Download NUR 163 FINAL EXAM 2024-2025 SUMMER EXAM VERIFIED HONDROS COLLEGE OF NURSING 150 QUESTIONS and more Exams Nursing in PDF only on Docsity!
NUR 163 FINAL EXAM 2024-2025 SUMMER EXAM
VERIFIED HONDROS COLLEGE OF NURSING 15 0
QUESTIONS (ANSWERED)
meaning focused coping individual draws on values, beliefs, and goals to modify the personal interpretation and response to a problem reframing a positive coping strategy characterized by purposeful cognitive thoughts whereby the individual identifies positvie aspect of the situation confrontational problem solving method continuing to face the stressor and live with the consequences escape problem solving method completely leaving the situation avoidance problem solving method decrease contact with the stressor
emotional distancing problem solving method consciously working to change your attitude toward the stressor cardiovascular consequences of immobility orthostatic hypotension crucial stroke treatment time 4 - 5 hours fluid excess initial signs cerebral edema, hyponatremia fluid excess late signs drowsiness, confusion data to collect for impaired swallowing gag reflux facial drooping
incentive spirometer use 10 times every hour while awake what does the pineal gland release relating to sleep melatonin what is the number 1 reason people can't sleep pain respiratory consequences of immobility atelectasis possible pneumoia osteoarthritis caused by gradual degenerative changes of the joint. Causing pain, swelling and reduced mobility of the joint. rheumatoid arthritis
systemic autoimmune condition with genetic predisposition that creates an inflammatory process in the synovial membranes on the joints and other body tissues dexterity the ability to perform fine manipulative skills that were perfected when younger such as playing an instrument or sewing recommended weekly exercise for older adults 150 min of aerobic physical activity a week muscle strengthening activities twice a week preventing hypertension during exercise breathe through mouth (valsalva maneuver) home care education for fluid excess educate pt to weigh in similar clothing or naked impaired swallowing medical history ask if history of stroke or neurological problem
primary prevention hearing aides can't get wet valsava maneuver open mouth breathing decreased appetite caused by decreased peristalsis of pt has low bone density need to do weight bearing exercises fall risk use morse fall scale fluid volume deficit
hypernatremia fluid volume excess hyponatremia greatest risk for poly pharmacy if pt has many doctors expressive aphasia cannot express what they want to say best way to help relocation syndrome same caregivers everyday patients with hip fractures are at greatest risk to develop pneumonia ABC
low self esteem behaviors infrequent eye contact sadness anger not motivatied says "don't waste your time on me" contributing factors chronic fatigue decreased sleep pain poor diet lack of exercise depression labs to confirm chronic fatigue kidney function test electrolytes liver function hemoglobin
NI for chronic fatigue validate with pt that fatigue is real establish a therapeutic relationship encourage pt to avoid over exertion NI for increasing skin integrity
- Turn Q 2 HR
- Use draw sheet
- Heels on pillows
- Bladder training discharge instructions for cardiac patients pace yourself rest periods conserve energy unlicensed personal and fall prevention toilet Q 2 hours no loose socks
screenings for older adults to assess stress BMI BP cognitive functional Potential nutritional complications for older adults limited income limited transportation neighborhood only has convenience stores external stressors hot and cold noises physical trauma Intrinsic motivation internal motivators
what do older adults fear the least death ostomies change when 1/3 full chronic fatigue syndrome lasts longer than 6 months priority to report to MD obstructive sleep apnea delegate to nursing assistance snacks to pts empty colostomy lubricate lips older adults value and beliefs their beliefs impact their perception of the world think their beliefs are normal nurse must be tolerant of all pt values
poor swallowing signs and symptoms choking drooling coughing intervention for poor swallowing consult speech for swallow eval calcium in excess causes weakness deficit break down bones when is stress worse when it is accumulative alternative methods massage
if you think caregiver strain is suspected gather info from caregiver coping skills learned early in life, but are modifiable. we teach to reuse positive mechanisms that have worked in the past if potassium is high report it to RN what do you notice in the eyes if a person were stressed pupil dilation which enzymes decrease with stress digestive enzymes what kind of diets do cancer patients need
ROME
RESPIRATORY
OPPOSITE
METABOLIC
EQUAL
what is a goal for patients with impaired mobility to remain free of contractures what is important for prevention of osteoporosis vitamin D what is a primary prevention for mobility balanced nutrition what does alcohol interfere with the absorption of nutrients
what can cause seizures hyponatremia to help heal wounds, what should a patient increase in their diets protein what should we watch for in patients with colitis vitamin A loss autonomy freedom from external control or influence; independence nonmaleficence non harming or inflicting the least harm possible to reach a beneficial outcome beneficence action that is done for the benefit of others
