A nurse observes that a pt who has cataracts is sitting closer to the TV than usual. The
nurse would interpret that the etiologic basis of this sensory problem is an alteration
in:
A. Environmental stimuli
B. Sensory reception
C. Nerve impulse conduction
D. Impulse translation
Give this one a try later!
B
Cataracts are interfering w/ the pt's ability to receive visual stimuli: altered
sensory reception
,When assessing a pt receiving a continuous opioid infusion, the nurse immediately
notifies the physician when the patient has:
A. A respiratory rate of 10/min with normal depth
B. A sedation level of 4
C. Mild confusion
D. Reported constipation
Give this one a try later!
B
Sedation level is more indicative of respiratory depression b/c a drop in
level usually precedes it. A sedation level of 4 calls for immediate action
b/c the pt has minimal or no response to stimuli. A respiratory level of 10 w/
normal depth of breathing is usually not cause for alarm. Mild confusion
may be evident with the initial dose and then disappear. Additional
observation is necessary. Constipation should be reported to the physician,
but is not the priority in this situaiton.
A nurse working the night shift at a hospital observes the developmental factors that
may affect sleep. Which statements accurately describe these variations? Select all
that apply.
A. REM sleep constitutes much of the sleep cycle of a preschool child
B. By the age of 8 years, most children no longer take naps
C. Sleep needs usually decrease when physical growth peaks
D. Many adolescents do not get enough sleep
E. Total sleep decreases in adults within a decrease in stage IV sleep
F. Sleep is less sound in older adults and stage IV sleep may be absent
Give this one a try later!
D, E, F
, By the age of 5 years, most children no longer nap. Sleep needs usually
increase when physical growth peaks.
The 3 types of reactions to pain are physiologic, behavioral, and affective. Which are
examples of behavioral responses to pain? Select all that apply.
A. A pt cradles wrist that was injured in a car accident
B. A child is moaning and crying due to a stomachache
C. A pt's pulse is increased following a MI
D. A pt in pain strikes out at a nurse who attempts to bathe him
E. A pt who has chronic cancer pain is depressed and withdrawn
F. A child pulls away from a nurse trying to give him an injection
Give this one a try later!
A, B, F
Protecting or guarding a painful area, moaning or crying, and moving away
from painful stimuli are behavioral responses. Examples of a physiologic or
involuntary response would be increase BP or dilation of the pupils.
Affective responses, such as anger, withdrawal, and depression, are
physiological in nature.
A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse
provides vigilant monitoring of this patient to prevent the occurrence of:
A. Pruritus
B. Urinary retention
C. Vomiting
D. Respiratory Depression
Give this one a try later!
D
nurse would interpret that the etiologic basis of this sensory problem is an alteration
in:
A. Environmental stimuli
B. Sensory reception
C. Nerve impulse conduction
D. Impulse translation
Give this one a try later!
B
Cataracts are interfering w/ the pt's ability to receive visual stimuli: altered
sensory reception
,When assessing a pt receiving a continuous opioid infusion, the nurse immediately
notifies the physician when the patient has:
A. A respiratory rate of 10/min with normal depth
B. A sedation level of 4
C. Mild confusion
D. Reported constipation
Give this one a try later!
B
Sedation level is more indicative of respiratory depression b/c a drop in
level usually precedes it. A sedation level of 4 calls for immediate action
b/c the pt has minimal or no response to stimuli. A respiratory level of 10 w/
normal depth of breathing is usually not cause for alarm. Mild confusion
may be evident with the initial dose and then disappear. Additional
observation is necessary. Constipation should be reported to the physician,
but is not the priority in this situaiton.
A nurse working the night shift at a hospital observes the developmental factors that
may affect sleep. Which statements accurately describe these variations? Select all
that apply.
A. REM sleep constitutes much of the sleep cycle of a preschool child
B. By the age of 8 years, most children no longer take naps
C. Sleep needs usually decrease when physical growth peaks
D. Many adolescents do not get enough sleep
E. Total sleep decreases in adults within a decrease in stage IV sleep
F. Sleep is less sound in older adults and stage IV sleep may be absent
Give this one a try later!
D, E, F
, By the age of 5 years, most children no longer nap. Sleep needs usually
increase when physical growth peaks.
The 3 types of reactions to pain are physiologic, behavioral, and affective. Which are
examples of behavioral responses to pain? Select all that apply.
A. A pt cradles wrist that was injured in a car accident
B. A child is moaning and crying due to a stomachache
C. A pt's pulse is increased following a MI
D. A pt in pain strikes out at a nurse who attempts to bathe him
E. A pt who has chronic cancer pain is depressed and withdrawn
F. A child pulls away from a nurse trying to give him an injection
Give this one a try later!
A, B, F
Protecting or guarding a painful area, moaning or crying, and moving away
from painful stimuli are behavioral responses. Examples of a physiologic or
involuntary response would be increase BP or dilation of the pupils.
Affective responses, such as anger, withdrawal, and depression, are
physiological in nature.
A pregnant woman is receiving an epidural analgesic prior to delivery. The nurse
provides vigilant monitoring of this patient to prevent the occurrence of:
A. Pruritus
B. Urinary retention
C. Vomiting
D. Respiratory Depression
Give this one a try later!
D
