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xxx Term 3: NUR 210 Fundamentals of Nursing Theory > Fin Dr. Garcia's Review > Flashcards

Fin Dr. Garcia's Review Flashcards

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1
Q
  1. What is a Medical Diagnosis?
A

Formal statement of the disease entity or illness made by the physician or health care provider.

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2
Q
  1. What is a Nursing Diagnosis?
A

Formal statement of an actual or potential health problem that nurses can legally and independently treat; the second step of the nursing process, during which the patient’s actual and potential unhealthy responses to an illness or condition are identified.

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3
Q
  1. What is a “collaborative” problem?
A

Physiological complication that requires the nurse to use nursing- and health care provider–prescribed interventions to maximize patient outcomes.

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4
Q
  1. What are the Potassium Lab values?
A

(K+) 3.5 - 5

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5
Q
  1. What is the best way to figure out a patient’s hydration status?
A

Patient’s weight

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6
Q
  1. What is the best way to identify if a patient is over hydrated?
A

Increased blood pressure

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7
Q
  1. What is diabetic ketoacidosis?
A

Very high blood sugar

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8
Q
  1. What are the sodium levels?
A

(Na+) 135 - 145

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9
Q
  1. What are the white blood cell levels?
A

(WBC) 5,000 - 10,000

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10
Q
  1. What does not count as an I&O?
    a. Getting meds through an IV
    b. Checking intake and output
    c. Patient’s juice from breakfast
    d. Water from taking medications
A

d. Water from taking medications

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11
Q
  1. Which lab value suggests the possibility of kidney stones?
A

Increased calcium

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12
Q
  1. Risk of dehydration education:
    a. “I only need to drink when I’m thirsty”
    b. “I need to drink water often”
    c. “Being hydrated is very important to my health”
A

a. “I only need to drink when I’m thirsty”

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13
Q
  1. Which insulin can be administered via IV?
A

Regular insulin may be administered via IV

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14
Q
  1. Why do pressure ulcers form?
A

Tissue ischemia

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15
Q
  1. Post-Op patient looks like there is an infection, what lab would indicate this?
A

Elevated white blood cell count

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16
Q
  1. What can decrease the spread of infection?
A

Hand hygiene stops the spread of infection

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17
Q
  1. What do QRS intervals represent?
A

QRS represents electrical impulses passing through the heart.

Aka depolarization.

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18
Q
  1. A patient is admitted to the ED with heroine overdose symptoms, what would the nurse assess?
A

Decreased level of consciousness

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19
Q
  1. While working on pulmonary unit and patients display restlessness due to?
A

Hypoxia

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20
Q
  1. Patient is diagnosed with emphysema. He is not breathing very well at the moment. What should the nurse do?
A

Offer oxygen

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21
Q
  1. Patient with chronic respiratory disease (COPD) is wearing a nasal cannula for a long period of time. What should the nurse assess for?
A

Skin breakdown behind the ear and nose

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22
Q
  1. A patient is experiencing Right-sided heart failure. What signs can the nurse assess for?
A

Edema in peripheral extremities

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23
Q
  1. What is the magnesium level?
A

(Mg+) 1.5 – 2.5

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24
Q
  1. Where does a heartbeat originate?
A

The SA Node of the Heart

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25
Q
  1. Follow-up is needed when a patient states:
    a. “If I feel dizzy…”
    b. “I enjoyed my entire lunch”
    c. “I need to use my call light to get up”
A

a. “I feel dizzy…”

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26
Q
  1. A patient demonstrates uncharacteristic signs of confusion. What should the nurse assess?
A

Oxygen saturation level

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27
Q
  1. When educating a patient to best minimize infection with a respiratory disease, what should the nurse advise?
A

Avoid large, crowded places

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28
Q
  1. When taking the heart rate of an athletic, 200 lb, 18 year old with a heart rate of 40, what should the nurse conclude?
A

Athletic patients will typically have a low heart rates

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29
Q
  1. Patients who show signs of tachycardia may also have this symptom as well?
A

Fever

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30
Q
  1. Follow-up teaching is necessary in regards to self-medications when a patient states:
    a. I take all my medications at the same time in the morning.
    b. I follow whatever the physician has advised me to do with my medications
    c. I take my medications with meals as my physician as told me to do
A

a. I take all my medications at the same time in the morning.

31
Q
  1. What is the best way to help aid a patient who is experiencing urinary incontinence?
A

Do Kegel exercises

32
Q
  1. When a patient will obtain an intravenous pyleogram. What will the nurse be most mindful of?
A

Allergic reaction to the Contrast for the procedure

33
Q
  1. A patient has a urinary diversion, what should the nurse be mindful of?
A

Patient needs special skin care.

34
Q
  1. Nurse needs more education for an indwelling catheter when he:
    a. Lubes the catheter before inserting it
    b. Cuts the catheter with scissors
    c. Uses sterile technique
A

b. Cuts the catheter with scissors

35
Q
  1. A patient is diagnosed with an enlarged prostate, what should the nurse be mindful of?
A

The patient not fully emptying his bladder completely

36
Q
  1. Sodium level is 120, which body system would the nurse assess?
A

Neuro

37
Q
  1. What kind of patient is at the highest risk for fluid volume deficit?
    a. Drug users
    b. A person who broke their arm
    c. Burn victims
A

c. Burn victims

38
Q
  1. The nurse is teaching a patient who is being discharged with medication information for their new diuretic, what side effects should the nurse include?
A

Nocturia

urination at night

39
Q
  1. The nurse is teaching a patient who has been recently diagnosed with Type 2 diabetes, what lifestyle modifications can the nurse suggest?
A

Exercise; Lower carb and sugar intake in diet

40
Q
  1. When assessing a patient who may be diagnosed with Type 1 diabetes, what question would most be appropriate to ask?
    a. Have you lost any weight recently?
    b. Why are you drinking so many sodas?
    c. Do you need a piece of cake since you are so skinny?
A

a. Have you lost any weight recently?

41
Q
  1. What lab test should the nurse recommend to a physcian to discover is a patient has Type 2 diabetes?
A

Glycoslated Hemoglobin Level

42
Q
  1. What is the calcium level?
A

(Ca+) 8.5 - 10.5

43
Q
  1. When a patient uses Novalog (fast acting insulin) at 8 am, when should the nurse begin to assess for hypoglycemia?
A

Risk for hypoglycemia would occur 20-30 minutes after medication administration

44
Q
  1. What action can an insulin pump do for a patient?
A

A patient can get a bolus of insulin after eating

45
Q
  1. What is glyburide?
A

Glyburide is a diabetic medication that stimulates the pancreas to increase insulin in Type 2 Diabetics

46
Q
  1. Patient is experiencing hyperglycemia and possess a HHNC (CBG) in the 1000s range, what should the nurse plan on doing?
A

Medications are very thick and viscous, thus they will be administered via a larger IV catheter

47
Q
  1. What is glucogon?
A

Glucogon is a medication given for severe hypoglycemia actions.

  • Once patient is awake, give them simple carbs like crackers.
48
Q
  1. Why should patients with diabetes mellitus check their feet?
A

Patients with diabetes mellitus at high risk for neuropathy

49
Q
  1. What should a nurse do when first introducing a feeding tube?
A

Check placement of the tube.

50
Q
  1. Patient states, “I have normal sinus rhythm.”

What would the nurse say to explain where the rhythm comes from?

A

Originate in SA node and causes the chambers to contract.

51
Q
  1. An order for diabetic patient with ketoacidosis, what will you implement first?
A

Hydration. IV fluids.
Sugar will drop due to dilution.

(Ketoacidosis happens when the body is burning fat to get fuel)

52
Q
  1. A diabetic patient is showing symptoms of anxiousness, nervousness, and is diaphoretic.
A

Check blood glucose level.

53
Q
  1. When is there a need for rapid assessment on a diabetic patient?
A

When a patient is experiencing hypoglycemia.

54
Q
  1. Patients who are diagnosed with pneunothorax, collapse lung, what symptom would they experience?
A

Dyspnea

Difficulty breathing

55
Q
  1. What advice would you offer to an adolescent client with acne?
    a. Wash your face
    b. Pop your zits
    c. Eat more chocolate
A

a. Wash your face

56
Q
  1. What is missing from the following documented statement:

Nurse will apply warm, wet soaks while awake.

A

It lacks frequency or time

57
Q
  1. How many times should a person get their eyes checked?
A

1-2 times a year

58
Q
  1. What is the reason why a nurse should irrigate a patient’s wound?
A

To debride it

59
Q
  1. How should a nurse position a bed to decrease pressure ulcers on bony prominences?
A

Elevate HOB as little as possible

60
Q
  1. How does smoking inhibit wound healing?
A

Smoking decreases hemoglobin which decreases oxygen, which inhibits healing

61
Q
  1. Ethnicity is different from race in that:
    a. it is biological
    b. it is part of where you live
    c. it is the religion you believe in
A

a. it is biological

62
Q
  1. Process of acculturation, what should the nurse do?
A

The nurse should adapt / adopting a sense of understanding

63
Q
  1. A patient with epidural infusion or patient getting blood, what should the nurse be mindful of?
A

The nurse should assess vital signs every 15 minutes

64
Q
  1. How would a nurse effectively know the pain level of a patient?
A

Utilizing a the pain scale

65
Q
  1. What would be the best way for a nurse to obtain an assessment of pain from a post-op patient?
A

Ask! “What does your discomfort feel like?”

66
Q
  1. What would be the best way to explain to a patient about a PCA pump?
    a. I will come fill up your pump every 20 minutes for you
    b. You can press the button and get as much pain meds as you like
    c. a. You have control over the IV analgesia, but it will time out
A

c. You have control over the IV analgesia, but it will time out

67
Q
  1. Which patient would be the best candidate for a PCA pump?
    a. a child who got his finger stuck in his nose
    b. a woman recovering from total hip surgery
    c. a man who has bipolar disorder
A

b. a woman recovering from total hip surgery

68
Q
  1. What/Who is the best indicator about a patients’ pain?
    a. The heart rate and blood pressure
    b. The patient stating their pain level
    c. The patient’s mother stating the patient’s pain level
A

b. The patient stating their pain level

69
Q
  1. According to the patient’s chart, scheduled is another series of dressing changes, patient asks for pain medicine. What understanding does the patient possess about this procedure?
A

Patient understanding how painful the procedure is and how to manage their pain.

70
Q
  1. What are signs of left sided heart failure?
A

excessive fatigue

sudden weight gain

a loss of appetite

persistent coughing

irregular pulse

heart palpitations

abdominal swelling

shortness of breath

leg and ankle swelling

protruding neck veins

71
Q
  1. What would a Nursing Diagnosis of fluid overload be?
A

Hypertension

72
Q
  1. What would be the easiest way to administer 2 L of O2 to a patient?
A

Nasal cannula

73
Q
  1. Gathering data on a patient:

What is subjective data?

A

Subjective data: Information gathered from patient statements; the patient’s feelings and perceptions. Not verifiable by another except by inference.

74
Q
  1. Gathering data on a patient:

What is objective data?

A

Objective data: Information that can be observed by others; free of feelings, perceptions, prejudices.

xxx Term 3: NUR 210 Fundamentals of Nursing Theory (1 decks)

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