FINAL EXAM JEOPARDY REVIEW Flashcards

1
Q

Equipment that the nurse will use to monitor a patient experiencing pyrexia.

A

thermometer

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2
Q

Best route to assess the temperature of a client who is diaphoretic and unresponsive.

A

tympanic

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3
Q

Pulse that the nurse will assess on an adult found to be unresponsive and not breathing.

A

carotid

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4
Q

Physiological response of smoking and caffeine consumption causing an increase in blood pressure.

A

vasoconstriction

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5
Q

Nurse’s best response when an order says not to give a medication if BP is less than 100 mm Hg systolic and
client’s systolic BP is less than 100.

A

hold the medication

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6
Q

The next step a nurse should take after finding signs of infection in the wound of a stable client.

A

notify HCP

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7
Q

Maximum number of side rails on a client’s hospital bed that can be raised legally, without a provider’s order.

A

3

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8
Q

The nurse’s concern upon observing cyanosis in the foot of a client with ankle restraints.

A

blood flow/ circulation

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9
Q

Risk for a client with indwelling urinary catheter if the drainage bag is allowed to touch the floor.

A

infection (urinary tract)

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10
Q

Hand-washing method that must be performed to prevent the spread of C. diff.

A

soap and water

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11
Q

Technique the nurse will implement to reduce effects of orthostatic hypotension before ambulating a client who has been in bed for several days.

A

dangling on the bedside

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12
Q

Tool the nurse can use to assess a client’s risk for impaired skin integrity.

A

braden scale

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13
Q

Technique used to keep a client’s spine stable while repositioning.

A

log rolling

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14
Q

Tool the nurse can use to assess a client’s risk for falling.

A

morse scale

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15
Q

Method for cleaning a contaminated body area to prevent spreading infection.

A

least to most contaminated

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16
Q

Condition for which impaired sensory perception, impaired mobility, shear, friction, and moisture are risk factors.

A

pressure ulcer development/impaired skin integrity

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17
Q

Abnormal elimination that places a client at risk for skin breakdown.

A

incontenence

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18
Q

Stage of a shallow open reddish, pink ulcer without slough on the right ear of a client.

A

stage II

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19
Q

Type of healing required for a Stage IV pressure ulcer.

A

secondary intention

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20
Q

Type of wound drainage that indicates infection.

A

purulent

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21
Q

Critical-thinking skill utilized when the nurse reviews the effectiveness of nursing actions.

A

evaluation

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22
Q

Step of the Nursing Process necessary to develop a plan of care

A

assessment

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23
Q

Question the nurse should ask when a client reports a medication allergy.

A

Ask the patient to describe the type of reaction

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24
Q

Type of Nursing Diagnosis that indicates a potential patient response or reaction.

A

“risk for”

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25
Step of the Nursing Process in which the nurse provides wound care for a client
implement
26
The best way to assess a client's fluid-volume status.
daily weights
27
0.9% sodium chloride (Normal Saline) is this type of intravenous fluid.
isotonic
28
Condition that causes urinary leakage during coughing or sneezing.
stress UI
29
Part of the colon affected by fecal impaction.
rectum
30
Assessment finding the nurse will expect when auscultating the abdomen of a client who has not had a bowel movement in 3 days.
hypoactive
31
Least restrictive method of oxygenation therapy.
nasal canula
32
Type of breathing exercise performed using an Incentive Spirometer.
deep breating exercise
33
Occurs when muscles or structures of the oral cavity or throat relax during sleep, upper airway is blocked, diminishing or stopping airflow for up to 30 seconds
obstructive sleep apnea
34
Chronic difficulty falling asleep, frequent awakenings from sleep, and/or short sleep or nonrestorative sleep.
insomnia
35
Type of assessment needed to determine effectiveness of a client's sleep routine.
subjective
36
Assessment required for a client experiencing pain.
subjective
37
The reason unlicensed assistive personnel cannot ask a client to rate their severity of pain.
assessment
38
Impaired hearing due to the aging process
presbycussis
39
Condition in which the client has difficulty understanding the written and spoken word.
receptive aphasia
40
The inability to name common objects or express simple ideas in words or writing.
expressive aphasia
41
Intervention to best assist in educating clients with limited English proficiency about their disease process
trained medical interpreter
42
Providing nursing care for the whole patient, considering the body, mind, and spirit.
holistic nursing care
43
Having more roles or responsibilities within a role than are manageable
role over load
44
How a person thinks about oneself.
self concept
45
Erikson's developmental stage at 12 to 20 years, that focuses on finding a sense of self
identity vs role confusion
46
Recognizes the natural healing abilities of the body; incorporates complementary and alternative interventions.
holistic health model
47
Involves minimizing the effects of long-term disease or disability through interventions directed at preventing complications and deterioration.
tertiary prevention
48
The only type of true prevention in patient care.
primary prevention
49
The best way to evaluate if client teaching has been effective.
teach back/ return demonstration
50
Type of learner who learns best with a hands-on approach
kinesthetic
51
Primary goal is to help patients and families achieve the best quality of life.
palliative care
52
Type of losses that occur as part of normal life transitions across the life span.
maturational losses
53
Kübler-Ross stage of dying in which the client would present as withdrawing from others.
depression
54
Type of grief that involves a relationship that is not socially sanctioned.
disenfranchized
55
Program that provides care for those expected to live less than 6 months.
hospice
56
Angle at which the nurse will administer a tuberculin test.
5-15 degrees
57
How insulin is measured
units
58
Purpose for having the client rinse their mouth with water after a corticosteroid inhaler treatment.
risk for fungal infection
59
Fastest route for medication administration.
IV
60
Number of times a nurse should read medication labels before administering to avoid med errors.
3
61
Teaching that the nurse will provide to a post-surgical client to best minimize the risk of future infection
hand washing/ hygiene