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NU335 Chronically Ill Adult > NU335: chronically ill adult: exam 1 kahoot review > Flashcards

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

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2
Q

chronic illness is defined as ___

A

the human experience of living with a chronic health condition

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3
Q

what is the minimum time frame of a chronic health condition?

A

3 months

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4
Q

which one is NOT a modifiable factor of chronic health conditions?
-genetics
-poor nutrition
-physical activity
-smoking

A

genetics

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5
Q

living with multiple chronic health conditions is challenging because __

A

need to adapt life to potential resulting disabilities

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6
Q

stiff vessels result in __

A

decreased blood flow

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7
Q

patients with arterial insufficiency should have legs put ___

A

down

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8
Q

patients with venous insufficiency should have legs put __

A

up

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9
Q

Difficult pulses can be assessed using __

A

doppler

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10
Q

as a patients ankle brachial index decreases __

A

level of ischemia increases

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11
Q

atherosclerosis is a condition in which __

A

artery walls develop plaque build up

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12
Q

arteriosclerosis is a condition in which __

A

artery walls thicken

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13
Q

nicotine results in __

A

increased platelet aggregation

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14
Q

peripheral artery disease can result in __

A

leg pain that progresses to constant in nature

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15
Q

peripheral artery disease can result in __

A

decreased or absent pulses

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16
Q

a patient has just returned from OR following a thromboembolectomy. We will __

A

encourage early ambulation

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17
Q

Buerger’s disease is a type of __

A

peripheral arterial disorder

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18
Q

patients with Reynaud’s Phenomenon should be instructed to avoid __

A

triggers to their symptoms

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19
Q

a patient with a AAA is cared for with conservative measures. This will focus on __

A

controlling blood pressure

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20
Q

venous thromboembolisms can be avoided by __

A

promoting early ambulation

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21
Q

patients with chronic venous insufficiency are managed with ___

A

elevating legs

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22
Q

which insufficiency is characterized by intermittent claudication?

A

arterial

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23
Q

Cellulitis is managed with __

A

antibiotics

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24
Q

Hypertension is defined as __

A

BP 130/80

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25
Q

Hypertension will be diagnosed after how many visits to the provider?

A

at least 2 visits

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26
Q

primary hypertension __

A

has no identifiable cause

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27
Q

secondary hypertension __

A

has identifiable cause

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28
Q

patient’s with masked hypertension __

A

has normal BP when in the office, but elevated BP when at home

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29
Q

examples of target organ damage include all of the following EXCEPT:
-stroke
-vision loss
-sexual disfunction
-increased kidney function

A

increased kidney function

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29
Q

patients with white coat hypertension __

A

have elevated BP at office but normal BP at home

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29
Q

blood pressure will go up when __

A

cardiac output goes up

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30
Q

at what stage of hypertension will patients definitely be prescribed an anti-hypertensive?

A

stage 2 hypertension

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31
Q

the difference between hypertensive urgency and hypertensive emergency is ___

A

presence of target organ damage

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32
Q

left sided heart failure is associated with __

A

pulmonary congestion

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33
Q

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

A

JVD - jugular vein distension

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34
Q

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

A

paroxysmal nocturnal dyspnea

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35
Q

a patient with HF may experience __

A

decreased ejection fraction

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36
Q

BNP is another lab associated with HF. What happens to BNP during acute exacerbations of HF?

A

value goes up

37
Q

an elderly patient with CHF is placed on a diuretic. what risk is associated with this?

A

increased falls

38
Q

caution should be used with what class of meds for a patient with HF and asthma?

A

Beta Blockers

39
Q

Digitalis toxicity is associated with __

A

hypokalemia

40
Q

patients with pulmonary edema can develop __

A

frothy sputum

41
Q

acute kidney injuries are __

A

reversible

42
Q

hypoperfusion of the kidneys can lead to

A

prerenal AKI

43
Q

actual damage to kidney tissue can lead to __

A

intrarenal AKI

44
Q

Obstruction to urine flow can lead to

A

postrenal AKI

45
Q

patients with AKI will be encouraged to follow what diet modification?

A

high carb diet

46
Q

can you give insulin via IV route?

A

only for hyperkalemic patients

47
Q

patients on hemodialysis will be encouraged to follow what diet modification?

A

increased protein

48
Q

nursing care of the patient with an AV fistula or graft includes __

A

not taking BP on affected limb

49
Q

it is important to teach the patient completing peritoneal dialysis at home the importance of hand hygiene to avoid __

A

peritonitis

50
Q

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

A

manipulate catheter

51
Q

which phase of an AKI is associated with fluid overload and will be treated with diuretics?

A

oliguric

52
Q

which phase of an AKI can be associated with hypovolemia and hypotension requiring vigilant I&O monitoring?

A

diuretic

53
Q

which finding is NOT associated with CKD?
-anemia
-fluid retention
-hypotension
-progression to CHF

A

hypotension

54
Q

which medication would NOT be expected for use with CKD?
-vasopressor
-anti-hypertensive
-calcium carbonate
-erythropoietin

A

vasopressor

55
Q

a patient prescribed an anti-HTN is undergoing hemodialysis. When should they be directed to take their medication?

A

AFTER dialysis with caution

56
Q

TRUE OR FALSE
the first sign of peritonitis for a patient performing peritoneal dialysis is often the return of clear dialysate

A

FALSE

57
Q

Barrel chest is associated with

A

COPD emphysema

58
Q

Which condition is more often associated with entrapped air?

A

COPD emphysema

59
Q

Oxygen must be used with caution for the COPD patient because __

A

their respiratory drive is controlled by low O2 levels

60
Q

a patient in status asthmaticus may present with what lung sounds warranting EMERGENT concern

A

absence of wheezing

61
Q

TRUE OR FALSE
patients using peak flow meter will be directed to “suck in” hard and fast with use

A

FALSE

62
Q

a patient in status asthmaticus may require all of the following interventions EXCEPT:
-oxygen up to intubation
-bronchodilators
-systemic corticosteroids
-fluid restrictions

A

fluid restrictions

63
Q

Asthmas is different than COPD because __

A

condition is reversible

64
Q

FEV/FVC indicates what?

A

airflow obstruction

65
Q

lung expansion techniques include all of the following EXCEPT:
-pursed lip breathing
-diaphragmatic breathing
-incentive spirometer
-purposeful increase in respiratory rate

A

purposeful increase in respiratory rate

66
Q

status asthmaticus __

A

has rapid onset

67
Q

lung cancer is the leading caner killer for __

A

men and women

68
Q

all of the following are risks for lung cancer EXCEPT:
-radiation exposure
-smoking
-genetics
-nursing school

A

nursing school

69
Q

TRUE OR FALSE
a change in a patients cough warrants evaluation for potential diagnosis of lung cancer

A

TRUE

70
Q

TRUE OR FALSE
a common early sign of lung cancer is pain

A

FALSE

71
Q

ischemic strokes __

A

result from vascular occlusion

72
Q

what is the penumbra?

A

area around infarct with decreased blood flow

73
Q

which type of stroke is often described as “worst headache of my life”?

A

hemorrhagic stroke

74
Q

a stroke on the left will result in __

A

symptoms on the right

75
Q

what assessment is of priority fora patient experiencing a stroke?

A

cardiovascular

76
Q

as a patients NIH score goes up

A

severity of stroke goes up

77
Q

which type of stroke will be treated with a thrombolytic?

A

ischemic stroke

78
Q

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

A

strict bed rest

79
Q

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

A

encouraged ambulation

80
Q

TRUE OR FALSE
diabetes is the number one risk factor for strokes

A

FALSE

81
Q

which type of stroke most often will demand close monitoring for s/s of increasing ICP?

A

hemorrhagic stroke

82
Q

TRUE OR FALSE
a priority for the stroke patient will be monitoring ABCs

A

TRUE

83
Q

hemorrhagic strokes will most commonly be treated with

A

bed rest and close montioring

84
Q

TRUE OR FALSE
generalized seizures will only affect one side of the body usually

A

FALSE

85
Q

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

A

TRUE

86
Q

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

A

do not eat anything the night before

87
Q

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

A

restrain the patient

88
Q

TRUE OR FALSE
if a patient closely follows their anti-seizure medication regime eventually their condition will be cured

A

FALSE

89
Q

what patient teaching is crucial related to anti-seizure medications?

A

take medication at the same time every day

90
Q

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

A

seizure lasting 20 minutes or longer

91
Q

TRUE OR FALSE
the nurse must be vigilant for respiratory depression and hypotension when treating status epilepticus

A

TRUE

NU335 Chronically Ill Adult (1 decks)

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