RNSG 1413 CORRECT SET QUESTIONS AND
ANSWERS SET A+
✔✔sensory overload causes - ✔✔- excessive environmental stimuli
- impaired ability to effectively process stimuli
- sleep disturbances/deprivation
- medication
- psychological stress
- unfamiliar environment
✔✔sensory overload interventions - ✔✔- frequently reorient patient
- call patient by name
- identify yourself at every encounter
- reduce noise, lights, and clutter
- offer earplugs
- explain stimuli
- facilitate sleep
✔✔immobility interventions - ✔✔- turn every 2 hours
- SCDs / ted hose
- ROM
- assessment
✔✔percentages of each food group - ✔✔50-60 % carbs
20-30 g protein
✔✔vitamin C,D,A,K - ✔✔wound healing
✔✔BMI calculation - ✔✔weight (kg) / height (m^2)
or
*[weight (lbs) / height (in^2)] x 703*
, ✔✔BMI scale - ✔✔Underweight <18.5
Optimal 18.5-24.9
Overweight 25-29.9
Obese >30
✔✔protein - ✔✔- provide energy, tissue growth/repair, component of body framework
and fluids
✔✔BUN and creatinine - ✔✔kidney function
- level of hydration
- high BUN and normal creatinine = dehydration
✔✔albumin - ✔✔- carry medication and substances through blood for healing
- clotting
✔✔liquid and clear diet - ✔✔- post op
- nausea and vomiting
- diarrhea
- dehydration
✔✔personal identity - ✔✔- sense of self
- sense of what is familiar and normal
- mental picture of self and what is real
✔✔self concept interventions - ✔✔- use of therapeutic communication
- explore patients personal strengths and previous coping
- support actions and behaviors which create a sense of increased competency and a
sense of control
- explore values to identify conflicts between expectations and possibilities
- positive reinforcement, even little things
✔✔defense mechanisms - ✔✔the ego's protective methods of reducing anxiety by
unconsciously distorting reality
✔✔Non REM sleep - ✔✔75-80% sleep time
- slow eye movement, HR and temp decrease, delta waves
✔✔REM sleep - ✔✔20-25% sleep time
- 3-4 times a night
- vivid dreaming
✔✔Sleep assessment - ✔✔- tell me about ur sleeping habits
- ask sleep partner
- EEG
- are you tired when you wake up
ANSWERS SET A+
✔✔sensory overload causes - ✔✔- excessive environmental stimuli
- impaired ability to effectively process stimuli
- sleep disturbances/deprivation
- medication
- psychological stress
- unfamiliar environment
✔✔sensory overload interventions - ✔✔- frequently reorient patient
- call patient by name
- identify yourself at every encounter
- reduce noise, lights, and clutter
- offer earplugs
- explain stimuli
- facilitate sleep
✔✔immobility interventions - ✔✔- turn every 2 hours
- SCDs / ted hose
- ROM
- assessment
✔✔percentages of each food group - ✔✔50-60 % carbs
20-30 g protein
✔✔vitamin C,D,A,K - ✔✔wound healing
✔✔BMI calculation - ✔✔weight (kg) / height (m^2)
or
*[weight (lbs) / height (in^2)] x 703*
, ✔✔BMI scale - ✔✔Underweight <18.5
Optimal 18.5-24.9
Overweight 25-29.9
Obese >30
✔✔protein - ✔✔- provide energy, tissue growth/repair, component of body framework
and fluids
✔✔BUN and creatinine - ✔✔kidney function
- level of hydration
- high BUN and normal creatinine = dehydration
✔✔albumin - ✔✔- carry medication and substances through blood for healing
- clotting
✔✔liquid and clear diet - ✔✔- post op
- nausea and vomiting
- diarrhea
- dehydration
✔✔personal identity - ✔✔- sense of self
- sense of what is familiar and normal
- mental picture of self and what is real
✔✔self concept interventions - ✔✔- use of therapeutic communication
- explore patients personal strengths and previous coping
- support actions and behaviors which create a sense of increased competency and a
sense of control
- explore values to identify conflicts between expectations and possibilities
- positive reinforcement, even little things
✔✔defense mechanisms - ✔✔the ego's protective methods of reducing anxiety by
unconsciously distorting reality
✔✔Non REM sleep - ✔✔75-80% sleep time
- slow eye movement, HR and temp decrease, delta waves
✔✔REM sleep - ✔✔20-25% sleep time
- 3-4 times a night
- vivid dreaming
✔✔Sleep assessment - ✔✔- tell me about ur sleeping habits
- ask sleep partner
- EEG
- are you tired when you wake up
