Name 3 things that may cause stress incontinence?
Some answers are: weakened pelvic floor muscles, trauma, childbirth, aging, meds, obesity
A resident points at the water pitcher and asks if you could hand her the blanket, what is this an example of?
Expressive aphasia
Which of the 5 senses is mostly commonly affected in dementia patients?
Smell, which leads to decreased eating
The student nurse documents a patient’s pain assessment in the chart. Which of the following is a correct example of documentation?
Patient is sleeping so pain is a 0/10
Patient's pain seems to be continuous and throbbing
Patient states pain is a continuous, throbbing, 8/10 Patient
It appears that the patient's pain is about an 8/10
A patient’s wife states, “I can’t imagine trying to plan a funeral for my husband.” What type of grief does this represent?
Disenfranchised grief
Complicated grief
Exaggerated grief
Anticpatory grief
Beef, oysters, shrimp, scallops, spinach, beets, and greens are good sources of _____.
Iron
Which of these is a result of immobility?
Muscle mass gain
Orthostatic hypertension
Decreased cardiac workload
Bilateral elbow contractures
What should the nurse do while placing an NG tube if the patient starts to gag uncontrollably?
Have them turn their head to the left
Ask them to drink the water faster
Stop the procedure
Put them in a supine position
What dose the O in SOLER stand for?
Open Stance
Your patient has been diagnosed with a terminal illness, the patients family member mentions “I want to make the most of the time that I have left with him”. Which form of grief is the patients family member experiencing?
Mourning
Anticipatory Grief
Disenfranchised Grief
Complicated Grief
How often should you reposition a patient to prevent a pressure ulcer?
Every 30 minutes
Every 4 hours
Every 2 hours
Every 12 hours
A substance that takes up H+ ions in solution
Base
Which of the 5 senses is most commonly affected in dementia patients
Smell
Sight
Touch
Hearing
Which patient should the nurse prioritize?
a draining pressue ulcer
severe pain
dementia
sudden shortness of breath
Think of respiratory alkalosis and tell us if the pH is high or low and the Co2 is high or low.
pH high and CO2 low
Which of these is a result of immobility?
Muscle mass gain
Bilateral elbow contractures
Orthostatic hypertension
Decreased cardiac workload
What is an occult blood test?
It tests for blood in stool that cannot be seen
A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems?
Breathing, Pain, Sleep
The student nurse documents a patient’s pain assessment in the chart. Which of the following is a correct example of documentation?
Patient is sleeping so pain is a 0/10
Patient states pain is continuous, throbbing, and an 8/10
Patient's pain seems to be continuous and throbbing
It appears that the patient's pain is about an 8/10
Which is NOT benefit of a diet high in fiber?
Aid in weight loss
Normalize calcium levels
Normalize bowel movements
Lower blood cholesterol levels
What is labeled A? Is the blood oxygenated or deoxygenated?
Aorta, oxygenated
What kinds of incontinence happens during ativities that increase intraabdominal pressure
Stress incontinence
Which type of complicated grief involves behaviors that are interfering with normal functioning, but the person grieving is not aware they are doing these to conceal grief.
Masked Grief
95% of nutrient absorption takes place in the small intestine - Fact or Fiction?
Fiction! 90% of digestion also takes place here - 10% in stomach & large intestine
The nurse documents the periwound tissue as
Maceration
What is stress incontinence?
involuntary loss of urine through an intact urethra due to sneezing, coughing, changing position
Where is gas exchanged in the human body?
Alveoli
It occurs due to external sphincter not opening for release of urine or blockage of urethra leading to increased urine volume and bladder distention
Urinary Retention
Substance that releases H+ ions into a solution
Acid
Is it ok to have a bit of sugar in urine?
No, if there is sugar in urine, it should be repeated, and a blood sugar ordered.
What is referred pain?
Pain that is perceived in an area distant from it's point of origin
What vascular devices are considered to be a central line?
PICC, central venous catheter, port
True or False? Algor Mortis is the stiffening of mustles post death
False
What kind of pressure is created by the wound vac?
Atmospheric Pressure
Negative Pressure
Positve Pressure
None of the Above
CO2 retention causes
Respiratory Acidosis
Blood pH normal levels
7.35 to 7.45
Which IV Fluid should you avoid in a patient with a head injury?
5% Dextrose in 0.9% Normal Saline
Lactated Ringers
10% Dextrose in 0.45% Normal Saline
0.33% Normal Saline
A young girl’s cat has died. When on the playground she states to her friends, “I can’t wait to get home and play with my cat.” What type of grief is she displaying?
Anticipatory
Mourning
Denial
Disenfranchised
A nurse is caring for a patient who has been diagnosed with dehydration. Which of the following interventions would be appropriate to promote hydration and maintain normal urine specific gravity?
Monitor patient’s urine output, but do not encourage fluids
Administer a diuretic medication to promote urine output.
Encourage the patient to drink fluids every hour while awake
Restrict fluid intake to prevent fluid overload.
When it is appropraite for the nurse to remove lines and tubes from a deceased patient?
When it has been determined that an autopsy will not be performed
Why would a patient need to do this to their food/drink?
Aspiration precautions or dsyphagia
What is the gold standard method for a the nurse confirm placement of an NG tube?
XRAY