

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3
Q

What medications are used for osteoporosis?

A

Calcitonin
Alendronate
Raloxifiene

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4
Q

How is reyes syndrome diagnosed?

A

Liver biopsy, LFTs will be low as well

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5
Q

What is crucial of a child who has Reyes syndrome?

A

Keep TV volume low, dimmed room, quiet and calm environment so brain can relax

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6
Q

What are some clinical signs of chronic renal failure?

A

High BUN
Low GFR
Azotemia
Oliguria

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7
Q

What diet should a renal failure client follow?

A

Low sodium, low potassium low protein
Avoid dairy products

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8
Q

A client is newly diagnosed with HTN, what should the nurse discuss with the client?

A

Keep daily log of BP reading
Bake, Roast, Boil Food
Avoid OTC Meds
Avoid Coffee
Low Sodium Diet
4/5 Veggies Daily
Exercise

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9
Q

What education should be provided to a client post arthroscopy?

A

Monitor for infection
apply ice up to 5 times a day for 48 hours
Elevate
Weight bearing as tolerated
Report severe joint pain
Tx pain w/ tylenol

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10
Q

Patient has a post op layrngectomy with a new stomas, what should the nurse educate?

A

Prevent and monitor signs of infection
wear high collared shirts/ scarfs
increase humidity in home
avoid showers
avoid swimming
avoid sick people
increase fluid intake to 3000ml/day

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11
Q

What is important to tell the client diagnosed with Hepatitis A?

A

Strict handwashing
bleach toilet seat after every use

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12
Q

If a client comes in and there A1C is elevated the nurse should?

A

ask the client to watch them draw up insulin

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13
Q

What does A1C results tell a nurse?

A

what the glucose control has been over the past 90 days

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14
Q

A client may need more teaching about drawing up their insulin when they..?

A

Draw up NPH first

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15
Q

What two clients on this exam are priority to be seen first?

A

A client with a blood transfusion going
A client with a crushing injury

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16
Q

What can the nurse delegate to the UAP?

A

Make beds
answer call lights
routine + baseline VS
Transport client to the OR
Apply pulse ox
Assist HCP with Pap Test
Drawing blood

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17
Q

What are examples of accountability?

A

Monitoring client for care
seeking outcome report

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18
Q

What is an example of effective delegation?

A

Supervising and monitoring LPN

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18
Q

A client has been medicated prior to a procedure, the OR is ready for the client but the nurse notices there is no signed consent. What action should the nurse take?

A

Call and cancel surgery
get consent from family

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19
Q

What is the nurses code of ethics?

A

Advocacy
responsibility
confidentiality
accountability

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20
Q

What must nursing documentation contain?

A

factual information and nothing documented that says “seemed”

21
Q

What diagnostic test requires low levels of stress before being done?

A

Cortisol testing

22
Q

Who is at highest risk for abuse?

A

Elder women with dementia

23
Q

A couple is fighting and the nurse wants to know more, how does she ask the client?

A

“fighting is normal, but how do you guys deal with conflict?”

24
Q

If the nurse is aware about family violence occurring around a client, what information should be given at discharge?

A

Information about shelters

25
Q

What is most important to ask a client going through or may go through alcohol withdrawl?

A

-last drink
-type of alcohol
-how much alcohol
-how long have they been drinking

26
Q

What should the nurse implement of a client going through alcohol withdrawl?

A

-seizure precautions (side rails padded, suction, O2)
-safe environment
-address hallucinations
-reorient to reality
-monitor VS

27
Q

What is important to do when caring for a client with DID?

A

Develop trusting relationship
orient client
allow them to express painful experiences
Identify conflict
provide a simple non challenging routine

28
Q

Prior to working and interacting with a client who has DID, what should the nurse do?

A

identify and support client strengths

29
Q

What interventions should be done with a client who has manipulative behaviors?

A

-communicate expected behaviors to client
-assist in identifying limits
-follow through about consequences
-have the client state back consequences

30
Q

If a client is in a mania, what is important for the nurse to do?

A

allow the client to take frequent breaks

31
Q

A child looses a sibling and is curious about death, the parents are concerned.. what should the nurse explain to the parents?

A

“school aged children are inquisitive and ask a lot about death’

32
Q

A family with a child who has a mental health disorder, it is important for the nurse to do what?

A

Complete an entire assessment of the family

33
Q

A new nurse is preparing to work in a community clinic, what is something that may benefit their nursing approach?

A

Investigate cultural differences and reactions to medications and procedures,etc.

34
Q

A client states her life is good and she intends to die how she lived. What can the nurse do during the clients end of life care?

A

Support patient in use of own resources

35
Q

A client with hashimotos thyroiditis requires immediate attention if the nurse notices what changes?

A

New onset of voice changes

36
Q

During a crisis what intervention should the nurse complete?

A

develop a care plan individualized to the client

37
Q

A client has stroke on the right side of the brain, what will the nurse see?

A

Left side neglect
paralyzed left side
hemiplegia

38
Q

A client has Right sided hemiparesis from a stroke, what other symptoms will the client have?

A

-aphasic
-weak on right side
-weak right side of face and tongue

39
Q

If a client has a stroke on the right side, what will be most beneficial for the client?

A

placing objects on the left side

40
Q

A client who had a stroke has right leg and arm paralysis, what other symptom will you see?

A

will have difficulty comprehending instructions

41
Q

What are the risk factors for a stroke?

A

HTN
TIA
Smoking
Oral birth control

42
Q

What is one way to tell a client is adapting well after a stroke?

A

Consistently using adaptive equipment

43
Q

What are seizure precautions?

A

Padded side rails, suction, O2 at bedside

44
Q

If a female client is taking phenytoin, what is important for the nurse to tell her?

A

use an extra form of birth control, this med suppresses it

45
Q

A client is taking phenytoin and the nurse gets a blood test result back about elevated phenytoin, what symptom may the client have?

A

slurred speech

46
Q

When taking phenytoin what is important for any client to do when taking it?

A

Good oral care, flossing, brushing, etc.

47
Q

What is azathioprine?

A

Immunosuppressant
can treat autoimmune disorders and prevent organ rejection after a transplant

48
Q

What are important things to do when taking azathioprine?

A

Take with food
Wear sunscreen + protective clothing

49
Q

Common symptoms of azathioprine?

A

N/V, Hair loss, diarrhea, joint pain

50
Q

Fire safety as a nurse and extinguisher use?

A

RACE
R-rescue / remove pts
A-alarm
C-confine
E-extinguish + evacuate

P- Pull
A- Aim
S- Spray
S-Sweep

Capstone (3 decks)

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