NUR 176 Final Review Hondros Complete solution 202324

The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? (SATA) - Keep a large clock and calendar in view, reduce distractions during meal times, reduce exposure to over-stimulating situations, and monitor weight regularly for changes. Nurse is caring for a patient with type 1 diabetes. Which indicates need for further assessment? - "My dad and his dad had pancreatic cancer" Which of the following indicates that teaching on meningitis is understood? (SATA) - It is important that we vaccinate our son at the proper times, meningitis is contagious if exposed to the bodily fluids from another infected child, and if our child contracts bacterial meningitis, he will need antibiotic treatment immediately. The nurse is caring for a patient with alzheimer's who is stumbling in the hall frequently. The nurse will do which of the following to protect the client? (SATA) - Offer social or physical activity to promote safety, encourage staff or family supervision for safety, and maintain a cal environment for the patient. The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching should the LPN provide? (SATA) - Effects of illness and stress on the glucose level, S&S of hypoglycemia, and effects of exercise on the glucose level The nurse is caring for a patient with type II diabetes. What statement requires further teaching by the nurse? (SATA) - "I am having difficulty with my wife in bed", "My wife and I love to walk barefoot in the sand", and "My heart Dr. put me on a new pill". Your patient is experiencing a new onset myoclonic (muscle-jerking) seizures. The nurse knows which one of the following statements are true about the seizure characteristics? - Sudden excessive jerking of the body or extremities. Nurse is caring for a patient with diabetes who is concerned about developing long-term complications. Which interventions would the nurse assist the patient with for this? (SATA) - Daily foot exams, annual renal function tests, and maintain LDL under 150mg/dL The nurse is caring for a patient with type II Diabetes. Which statement would indicate a need for further assessment by the nurse? (SATA) - I mix my glargine insulin with my Humalog, I am on prednisone for poison ivy, and I have dry skin on my heel that keeps cracking. Patient in ER with symptoms of a stroke. The nurse knows prompt medication attention is needed within 3 hours to reduce permanent disability or death. Which interventions would nurse anticipate for patient? (SATA) - Administering tissue plasminogen activator (TPA), CT scan or MRI to rule out hemorrhagic stroke, Neuro assessment using NIH stroke scale, and Review any history of bleeding disorders. The nurse is caring for a patient with type I Diabetes post-op 1 day after a right hip replacement.. What should be monitored for this patient? (SATA) - Microalbuminuria, BUN/Creatinine, Blood pressure, and CBC Nurse is caring for patient recently dx with seizures and prescribed phenytoin (Dilantin). What education should we include? (SATA) - Patient should avoid alcohol when taking seizure meds, patient should be encouraged to do good oral hygiene, explain the need to continue medication even when seizures stop, explain that the patient may have driving restrictions. When assessing for meningitis or encephalitis, the nurse is aware which of the following statements is true? - Determining organism specific cause of the condition The nurse is providing dietary teaching to a newly dx diabetic patient. What should be included in education? (SATA) - Plan meals the same time every day, reduce saturated fat and increase exercise, select food from myplate food planning tool. Client is showing signs of dementia. The nurse will practice which guidelines for reality orientation? (SATA) - Set routine and be consistent, be truthful in your responses, and engage them in simple tasks that have a purpose. Patient with new dx of seizures, nurse will instruct patient to keep a log of which of the following? (SATA) - Time and duration of seizures, degree of drowsiness after seizures, and any side effects of nausea and emesis. Nurse caring for patient with suspected early dementia. What S&S will the nurse assess the patient for? (SATA) - Gradual onset of memory loss, difficulty focusing attention, and difficulty finding the right words. Nurse caring for patient with Type II diabetes, reports feeling jittery, racing heart, and sweating even when it's cold. What should nurse do? - Check finger stick blood sugar Patient received 20 units of Novalog sub-q at 0800. What time should the nurse assess for hypoglycemic reaction? - 1000 Nurse caring for patient with elevated ICP recently dx with a brain tumor. Using Tanner's model, which question should the nurse ask? - Have you experienced any vision changes? Patient receives 25 units of Lantus at 2100. What time would the LPN expect to see it start working? - 2200 Nurse finds a dementia patient on the floor and blood on the corner of the dresser. Which would the nurse implement first? - Schedule the patient for a CT of the head. LPN caring for patient who had a stroke 5 days ago. Pt. is nonverbal and does not appear to have understanding of instructions given. What will nurse suspect? - Aphasia