NUR2356 MDC 1 Exam 1 2023 LATEST VERSION

NUR2356 MDC 1 Exam 1 2023 LATEST VERSION NUR2356 MDC 1 Exam 1 1. Complications of urinary elimination - - UTIs 2. UTI patient education - - wipe front to back - pee before and after sex - cleanse beneath foreskin - provide catheter care regularly (nurses) 3. A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? - A. Check to see whether the catheter is patent B. Reassure the client that it is not possible for them to urinate. C. Recatheterize the bladder with a larger-gauge catheter. D. Collect a urine specimen for analysis. 4. A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply.) - A. Restrict the client's intake of fluids during the daytime. B. Have the client record urination times. C. Gradually increase the urination intervals. D. Remind the client to hold urine until the next scheduled urination time. E. Provide a sterile container for uri 5. A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply.) - A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back to clean the perineum D. Location of the urethra closer to the anus E. Frequent catheterization 6. A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.) - A. Limit total daily fluid intake. B. Decrease or avoid caffeine. C. Take calcium supplements. D. Avoid drinking alcohol. E. Use the Credé maneuver 7. When you see indications of skin breakdown, what is your next action? - - Elevate and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows) 8. What does PQRST stand for? - Palliative/Provoking Quality Region/Radiation Severity Tim 9. What are some nonverbal signs of pain? - - grimacing - moaning - flinching - guarding - decreased attention span - restlessness, pacing 10. What do vital signs look like during acute pain? - - BP increased - Pulse increased - RR increased 11. Before nurses give a pain medication, what should they assess? - - drug interactions - allergies - vital signs - side effects 12. What are common side effects to pain medications? - - low BP - low HR - sedation - respiratory depression - orthostatic hypotension - urinary reten - nausea/vomiting - constipation 13. After administering pain medication, what is the follow up? - - reevaluate pain level - if given orally, follow up q 1 hour - if given IV, follow up q 15 min - check vital signs! 14. What are the complications related to pain management? - - anxiety - fear -depression - slower healing - slower recovery 15. Superficial pain usually involving the skin or subcutaneous tissue - - cutaneous pain 16. Pain in internal organs (the stomach or intestines). It can cause referred pain in other body locations separate from the stimulus - - visceral pain 17. A type of neuropathic pain: sensation of pain without demonstrable physiologic or pathologic substance; commonly observed after the amputation of a limb 18. Arises from abnormal or damaged pain nerves. It includes phantom limb pain, pain below the level of a spinal cord injury, and diabetic neuropathy: "pins and needles" – - neuropathic pain 19. Difference between acute and chronic pain? - - -acute pain: lasts less than 6 mnths, caused by something specific e.g. broken bone - -chronic pain: lasts more than 6 mnths, caused by an underlying issue, affects ADLs 20. Chronic pain without identifiable physical or psychological cause - - idiopathic pain 21. Non-Pharmacological Pain Management strategies - - cognitive behavioral measures: changing the way a client perceives pain, and physical approaches to improve comfort - cutaneous stimulation: cold, heat, therapeutic touch, massage, TENS - distraction: ambulation, deep breathing, visitors, television, games, prayer, music - relaxation: yoga, meditation, progressive muscle relaxation - imagery: pleasant thought, ability to concentrate - acupuncture/acupressure - elevation of edematous extremities 22. Stages of Therapeutic Communication - Pre-interaction Orientation Working Termin 23. Pre-interaction phase - - phase is established even before you meet the client - begin establishing communication by gathering information about the client, but the nurse and client do not have direct communication. 24. Orientation phase - - begins when you meet the client and introduce yourself and your role in the relationship. - goal is to establish rapport and trust through the use of verbal and nonverbal communication. 25. Working phase - - The bulk of therapeutic communication occurs in this phase - the nurse communicates caring, the patient expresses thoughts and feelings, mutual respect is maintained, and honest verbal and nonverbal expression occurs. 26. Termination phase - - The conclusion of the relationship, whether at the end of the nurse's shift or on the client's discharge from the unit, facility, or service. - Reviewing and summarizing help to bring the relationship to a comfortable conclusion. 27. The 5 key characteristics of therapeutic communication - -empathy -respect -genuineness -concreteness -confrontation 28. Name ways to enhance therapeutic communication - -Active listening -Establishing trust -Being assertive -Restating, clarifying, and validating messages -Interpreting body language and sharing -observations -Exploring issues -Using silence -Summarizing the conversation -Process recordings 29. Name some barriers to therapeutic communication - -Asking too many questions -Asking why -Fire-hosing information -Changing the subject inappropriately -Failing to probe -Expressing approval or disapproval -Offering advice -Providing false reassurance -Stereotyping -Using patronizing language 30. Name some non-verbal communication - -Facial expression -Posture and gait -Personal appearance -Gestures -Touch 31. Complementary therapy - -therapeutic or preventive health care practices, such as homeopathy, naturopathy, chiropractic, and herbal medicine - do not follow generally accepted medical methods and may not have a scientific explanation for their effectiveness - used (alongside) in addition to or to enhance conventional medical care 32. Alternative therapy - -includes herbs and other "natural" products. -not controlled or tested by the U.S. Food and Drug Administration. -are considered to be dietary supplements -used instead of modern medicine - often the basis for discovery of an active ingredient that is later developed into a regulated medication treatment approaches that are used to enhance conventional medical care 33. A nurse is teaching a group of newly licensed nurses on complementary and alternative therapies they can incorporate into their practice without the need for specialized licensing or certification. Which of the following should the nurse encourage them to use? (Select all that apply.) - A. Guided imagery B. Massage therapy C. Meditation D. Music therapy E. Therapeutic touch 34. A nurse is reviewing complementary and alternative therapies with a group of newly licensed nurses. Which of the following interventions are mind-body therapies? (Select all that apply.) - A. Art therapy B. Acupressure C. Yoga D. Therapeutic touch E. Biofeedback 35. A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (Select all that apply.) - A. Place a belt restraint on the client when they are sitting on the bedside commode. B. Keep the bed in its lowest position with all side rails up. C. Make sure that the client's call light is within reach. D. Provide the client with nonskid footwear. E. Complete a fall-risk assessment