First Semester Overview For Final

Front 1

Pt put on furosemide, what will we monitor for?

Back 1

Excessive urination

Polyuria

Front 2

Which body organ/s do not require insulin to transfer glucose into their cells

Back 2

Brain

Liver

Intestines

Renal tubules

Front 3

List three incomplete proteins

Back 3

Whole wheat bread

Almonds

Peas

Front 4

What conditions can cause negative nitrogen balance

Back 4

Post op status

Failure to thrive

Front 5

What diet selection is contradictory to Islam requirements

Back 5

Pork chop with applesauce

Front 6

Name one oil that is a saturated fat

Back 6

Palm oil

Front 7

What medical condition will benefit from a reduction in sodium

Back 7

Hypertension

Front 8

If you don't eat fruits and vegetables what vitamin will you be deficient in

Back 8

Vitamin C

Front 9

A nutritional deficit in what food group/s would be a problem for wound healing

Back 9

Protein

Vitamin C

Front 10

For a pt with anemia, what nutrient should be increased

Back 10

Iron

Front 11

Kosher diet is for a pt who adheres to what religion

Back 11

Judaism

Jewish

Front 12

What effect does a rise in temp have on a pts basal metabolic rate

Back 12

Increase in BMR

Front 13

A pt on HCTZ should take care of _______ by including _______ into the diet?

Back 13

Potassium excretion/hypokalemia

Bananas, peaches, molasses, potatoes

Front 14

Mom brings 4-month-old in for check -up and says she can't continue to breastfeed w/ work. What should nurse reply?

Back 14

Make sure you give your kid an iron-fortified formula

Front 15

When should lifelong food habits be developed?

Back 15

Early in toddler hood

Front 16

For pregnancy, consuming which nutrient will help prevent neural tube defects?

Back 16

Folic acid

Front 17

A post-op pt is prescribed a clear liquid diet. What are some foods this allows?

Back 17

Gelatin, popsicles

Front 18

What lab result most accurately reflects a patient's nutritional status?

Back 18

Prealbumin

Front 19

For a patient with mild pain what meds can be given

Back 19

Naprosyn

Ibuprofen

Motrin

Front 20

What GFR rate is considered normal

Back 20

100-125ml/min

Front 21

Will the bladder be palpable if it is not distended with urine?

Back 21

No, not normally

Front 22

What urine specific gravity would be expected for an infant

Back 22

1.005

Infants cannot concentrate their urine so pick the lowest value

Front 23

How many wet diapers should an infant have a day

Back 23

8-10

Front 24

If a pt has edema what medication will likely be prescribed to increase urine output?

Back 24

Furosemide

Front 25

A pt had a stroke. The client has urinary incontinence, what complication would this put pt a risk for?

Back 25

Skin breakdown

Front 26

A post-op pt has had a total of 50ml of urine output in the past 2 hours. What should the nurse do

Back 26

Notify physician of pts diminished urine output

Front 27

A pt indicates understanding of collecting a clean catch urine specimen by saying what

Back 27

I'll clean front to back

I'll collect urine midstream

Front 28

What body position should patient be in before nurse inserts a catheter

Back 28

Dorsal recumbent

Front 29

Passing urine when you sneeze or cough is what kind of incontinence?

Back 29

Stress

Front 30

What would you do first when caring for a pt having difficulty voiding?

Back 30

Pour warm water over the perineum

Front 31

Why should an indwelling cath be used only when absolutely necessary?

Back 31

It's the leading cause of nosocomial infection

Front 32

Nurse sees that 2-day old infant had black tarry stools, what should she do

Back 32

Nothing. This is normal

Front 33

What age should child be toilet trained by

Back 33

2 1/2

Front 34

What foods are indicated for the constipated pt?

Back 34

Fruits and veggies

Front 35

Intestinal infection has removed some normal flora. What food can help replace and heal?

Back 35

Yogurt

Front 36

What 2 factors put pt at risk for constipation

Back 36

High dose calcium therapy

Sedentary lifestyle

Front 37

Infrequent bowel sounds are called:

Back 37

Hypoactive

Front 38

Home testing for fecal occult blood. What foods will pt avoid eating for 3 days prior to test:

Back 38

Red meat, chicken, fish, horseradish

Front 39

Ingesting _____ will cause a false negative fecal occult blood test

Back 39

Vitamin C

Front 40

What factors affect regulation of body fluids

Back 40

Hormonal regulation

Fluid intake

Kidney function

Front 41

What body fluid lies in the spaces between the body cells

Back 41

Interstitial

Front 42

Chloride, Bicarb, phosphate and slate are examples of:

Back 42

Anion

They carry a negative charge

Front 43

LOC and alcoholism: what electrolyte imbalance might the nurse suspect

Back 43

Hypomagnesemia

Front 44

Passive process by which molecules of a solute move thru a cell membrane from an area of high concentration to an area of lower concentration is:

Back 44

Diffusion

Front 45

What three mechanisms are involved in acid base balance?

Back 45

Buffer systems

Respiratory mechanisms

Renal mechanisms

Front 46

What process requires energy to maintain the sodium potassium levels of the blood?

Back 46

Active transport

Front 47

What electrolyte is the primary regulator of fluid volume

Back 47

Sodium

Front 48

Mormon diet considerations

Back 48

No alcohol

No coffee

No tea

Front 49

Muslim diet considerations

Back 49

No pork

Front 50

Catholic diet considerations

Back 50

Eat fish on Friday

Observe Lent

Front 51

What are essential amino acids important for

Back 51

Healing

Front 52

Foods with Vitamin B12

Back 52

Clams

Beef

Front 53

How much Calcium is necessary daily

Back 53

1200mg

Front 54

Iron daily requirements

Back 54

18mg (menstruating fem)

Front 55

What does a Jewish kosher diet consist of

Back 55

No meat with dairy (beef strog)

No shellfish

Must be animal that chews cud

Front 56

Cardiac diet

Back 56

Low sodium

Front 57

4 factors to go on home health

Back 57

Have to be home-bound

Has to require skilled nursing srvc

Srvc have to be INTERMITTENT

Physician has to order

Front 58

What can be delegated

Back 58

Things that do not require nursing intervention or nursing assessment

Front 59

5 rights of delegation

Back 59

Task

Circumstance

Person

Direction & communication

Supervision & evaluation

Front 60

Lispro details

Back 60

Onset: 15 min

Peak: 1-2 hr

Duration: 3-4 hr

Front 61

Lantus details

Back 61

Onset: 3-4 h

Peak: none

Duration: 24 h

Front 62

4 dimensions of self concept

Back 62

Self knowledge

Self expectation

Social self

Social evaluation

Front 63

4 components of self concept

Back 63

Personal identify

Body image

Role performance

Self esteem

Front 64

Acute pain

Back 64

Tissue damage

Front 65

Chronic pain

Back 65

3-6 months or more

After that pain is produced by the brain

Front 66

Treatment of chronic pain

Back 66

Must re-train the brain

Surgery may not be helpful

Diet extremely important- sensitized nervous system

Personal story

Front 67

Superficial pain

Back 67

Rises in skin

Front 68

Important for nurse to know the ways pain is classified why?

Back 68

To develop effective pain management plan

Front 69

How do opioids work?

Back 69

Bind to receptors in brain and spinal cord

Front 70

What body tissues DO require insulin for glucose uptake

Back 70

Skeletal muscle

Cardiac muscle

Adipose tissue

Front 71

Hyperglycemia occurs when _____ % of beta cell function is lost

Back 71

80-90%

Front 72

Type 1 DM characterized by what two things:

Back 72

Hyperglycemia

Development of ketosis

Front 73

Renal threshold for glucose:

Back 73

180 mg/dL

Front 74

Once blood glucose exceeds renal threshold what happens

Back 74

Glucosuria-glucose in urine

Front 75

Hyperglycemia causes serum hyper/hypo osmolality

Back 75

Hyperosmolality

Front 76

What is polyphagia

Back 76

Excessive hunger

Front 77

Treatment for pt with Kussmaul resp

Back 77

Insulin!

Front 78

Low blood sugar treatment

Back 78

15/15 principle

15g carbs q 15 minutes

Front 79

Control of hyperglycemia may delay onset of what

Back 79

Micro vascular and

Macro vascular complications

Front 80

First indication of nephropathy

Back 80

Microalbuminuria

Front 81

Aggresive management of hypertension in diabetes should be done with what type of medication

Back 81

ACE inhibitors

(Angiotensin-converting enzyme)

Front 82

Normal fasting plasma glucose (FPG)

Back 82

100-126mg/dL

Front 83

When should lispro be administered

Back 83

15 mins before a meal

Front 84

What insulin can be given both IV and SubQ

Back 84

Regular ONLY

Front 85

Diabetic tired & shaky after workout

Back 85

"Eat a snack before hand."

Front 86

Hemoglobin A1c normal value

Back 86

5.5-6.0%

Front 87

Blooms domains

Back 87

Cognitive-thinking

Affective-emotion

Psychomotor-hands on

Front 88

Delirium vs. Dementia

Back 88

Delirium-acute & reversible

Dementia-progressive loss of cognitive functioning

Front 89

Who would be at risk for complicated grief

Back 89

Family of young person killed in bank robbery

Front 90

Evaluating all models of grief, what should the nurse know about anticipating stages of grief

Back 90

There are no clear timetables

No clear-cut stages of grief

Front 91

Rules for hospice

Back 91

Life expectancy of 6 months or less

Front 92

Older client relocated and crying all day, what type of grief are they experiencing

Back 92

Loss of familiar environment

Front 93

Terminally ill pt who is gurgling. What does this tell us

Back 93

Nearing death, "death rattle"

Front 94

Client is nearing death. Facial expression is one of extreme sadness. What do we do?

Back 94

Acknowledge. Ask if they'd like to talk about their feelings

Front 95

Client asks nurse "Are herbals a good idea? " What should reply be?

Back 95

"Are there specific ones you're wondering about? "

Front 96

Client worth history of depression is on St.Johns Wort. What vital sign should we watch carefully?

Back 96

His pulse!

Front 97

Pt with glaucoma and vision issues is on herbals. What herbal are we worried about?

Back 97

Ginseng

Front 98

In working with the elderly what percentage will have one chronic disease

Back 98

80-88%

Front 99

Client has sarcopenia, what s/s will client report?

Back 99

Lack of strength and tiring easily

Front 100

What change in cognitive functioning is true of the elderly

Back 100

Reversible systemic disorders are often implicated as a cause of delirium

Front 101

What physical assessment finding would be normal for physiological aging

Back 101

Increased airway resistance (noncompliance)

Front 102

Nurse is doing a home visit. When she talks to the family about poor lighting, throw rugs, and address signs, she is addressing which of Maslow's needs?

Back 102

Safety and security

Front 103

64 yo won't take out dentures in room before surgery. What can we give as alternative

Back 103

Ask client if they prefer dentures to be removed in operating room receiving area

Front 104

Confused patient in hospital. Best introduction:

Back 104

"Good morning. You're in the hospital. I'm Bethann, your nurse."

Front 105

Flu vaccine clinic and have patient with sore throat. Do we question administration of vaccine?

Back 105

Yes. Vaccine is deferred in presence of acute respiratory finding

Front 106

Elder in hospital is recovering. Questions RN about med care after discharge. What should nurse assess

Back 106

Assess clients independence and ability to function in his own home after discharge

Front 107

What pt should we play classical music for and when

Back 107

Dementia pt at bedtime. Very effective for Sundowners syndrome

Front 108

When should activities for pts with dementia be scheduled?

Back 108

The same time each day

Front 109

Quantitative research

Back 109

Numerical data, math

Front 110

Qualitative research

Back 110

Feelings, a quality

Front 111

Infant weight

Back 111

Double @ 6 mos

Triple @ 1yr

Front 112

First food @ 6 mos should be?

Back 112

Iron fortified rice cereal

Front 113

Generation X

Back 113

Resentful, skeptical of authority figures

Front 114

Oral temp considerations:

Back 114

Hot/cold drink in last 20-30 min

Front 115

Normal temp range

Back 115

96.8-----99.5 F

Front 116

Teaching/Learning buzz word

Back 116

"Teachable Moment"

Front 117

Schedule 1 drugs

Back 117

No medical use

LSD, heron, ecstacy

Front 118

Schedule 2 drugs

Back 118

Highly Addictive

Opioid analgesics, CNS stimulants/depressants

Front 119

Schedule 3 drugs

Back 119

Less, but highly addictive

Anabolic steroids, codeine

Front 120

Schedule 4 drugs

Back 120

Not as addictive

Benzodiazepines, sedatives, prescription appetite suppressive

Front 121

Schedule 5

Back 121

Least addictive

Antidiarrheal with small amount of controlled substance

Lomotil

Front 122

Generic name

Back 122

Name used thru life of drug

Front 123

Brand/Trade name

Back 123

Drug manufacturer appointed name, owned by company

Front 124

Iatrogenic principle

Back 124

Cure worse than disease

Front 125

Pharmacokinetics

Back 125

Absorption

Distribution

Metabolism

Excretion

Front 126

What to know about the Distribution phase

Back 126

First Pass Effect

Drug passes thru liver via blood, liver cleans out some of the drug. Then it's distributed to target site via blood system then metabolized in liver or kidneys

Front 127

If a drug is bound to an albumin molecule is it active?

Back 127

No. It cannot act while hanging onto albumin for dear life while traveling

Front 128

Pt is receiving Tylenol for fever. He complains of pain, can more Tylenol be given?

Back 128

No. It can only be given for what it is prescribed for

Front 129

Kwashkiorkor

Back 129

Severe protein deficiency of hair

Coarse, dry and faded

Front 130

Clubbing cause?

Back 130

Long term lack of oxygen

Front 131

Drugs ensuing in "pril" are what classification

Back 131

ACE inhibitors

Front 132

Drugs that end in "sartan" are what class

Back 132

Angiotensin blockers

Front 133

Drugs that end in "lol" are what class

Back 133

Beta blockers

Front 134

Biots breathing

Back 134

Cluster breathing

Quick shallow breaths followed by periods of apnea

Front 135

Cheyne-Stokes breathing

Back 135

Progressively deeper and faster then stops for 20 seconds

2 min patterns

Damage to brain, end of life

Front 136

Elevated T waves

Back 136

HYPERKALEMIA

Front 137

Tetany

Back 137

HYPOCALCEMIA

Front 138

Depressed T wave

Back 138

HYPOKALEMIA

Front 139

Thirst indicates

Back 139

HYPERNATREMIA

restrict fluids

Front 140

Confusion indicates what electrolyte imbalance

Back 140

HYPONATREMIA

Front 141

Electrolyte imbalance to whitey v about worth pregnant women and alcoholics

Back 141

Magnesium