NURS 2310 - Exam #2 Review Questions With Complete
Solutions
Nursing Diagnosis for Nutrition
-Lack of knowledge
-Impaired swallowing
-Impaired self feeding
Different food patterns based on religion or culture
-Kosher (Consumption of pork, shellfish, rare meats, and blood
is prohibited)
-Islamic (Prohibits alcohol, pork, and caffeine
-Buddhists (Avoid the consumption of meat and meat by-
products and follow vegetarian dietary guidelines
-Fasting
-Typically high in fat, sodium, and carbohydrates
Physiological and physical responses to stress
-Activation of the autonomic nervous system
-Increase heart rate, blood pressure, and respirations
-Pupil dilation
-Decrease in gastric motility and blood flow to the skin
Sleep cycles
-NREM1
-NREM2
-NREM3
-REM
,NREM1
-Lightest level of sleep
-Vital signs and metabolism begin to slow down
-Easy arousal by external stimuli
-Drowsiness
-Lasts a few minutes
-"Resting my eyes"
NREM2
-Relaxation increases
-Sleep becomes deeper
-Snoring may occur
-Relatively easy arousal
-Physiologic functions continue to grow
-Occasional small muscle jerks
-Lasts 10-20 minutes
NREM3
-Deepest stage of sleep
-More difficult arousal and rare movement
-Muscles relaxed
-Vital signs decrease, but rhythms maintained
-Restorative processes occur
-Strong stimuli needed for arousal
-Amount of time spent in slow-wave sleep depends on how long
since a person slept
-Lasts approximately 30-60 minutes
REM
, -Occurrence of vivid, colorful dreaming
-Starts approximately 90 minutes after sleep is initiated
-Rapid eye movements
-Muscle tone decreased
-Gastric secretions decreased
-Very difficult arousal
-Duration of REM sleep increases with each sleep cycle and
averages 20 minutes
Why is protecting patient's chart important
-Confidentiality: Nurses have a professional and legal obligation
to protect patient information
-Privacy: Controlling access to personal information
-HIPAA
Standards of Medical Record Documentation
-Healthcare organization's policies and procedures
-The Joint Commission's standards and elements of performance
Narrative Documentation
-Chronologic
-Baseline recorded on a shift-by-shift basis
-May stand alone or be used with flow sheets and checklists
-Long charting time
SOAP Acronym
-Subjective data
-Objective data
Solutions
Nursing Diagnosis for Nutrition
-Lack of knowledge
-Impaired swallowing
-Impaired self feeding
Different food patterns based on religion or culture
-Kosher (Consumption of pork, shellfish, rare meats, and blood
is prohibited)
-Islamic (Prohibits alcohol, pork, and caffeine
-Buddhists (Avoid the consumption of meat and meat by-
products and follow vegetarian dietary guidelines
-Fasting
-Typically high in fat, sodium, and carbohydrates
Physiological and physical responses to stress
-Activation of the autonomic nervous system
-Increase heart rate, blood pressure, and respirations
-Pupil dilation
-Decrease in gastric motility and blood flow to the skin
Sleep cycles
-NREM1
-NREM2
-NREM3
-REM
,NREM1
-Lightest level of sleep
-Vital signs and metabolism begin to slow down
-Easy arousal by external stimuli
-Drowsiness
-Lasts a few minutes
-"Resting my eyes"
NREM2
-Relaxation increases
-Sleep becomes deeper
-Snoring may occur
-Relatively easy arousal
-Physiologic functions continue to grow
-Occasional small muscle jerks
-Lasts 10-20 minutes
NREM3
-Deepest stage of sleep
-More difficult arousal and rare movement
-Muscles relaxed
-Vital signs decrease, but rhythms maintained
-Restorative processes occur
-Strong stimuli needed for arousal
-Amount of time spent in slow-wave sleep depends on how long
since a person slept
-Lasts approximately 30-60 minutes
REM
, -Occurrence of vivid, colorful dreaming
-Starts approximately 90 minutes after sleep is initiated
-Rapid eye movements
-Muscle tone decreased
-Gastric secretions decreased
-Very difficult arousal
-Duration of REM sleep increases with each sleep cycle and
averages 20 minutes
Why is protecting patient's chart important
-Confidentiality: Nurses have a professional and legal obligation
to protect patient information
-Privacy: Controlling access to personal information
-HIPAA
Standards of Medical Record Documentation
-Healthcare organization's policies and procedures
-The Joint Commission's standards and elements of performance
Narrative Documentation
-Chronologic
-Baseline recorded on a shift-by-shift basis
-May stand alone or be used with flow sheets and checklists
-Long charting time
SOAP Acronym
-Subjective data
-Objective data
