VN 15 CLO 2 Test-DONE

Question 1

1.What are autonomic nervous system responses?

Answer 1

-Parasympathetic

Blood pressure, pupil change

Question 2

2.Why do we do range of motion exercises?

Answer 2

• assess joint flexibility

- start an exercise program

Question 3

3.what is phantom pain?

Answer 3

-feeling burning sensation where limb was or near amputated limb

Question 4

4.when do we assess clients pain?

Answer 4

-every time we do vital signs

Question 5

5. patient is being tube fed, nurse is assessing the volume. What happens if the volume exceeds their physiological capacity?

Answer 5

-gastric reflux

Question 6

6.When do we assess someone in restraints? What do we assess for?

Answer 6

• every 2 hrs.

- assess circulation, skin integrity, vital signs & range of motion

Question 7

7. What vitamin do we need to absorb iron?

Answer 7

-Vitamin C

Question 8

8. How do we document vomiting with great force?

Answer 8

-projectile vomiting

Question 9

9.Ways to distract ways clients who are nauseous during assessments?

Answer 9

-assist them taking deep breaths

Question 10

10.Difference between formal teaching and informing teaching?

Answer 10

-formal teaching requires creating a plan.

Question 11

11.What’s the best area to assess jaundice in African American clients?

Answer 11

-the sclera

Question 12

12. heart rate of 140 is considered what?

Answer 12

-tachycardia

Question 13

13. Knees that have been rubbed away by friction is called?

Answer 13

-abrasion

Question 14

14. Where is the apical heart located in the body?

Answer 14

-chest

Question 15

15. What is visceral pain?

Answer 15

-pain in the organs/ inside the body

Question 16

16. If nurse is using a tonsil tip catheter to remove secretions from the mouth, what kind of suctioning is that ?

Answer 16

-oral suctioning

Question 17

17. Best things for constipation?

Answer 17

-fiber & fluid increase

Question 18

18. When assessing urine characteristics of normal urine?

Answer 18

• freshly voided specimen should be pale yellow, clear and transparent. no floating particles
• volume should be 500-3,000ml a day
• normal specific gravity should 1.003- 1.029

Question 19

19. Pain instruction. Patient has right lower extremity injury. They have a 4point Cane. What side will the patient hold the cane?

Answer 19

-left side (good side)

Question 20

20. Foods high in vitamin k?

Answer 20

-green leafy veggies.

Kale, broccoli, spinach, collard greens

Question 21

21. What has a lot of vitamin D?

Answer 21

-eggs, and fortified milk foods

Question 22

22. Where do we store dentures?

Answer 22

-in water in a covered cup