Final Review Spring 22 | Baamboozle - Baamboozle

What is this a picture of?

Hematuria

A resident points at the water pitcher and asks if you could hand her the blanket, what is this an example of?

Expressive aphasia

True or False? Dementia is a normal sign of aging

False

When might someone have rigor mortis?

After death

After birth

In early adulthood

Over the age of 50

Which assessment finding is NOT associated with approaching death?

Increased blood pressure

Loss of appetite

Increased drowsiness

Progressive weakness

The nurse is caring for a patient with depression. Which statement by the patient indicates a need for further education?

"Depression is always treated with medication.”

“Depression is a mood disorder.”

“Depression can have a rapid onset.”

“Depression can be caused by chemical changes in the brain

A nurse checks a patients sodium levels and notices the sodium levels are at 150 mEq/L, which is an expected finding from that patient?

Edema

Chvostek's Sign

Diarrhea

Increased deep tendon reflexes

A nurse is looking at a patient's labs and notices that their calcium levels are at 7.4mg/dl, which sign is expected from the patient?

Trousseau's Sign

Seizure

Dysrhythmias

Depressed respirations

Leslie has had right lower abdominal pain for the past 2 weeks from a surgical wound. How would the nurse classify this pain?

Somatic, Acute

Viseral, Acute

Somatic, Chronic

Viseral, Chronic

Carb Counting. Patient blood sugar is 175 before breakfast. They ate 30 gms of carbs for breakfast. The physician ordered (1 unit of Humalog regular insulin/20 grams of carb eaten) Also needs correctional insulin. How much do you give?

5

3

2

1

In the movie Tuesdays With Morrie, why does Morrie choose to stay in his chair?

He feels that he has surrended to death if he stays in bed

It makes it easier to lift him for moving

He has fewer coughing spells up in the chair

So he can sit upright to see his guest

A nurse is teaching a patient about foods that are included on a clear liquid diet. Which of the following food choices made by the patient indicates the need for further teaching?

Yogurt

Broth

Popsicle

Gelatin

A nurse may suspect that a patient is experiencing urinary retention when the patient has:

Small amounts of urine voided 2 to 3 times per hour

Large amounts of voided cloudy urine

Burning Pain in the suprapubic region

Spasms and difficulty during urination

The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis best addresses the greatest concern of complication from this sensory deficit?

Risk for fall

Body image disturbance

Social isolation

Fear

A newly graduated nurse is assigned to care for a team consisting of herself and a certified nursing assistant. When delegating skills, she needs to

Assess the knowledge of the certified nursing assistant.

Assign only bed-making and feeding skills.

Remind the staff member that she is working under the RN

Asking them to perform skills that the RN is able to teach

The nurse is caring for a young patient whose mother has only a week to live. The patient has been misbehaving at school recently and is suspended after picking fights with students & defying teachers. Which stage of grieving is he in?

Anger

True or False? Abdominal assessment is performed in the following order: inspection, auscultation, palpation, and percussion?

False

For a sigmoidoscopy procedure the nurse should place the patient in what kind of position?

Sims' position or left lateral

True or False? The evaluation phase of the nursing process is to determine whether nursing interventions have enabled the patient to meet the desired goals.

True

What is the best way to prevent the spread of infections?

hand hygiene or hand washing

The nurse caring for a patient with Tuberculosis. What type of precautions would the nurse implement?

Airborne Precautions

On assessment, the lower extremity demonstrates 2+ pitting edema. The nurse documents this wound as

Venous stasis ulcer

In a patient with elevated PT, PTT or INR, on dressing change the nurse may expect

increased bleeding

The nurse documents this drainage as

serous

This bulb drain is known as a ___________

JP Drain or Jackson-Pratt Drain

The nurse documents this this thin, red-tinged drainage as

serosanguineous

The nurse documents this wound as a stage ___ pressure injury

three - 3

The nurse documents this wound as pressure injury as

unstageable

The nurse documents this area of unblancheable redness as a stage ______________ pressure injury

one - 1

The nurse documents this wound as a stage ___ pressure injury

2 - two

The nurse documents this wound as a

laceration

cut

abrasion

wound

A nurse is teaching an alert client how to use a PCA system in the home. How will the nurse explain what they must do to self-manage pain?

"When you push the button, you will get the medicine."

"The medicine is going into your body all of the time"

"I will teach your family what they need to do"

"You don't have to do anything, the machine does it all."

True or false? The best judge of the existence and severity of a patient’s pain is the physician or nurse caring for the patient.

False

A patient’s labs return with a sodium level of 150. The nurse anticipates which of the following orders?

IV 0.3% saline

IV 5% saline

IV 3% saline

IV 0.9% salin

An 82-year-old male presents to the ED c/o excess thirst, 2+ pitting edema, and decreased urine output. He states he has had a cold and has been taking Alka-Seltzer every 4 hours for the past week. The nurse suspects

Hypernatremia

Hyponatremia

Hyperkalemia

Hypokalemia

Processed foods such as canned soup and frozen pizza have high levels of

sodium

water

sugar

potassium

Which of the following electrolyte imbalances occurs due to a sodium deficit in ECF caused by a loss of sodium or gain of water?

Hyponatremia

Hypokalemia

Hypernatremia

Hyperkalemia

True or False? A hypertonic solution has a greater osmolarity, causing water to move out of the cells and to be drawn into the intravascular compartment, causing the cell to shrink.

True

The outward social expressions of loss often dictated by cultural norms, customs, rituals, and tradition is known as _______

mourning

Legal documents that allow people to convey their wishes for end-of-life care and include living wills, durable powers of attorney for healthcare, and healthcare proxies are known as _____

advance directives

A period of time or state of mind where feelings of loss, grief, or mourning are experienced by the survivor after the death of a loved one is known as _________

bereavement