Final Exam Review Flashcards
Which burn depth has the following clinical manifestations: blister, decreased cap refill, less pain, some loss of sensation?
Deep partial-thickness
If a patient had burns on both anterior and posterior legs, what would be the total body surface area of the burn?
36%
Individuals at greater risk for burns include?
4 & younger, patients that smoke, 65 & older
What type of burn has an entry and exit point?
electrical
Which burn depth would you not see pain as a clinical manifestation?
Full-thickness
Which patient should the nurse see FIRST when coming on shift?
A 72 y/o female with CAD and states her toes are tingling
Which patient should the RN delegate to an LPN?
A patient who is 24 hours pre-op for a mastectomy
A nurse has 4 patients, which one of these patients would the nurse be the MOST worried about problems with bowel elimination?
A 65 y/o who is 1 hour post-op for an appendectomy
A nurse is teaching their patient on preventing bowel elimination problems. Which statement made by the patient shows they have a GOOD understanding of the teaching?
“I will make sure to get an adequate amount of dietary fiber in every day”
What role is defined as a multidimensional concept that encompasses the action or process of helping those who are suffering?
Care giving
What person qualifies as a caregiver?
Spouse & parent
Which of the following are signs of caregiver stress?
Withdrawal, anxiety, poor concentration, irritability
Which of the following are appropriate ways to address caregivers?
Listen to their story, offer resources for supplemental care, encourage self-care
What patient-centered approach to healthcare has the goal of healing the whole person rather than focusing on traditional disease management?
Holistic nursing
What comment from the patient shows that they are ready to learn?
“I just had breakfast and now feel full”
Which of the following is a good resource to use while teaching?
A pamphlet at the fifth grade level
A patient complains of urinary incontinence. She has a hard time getting to the bathroom in time. Following the assessment, which of the following actions should you do?
Promote kegel exercises & create a plan for scheduled toileting
Your patient has an indwelling urinary catheter. Which of the following should be assessed for every day concerning the catheter?
Redness around insertion area, output of urine, & need for catheter
What does the activation of the SNS release?
Epinephrine
The nurse on the night shift had three energy drinks to keep herself awake. What type of stressor is this?
Biogenic
A caregiver is diagnosed with HTN, depression, chronic fatigue syndrome, and sleep deprivation. What stage of the stress adaption model are they in?
Exhaustion
What are the essential components to effective coping?
Spiritual, emotional, cognitive, behavioral
What are some side effects of ineffective coping?
OCD, drug abuse, eating disorder, anxiety
A nurse is caring for a patient who just died. What is the most therapeutic response by the nurse.
“What is your favorite memory of your dad?”
Which of the following is an example of intrapersonal communication?
Telling yourself during rush hour that you can get through the rest of the day.
What are some examples of systemic effects of impaired mobility?
loss of muscle mass, joint abnormalities, pressure ulcers, orthostatic hypotension, decreased GI function, urinary stasis
What type of hip fracture is most dangerous and why?
Intracapsular; because avascular necrosis
Which type of prevention includes diagnosis and screening of disease?
Secondary
Which of the following are examples of nonmodifiable internal variables?
genetic factors & cognition disorders
A patient demonstrates feeling self-assured, aware of her own personal needs and beliefs, and confident in the knowledge of her roles and abilities. What concept is the patient demonstrating?
Self-concept
During a well-visit, a patient refuses the annual flu vaccine and states, “I don’t believe in any vaccination; the government is implanting microchips in my arm to track me”. This statement is an example of the patients…?
Health beliefs
A 37 year old man presents to the clinic with chemical burns on his left pinky toe. He reports working as a bath and bodyworks employee and having exposure to workplace toxins. Which of the following are environmental control programs the store can implement to prevent this?
Proper handling of toxic and nuclear wastes & correct disposal of cleaning chemicals and supplies
A patient presents to the clinic with a history of poor nutrition habits and lifestyle. He recently suffered a MI and wants to change these habits to prevent any further complications. He asks “It might not happen again if I start living differently.” What stage of change is he experiencing?
Contemplation
Your patient states she does not want to make any lifestyle change and would rather sit and watch Tik Tok all day. What concept is she demonstrating?
Amotivation
You notice one of the other nurses on shift giving unreasonable commands to CNAs and support staff. She tells them if they do not continue to do as she asks, she will make sure this is their “final shift.” This is an example of…?
Improper use of authority
