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R/D > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

Which of the following patients are at risk for altered mobility?

A

someone with a TBI

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2
Q

What screenings should someone get at 55 years old?

A

-pap smear
-colonoscopy
-mammogram
-dexascan
-vision
-mental health

(everything except for metabolic disorder screening)

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3
Q

What is a nurse’s priority for someone who lacks range of motion?

A

fall precautions

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4
Q

What erikson stage of development is aimed toward contributing to the wellbeing of the next generation?

A

generativity vs stagnation

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5
Q

a nurse is holding a seminar for 35-55 year olds for preventative care for heart disease. What teaching should she include?

A

walking for 30 minutes a day

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6
Q

What should the nurse teach the patient about orthostatic hypotension?

A

get up slowly

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7
Q

How should a nurse prevent a patient from falling in the shower?

A

place a chair in the shower so they can sit down

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8
Q

A patient has petechiae and is complaining of SOB, what should the nurse do?

A

apply o2 and call for help

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9
Q

A person comes into the clinic with a leg fracture from a car accident, what is the nurse’s priority?

A

immobilize and ice the fracture

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10
Q

A child has broken their tibia along the epiphyseal plate. What may occur if not healed correctly?

A

it could affect growth

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11
Q

What signs would a patient with a fat embolism show?

A

petechiae

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12
Q

A patient has a fracture to his femur. What should the nurse do?

A

assess capillary refill (Circulatory Motor Sensory checks)

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13
Q

What is a CMS check?

A

circulatory, motor, sensory

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14
Q

A nurse has administered a patient IV morphine 15 minutes ago and the patient does not seem to get better. What should the nurse do?

A

report unrelieved or increasing pain

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15
Q

How long should it take for a 4 year old’s fracture to heal?

A

4 weeks

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16
Q

What is the difference between a plaster and synthetic cast?

A

synthetic casts are lighter

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17
Q

What should a nurse do when a cast is removed from a child and he is upset?

A

soak in the bath

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18
Q

How often should a Pavlik harness be checked by a provider?

A

every 1-2 weeks

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19
Q

a child has DDH and is in a hip spica cast, which of the following statements made by the parents is wrong?

A

“I can’t even give my child sponge baths until the cast is taken off”

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20
Q

Which of the following is a contributing factor to smaller family sizes and having children at an older age?

A

a rapid influx of women in the workplace

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21
Q

A genogram is part of which assessment?

A

structural

22
Q

A family member moving out of the house is an example of which assessment?

A

developmental

23
Q

Which assessment would describe someone who does all of the grocery shopping?

A

functiona;

24
Q

SATA about someone who has skeletal traction

A

-check pins
-check for immobility complications
-check weights

25
A woman whos husband has died cannot drive anymore. She lives in a rural area and there is no public transportation. What should the nurse be concerned about?
social isolation
26
An older man has had 3 friends die recently. What should the nurse assess him for?
depression
27
Which of the following terms describes caring for parents, adult children, and grandchildren?
sandwich generation
28
A 50 year old woman comes into the clinic complaining of irregular periods and hot flashes, what should the nurse educate her on?
menopause
29
a 35 year old man comes in for a heart disease check up, which testing should he get done?
lipid profile test
30
Which of the following is an expected aging consideration for older people?
decreased intestinal motility
31
a 65 year old has come into the clinic for a flu shot. What other shot should the nurse ask if he has received?
pneumococcal booster
32
Which of the following are true about physiological changes of the older adult?
require fewer calories to maintain a healthy weight because the basal metabolic rate (BMR) decreases with age
33
Which of the following may be an indication of elder abuse?
multiple visits to 3 different EDs in the past month
34
Which of the following indicates an infection?
-increased pain -major warmth -major redness (erythema) -major swelling (edema) -purulent drainage -WBC count > 14000 (8000 is normal)
35
Which of the following indicates an infection from a fracture?
warmth under the cast (hot spots)
36
Which of the following should be done after having a cast placed?
elevate above heart level for the first 48 hours
37
Which of the following is a normal change for older adults?
slower response time
38
A nurse is talking with the student nurse about family dynamics. Which of the following indicates a need for further teaching?
families stay stable
39
An older adult complains about losing their sense of smell. What should the nurse tell them?
this is a normal change in aging
40
Which of the following should the nurse educate older patients about?
practicing safe sex habits
41
How often should the nurse turn a patient with a pressure ulcer?
every 2 hours
42
A patient has osteomyelitis. Which of the doctor's orders would the nurse question?
patient can bear weight on the effected side
43
A nurse is conducting therapy for mom, dad, and 2 adolescent kids. Which statement shows effective communication?
"Can you tell me more about why it makes you upset when I go to the mall?"
44
A patient has recently gotten a short-arm fiberglass cast. Which of the following indicates an understanding of the nurse's education?
I will keep my arm elevated above my heart
45
Which of the following symptoms is unique to fat embolisms compared to other embolisms?
petechiae
46
Which of the following questions would the nurse ask during a functional assessment?
"Which family member cooks all of the meals?"
47
Which of the following shows the members of the family as well as their medical history?
genogram
48
Which of the following diets should the nurse recommend the older adult for bone health?
Vitamin D and calcium
49
A patient with breast cancer does not have support from her family. What should the nurse do?
-sit with the pt and talk to her -offer resources to support groups with other cancer patients -volunteer to call other family members or friends for support
50
What are some goals of nursing care regarding the care of a family?
-help family reach health goals and fix areas of concern -assist with family transition of illness and health? -Improving or maintaining health of family as a whole

R/D (4 decks)

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