NSG 1400 – Final Week 15 Preclass Questions With
Complete Solutions
-A child who is delayed in meeting developmental milestones
and accomplishing developmental tasks
-An older adult who has demonstrated a loss of functional
ability, has experienced a change in mental status, has multiple
health conditions, or is a frail elderly person living in the
community Correct Answers In what cases would an
interprofessional functional assessment be indicated?
-Accidental: environmental exposure (including staying out in
the cold too long, wearing insufficient clothing for weather
conditions, wet clothing, and cold-water submersion), or as a
complication from serious systemic disorders, hypothalamic
injury
-Therapeutic: intentionally induced to reduce metabolism and
thereby preserve tissue by preventing tissue ischemia (i.e., after
cardiac arrest) Correct Answers Causes of hypothermia
-Age: very young and very old
-Low socioeconomic status
-Geographic location where infection is prevalent
-Immunodeficiency
-Chronic disease
-Environmental conditions: crowded living conditions, absence
of clean food/water, insufficient air ventilation, unsafe sanitary
conditions Correct Answers What factors place a patient at risk
for infection?
-Age/life stage (pregnancy, very young, very old)
,-Ethnicity
-Poor and underserved Correct Answers Populations at risk for
malnutrition include:
-Alarm
-Resistance
-Exhaustion Correct Answers What are the three phases of
General Adaptation Syndrome?
-Albumin
-Prealbumin
-Blood glucose
-Lipid profile
-Electrolytes
-Hemoglobin & hematocrit Correct Answers What are the labs
used to assess nutrition?
-Allogenic hematopoietic stem cell transplantation
-Chemotherapy
-Diseases or disorders in which medications have caused
immunosuppression Correct Answers For what conditions
would protective isolation measures be indicated?
-Anxiety
-Irritability
-Confusion
-Dysrhythmias (bradycardia, heart block)
-Muscle weakness (flaccid paralysis)
-Paresthesia
-Abdominal cramping (GI hyperactivity) Correct Answers
Signs & symptoms of hyperkalemia
,-Assess and monitor vital signs
-Assess for neurologic changes
-Administer fluids as ordered
-Monitor I&O
-Monitor lab results
-Provide oral hygiene
-Daily weights
-Teach elderly to drink fluids when mouth feels dry Correct
Answers Independent interventions for hypovolemia (FVD)
-Assess and monitor vital signs
-Assess neurological changes
-Assess for edema and JVD
-Auscultate lung sounds
-Monitor I&O
-Monitor lag results
-Maintain safety
-Daily weights Correct Answers Independent interventions for
hypervolemia (FVE)
-Assess and monitor vital signs
-Monitor I&O
-Monitor lab results
-Encourage foods high in sodium
-Restrict water intake as ordered
-Administer hypertonic IV solutions as ordered Correct
Answers Independent interventions for hyponatremia
-Assess condition of hearing assistive devices, and encourage
their use
, -Position self so patient can see nurse's mouth
-Speak clearly and slowly, no shouting
-Eliminate background noise
-Stand on patient's stronger-hearing side, if possible
-Provide written instructions if patient is cognitively and
visually able to read
-Use paper and pencil, a whiteboard, or computer to assist
communication
-Sign language interpreter if necessary
-Closed captioning on TV
-Amplified telephone receiver with lights Correct Answers
What interventions are used for a patient with an auditory
alteration?
-Assess condition of visual assistive devices, keep in easy reach
of patient
-Orient patient to the placement of items in the hospital room
-Limit the amount of change in the environment
-Keep furniture in the same place so patient may memorize its
position
-Keep items patient needs within easy reach, and confirm patient
knows the location
-Keep call light within easy reach
-Assist patient with ambulation, especially within the first few
days of admission
-Adequate lighting without glare
-Audio instructions if patient is able to hear
-Describe placement of food on tray in terms of numbers on a
clock Correct Answers What interventions are used for a
patient with visual alterations?
Complete Solutions
-A child who is delayed in meeting developmental milestones
and accomplishing developmental tasks
-An older adult who has demonstrated a loss of functional
ability, has experienced a change in mental status, has multiple
health conditions, or is a frail elderly person living in the
community Correct Answers In what cases would an
interprofessional functional assessment be indicated?
-Accidental: environmental exposure (including staying out in
the cold too long, wearing insufficient clothing for weather
conditions, wet clothing, and cold-water submersion), or as a
complication from serious systemic disorders, hypothalamic
injury
-Therapeutic: intentionally induced to reduce metabolism and
thereby preserve tissue by preventing tissue ischemia (i.e., after
cardiac arrest) Correct Answers Causes of hypothermia
-Age: very young and very old
-Low socioeconomic status
-Geographic location where infection is prevalent
-Immunodeficiency
-Chronic disease
-Environmental conditions: crowded living conditions, absence
of clean food/water, insufficient air ventilation, unsafe sanitary
conditions Correct Answers What factors place a patient at risk
for infection?
-Age/life stage (pregnancy, very young, very old)
,-Ethnicity
-Poor and underserved Correct Answers Populations at risk for
malnutrition include:
-Alarm
-Resistance
-Exhaustion Correct Answers What are the three phases of
General Adaptation Syndrome?
-Albumin
-Prealbumin
-Blood glucose
-Lipid profile
-Electrolytes
-Hemoglobin & hematocrit Correct Answers What are the labs
used to assess nutrition?
-Allogenic hematopoietic stem cell transplantation
-Chemotherapy
-Diseases or disorders in which medications have caused
immunosuppression Correct Answers For what conditions
would protective isolation measures be indicated?
-Anxiety
-Irritability
-Confusion
-Dysrhythmias (bradycardia, heart block)
-Muscle weakness (flaccid paralysis)
-Paresthesia
-Abdominal cramping (GI hyperactivity) Correct Answers
Signs & symptoms of hyperkalemia
,-Assess and monitor vital signs
-Assess for neurologic changes
-Administer fluids as ordered
-Monitor I&O
-Monitor lab results
-Provide oral hygiene
-Daily weights
-Teach elderly to drink fluids when mouth feels dry Correct
Answers Independent interventions for hypovolemia (FVD)
-Assess and monitor vital signs
-Assess neurological changes
-Assess for edema and JVD
-Auscultate lung sounds
-Monitor I&O
-Monitor lag results
-Maintain safety
-Daily weights Correct Answers Independent interventions for
hypervolemia (FVE)
-Assess and monitor vital signs
-Monitor I&O
-Monitor lab results
-Encourage foods high in sodium
-Restrict water intake as ordered
-Administer hypertonic IV solutions as ordered Correct
Answers Independent interventions for hyponatremia
-Assess condition of hearing assistive devices, and encourage
their use
, -Position self so patient can see nurse's mouth
-Speak clearly and slowly, no shouting
-Eliminate background noise
-Stand on patient's stronger-hearing side, if possible
-Provide written instructions if patient is cognitively and
visually able to read
-Use paper and pencil, a whiteboard, or computer to assist
communication
-Sign language interpreter if necessary
-Closed captioning on TV
-Amplified telephone receiver with lights Correct Answers
What interventions are used for a patient with an auditory
alteration?
-Assess condition of visual assistive devices, keep in easy reach
of patient
-Orient patient to the placement of items in the hospital room
-Limit the amount of change in the environment
-Keep furniture in the same place so patient may memorize its
position
-Keep items patient needs within easy reach, and confirm patient
knows the location
-Keep call light within easy reach
-Assist patient with ambulation, especially within the first few
days of admission
-Adequate lighting without glare
-Audio instructions if patient is able to hear
-Describe placement of food on tray in terms of numbers on a
clock Correct Answers What interventions are used for a
patient with visual alterations?
