NU335: chronically ill adult: exam 1 kahoot review Flashcards
1
Q
Which is an example of “people first language”?
A
the patient that uses a walker
2
Q
chronic illness is defined as ___
A
the human experience of living with a chronic health condition
3
Q
what is the minimum time frame of a chronic health condition?
A
3 months
4
Q
which one is NOT a modifiable factor of chronic health conditions?
-genetics
-poor nutrition
-physical activity
-smoking
A
genetics
5
Q
living with multiple chronic health conditions is challenging because __
A
need to adapt life to potential resulting disabilities
6
Q
stiff vessels result in __
A
decreased blood flow
7
Q
patients with arterial insufficiency should have legs put ___
A
down
8
Q
patients with venous insufficiency should have legs put __
A
up
9
Q
Difficult pulses can be assessed using __
A
doppler
10
Q
as a patients ankle brachial index decreases __
A
level of ischemia increases
11
Q
atherosclerosis is a condition in which __
A
artery walls develop plaque build up
12
Q
arteriosclerosis is a condition in which __
A
artery walls thicken
13
Q
nicotine results in __
A
increased platelet aggregation
14
Q
peripheral artery disease can result in __
A
leg pain that progresses to constant in nature
15
Q
peripheral artery disease can result in __
A
decreased or absent pulses
16
Q
a patient has just returned from OR following a thromboembolectomy. We will __
A
encourage early ambulation
17
Q
Buerger’s disease is a type of __
A
peripheral arterial disorder
18
Q
patients with Reynaud’s Phenomenon should be instructed to avoid __
A
triggers to their symptoms
19
Q
a patient with a AAA is cared for with conservative measures. This will focus on __
A
controlling blood pressure
20
Q
venous thromboembolisms can be avoided by __
A
promoting early ambulation
21
Q
patients with chronic venous insufficiency are managed with ___
A
elevating legs
22
Q
which insufficiency is characterized by intermittent claudication?
A
arterial
23
Q
Cellulitis is managed with __
A
antibiotics
24
Q
Hypertension is defined as __
A
BP 130/80
25
Hypertension will be diagnosed after how many visits to the provider?
at least 2 visits
26
primary hypertension __
has no identifiable cause
27
secondary hypertension __
has identifiable cause
28
patient's with masked hypertension __
has normal BP when in the office, but elevated BP when at home
29
examples of target organ damage include all of the following EXCEPT:
-stroke
-vision loss
-sexual disfunction
-increased kidney function
increased kidney function
29
patients with white coat hypertension __
have elevated BP at office but normal BP at home
29
blood pressure will go up when __
cardiac output goes up
30
at what stage of hypertension will patients definitely be prescribed an anti-hypertensive?
stage 2 hypertension
31
the difference between hypertensive urgency and hypertensive emergency is ___
presence of target organ damage
32
left sided heart failure is associated with __
pulmonary congestion
33
left sided HF is often associated with all of the following EXCEPT ___: (which is more characteristic of right sided HF)
-low oxygen saturation
-dyspnea
-JVD
-confusion
JVD - jugular vein distension
34
Right sided HF is more often associated with all of the following EXCEPT __: (which is more common to left sided HF)
-paroxysmal nocturnal dyspnea
-hepatomegaly
-ascites
-peripheral edema
paroxysmal nocturnal dyspnea
35
a patient with HF may experience __
decreased ejection fraction
36
BNP is another lab associated with HF. What happens to BNP during acute exacerbations of HF?
value goes up
37
an elderly patient with CHF is placed on a diuretic. what risk is associated with this?
increased falls
38
caution should be used with what class of meds for a patient with HF and asthma?
Beta Blockers
39
Digitalis toxicity is associated with __
hypokalemia
40
patients with pulmonary edema can develop __
frothy sputum
41
acute kidney injuries are __
reversible
42
hypoperfusion of the kidneys can lead to
prerenal AKI
43
actual damage to kidney tissue can lead to __
intrarenal AKI
44
Obstruction to urine flow can lead to
postrenal AKI
45
patients with AKI will be encouraged to follow what diet modification?
high carb diet
46
can you give insulin via IV route?
only for hyperkalemic patients
47
patients on hemodialysis will be encouraged to follow what diet modification?
increased protein
48
nursing care of the patient with an AV fistula or graft includes __
not taking BP on affected limb
49
it is important to teach the patient completing peritoneal dialysis at home the importance of hand hygiene to avoid __
peritonitis
50
to facilitate drainage from a peritoneal dialysis exchange, the patient can try all of the following EXCEPT:
-stand up
-move from side to side
-manipulate catheter
-raise head of bed
manipulate catheter
51
which phase of an AKI is associated with fluid overload and will be treated with diuretics?
oliguric
52
which phase of an AKI can be associated with hypovolemia and hypotension requiring vigilant I&O monitoring?
diuretic
53
which finding is NOT associated with CKD?
-anemia
-fluid retention
-hypotension
-progression to CHF
hypotension
54
which medication would NOT be expected for use with CKD?
-vasopressor
-anti-hypertensive
-calcium carbonate
-erythropoietin
vasopressor
55
a patient prescribed an anti-HTN is undergoing hemodialysis. When should they be directed to take their medication?
AFTER dialysis with caution
56
TRUE OR FALSE
the first sign of peritonitis for a patient performing peritoneal dialysis is often the return of clear dialysate
FALSE
57
Barrel chest is associated with
COPD emphysema
58
Which condition is more often associated with entrapped air?
COPD emphysema
59
Oxygen must be used with caution for the COPD patient because __
their respiratory drive is controlled by low O2 levels
60
a patient in status asthmaticus may present with what lung sounds warranting EMERGENT concern
absence of wheezing
61
TRUE OR FALSE
patients using peak flow meter will be directed to "suck in" hard and fast with use
FALSE
62
a patient in status asthmaticus may require all of the following interventions EXCEPT:
-oxygen up to intubation
-bronchodilators
-systemic corticosteroids
-fluid restrictions
fluid restrictions
63
Asthmas is different than COPD because __
condition is reversible
64
FEV/FVC indicates what?
airflow obstruction
65
lung expansion techniques include all of the following EXCEPT:
-pursed lip breathing
-diaphragmatic breathing
-incentive spirometer
-purposeful increase in respiratory rate
purposeful increase in respiratory rate
66
status asthmaticus __
has rapid onset
67
lung cancer is the leading caner killer for __
men and women
68
all of the following are risks for lung cancer EXCEPT:
-radiation exposure
-smoking
-genetics
-nursing school
nursing school
69
TRUE OR FALSE
a change in a patients cough warrants evaluation for potential diagnosis of lung cancer
TRUE
70
TRUE OR FALSE
a common early sign of lung cancer is pain
FALSE
71
ischemic strokes __
result from vascular occlusion
72
what is the penumbra?
area around infarct with decreased blood flow
73
which type of stroke is often described as "worst headache of my life"?
hemorrhagic stroke
74
a stroke on the left will result in __
symptoms on the right
75
what assessment is of priority fora patient experiencing a stroke?
cardiovascular
76
as a patients NIH score goes up
severity of stroke goes up
77
which type of stroke will be treated with a thrombolytic?
ischemic stroke
78
care of the post stroke stable patient will include all of the following EXCEPT:
-encourage increasing activity as tolerated
-strict bed rest
-PT/OT
-swallow screen
strict bed rest
79
a patient with a hemorrhagic stroke and increased ICP should receive care that includes all of the following EXCEPT:
-encouraged ambulation
-strict bed rest
-dim lighting
-clustered care
encouraged ambulation
80
TRUE OR FALSE
diabetes is the number one risk factor for strokes
FALSE
81
which type of stroke most often will demand close monitoring for s/s of increasing ICP?
hemorrhagic stroke
82
TRUE OR FALSE
a priority for the stroke patient will be monitoring ABCs
TRUE
83
hemorrhagic strokes will most commonly be treated with
bed rest and close montioring
84
TRUE OR FALSE
generalized seizures will only affect one side of the body usually
FALSE
85
TRUE OR FALSE
the nurse should be vigilant about the first s/s a patient seizing presents with because it may help identify the site origin
TRUE
86
patients scheduled for an EEG will be directed all of the following EXCEPT:
-avoid caffeine
-do not eat anything the night before
-wash with shampoo only night before
-limit or avoid sleep the night before
do not eat anything the night before
87
for an actively seizing patient we will do all of the following EXCEPT:
-maintain a patent airway with functioning suction available
-loosen clothing
-restrain the patient
-turn to side lying position
restrain the patient
88
TRUE OR FALSE
if a patient closely follows their anti-seizure medication regime eventually their condition will be cured
FALSE
89
what patient teaching is crucial related to anti-seizure medications?
take medication at the same time every day
90
status epilepticus is best described by all of the following possible scenario's EXCEPT:
-seizure lasting 5 minutes or longer
-serial seizures occurring without full recovery between attacks
-continuous seizures on EEG lasting at least 30 minutes
-seizure lasting 20 minutes or longer
seizure lasting 20 minutes or longer
91
TRUE OR FALSE
the nurse must be vigilant for respiratory depression and hypotension when treating status epilepticus
TRUE
