VN15 Test 5

Question 1

Manifestations of hypovolemia

Answer 1

Weakness , fatigue , fainting and dizziness

Question 2

Nursing actions for hypovolemia

Answer 2

Monitor weight , vital signs , oxygen administration , safe administration of fluids and safe administration of blood

Question 3

Priorities of hypovolemia

Answer 3

Increase fluid intake

Question 4

Used to replace circulating blood volume because the suspended molecules pull fluid from other compartments

Answer 4

Colloid

Question 5

First choice for fluid resuscitation in presence of hypovolemia , hemorrhage , sepsis and dehydration

Answer 5

Crystalloid

Question 6

Maintain fluid loss in clients who may not be able to eat or drink for a short period of time

Answer 6

Isotonic

Question 7

Used for fluid loss in excess of fluid intake , such as those who have diarrhea or vomiting

Answer 7

Hypotonic

Question 8

Manifestations of hypervolemia

Answer 8

Weight gain , swelling and shortness of breath

Question 9

Nursing action for hypervolemia

Answer 9

Restrict sodium and water intake

Question 10

Priorities for hypervolemia

Answer 10

Control of edema

Question 11

relationship between client and nurse begins with the introductory
phase ( getting acquainted)

Answer 11

Introductory phase

Question 12

period during which tasks are performed / involves mutually planning
the clients care and implementing the plan, both the nurse and client participate

Answer 12

Working phase

Question 13

The nurse-client relationship is self limiting period when the
relationship comes to an end. Occurs when the nurse and client agree that the clients
immediate health problems have improved

Answer 13

Terminating phase

Question 14

relieves tension before getting to real purpose of the interaction. ( “ we
are having some wonderful weather”)

Answer 14

Broad opening

Question 15

encourages the client to elaborate what they’re saying. ( “how
are you feeling , doing today?”)

Answer 15

Open ended questioning

Question 16

confirms that the nurse is following the conversation. ( client “ I havent been
sleeping well”) & ( nurse “ you haven’t been feeling well?”)

Answer 16

Reflecting

Question 17

confirms that the nurse is following the conversation. ( client “ I havent been
sleeping well”) & ( nurse “ you haven’t been feeling well?”)

Answer 17

Paraphrasing

Question 18

Understand & identify non-therapeutic techniques

Answer 18

-Giving advice
- Minimizing or discounting feelings
- Interrogating – why?
- Sparring

Question 19

Review key points in the Muslim and Asian culture

Answer 19

Asians don’t like to make eye contact , when touching you need to ask permission

Muslims , when passed they need to be turned toward Mecca

Question 20

What are nursing considerations when monitoring TPN via infusion pump?

Answer 20

Assess skin integrity & wound healing. Measure intake and output , monitor weight
daily ; calorie counts.