NUR 350 EXAM 1 QUESTIONS & ANSWERS
A nursing diagnosis should be _______ to the patient. - Answers :specific
What are the 5 steps of the nursing process?
HINT: ADPIE - Answers :1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
What should your nursing diagnosis be based on? - Answers :Your assessment
Characteristics of the pt
What you can do to improve pt's quality of health
What are the 3 categories of nursing diagnoses? - Answers :1. actual or problem-
focused NDs
2. potential or risk for NDs
3. health promotion NDs
What is the formula for a complete diagnostic statement? - Answers :Problem (in
NANDA format) + Etiology (specific related or risk factors) + Signs/Symptoms (defining
characteristics)
Is this a proper *nursing* diagnostic statement?
deficient Knowledge of wounds R/T misinformation presented by others AEB pt
statement "My friend told me my blister would heal faster if I popped it." - Answers :Yes.
It has the NANDA, etiology of the problem, and the evidence.
What arteries can be used to assess pedal pulse? - Answers :The posterior tibial and
dorsalis pedis arteries.
When taking a pedal pulse, what should you note? - Answers :The amplitude of the
pulse.
Pulse amplitude can be given a value from 0 to +3. Describe each value. - Answers :0:
Pulse is absent, unable to palpate
+1: Diminished, weaker than expected
+2: Brisk, expected (normal)
+3: Bounding
Reduced or absent pedal pulse are defining characteristics of what NANDAs? -
Answers :decreased Cardiac Output
, ineffective peripheral Tissue Perfusion
*there are likely more*
Why assess peripheral pulses? - Answers :It can help identify issues with cardiac
output, vascular health, blood volume, and more.
How is diarrhea defined? - Answers :It is the passage of at least three loose or liquid
stools per day.
What type of diarrhea lasts up to 14 days? - Answers :Acute
What type of diarrhea lasts between 15 and 30 days? - Answers :Persistent
What type of diarrhea last 30 days or longer? - Answers :Chronic
Bloody diarrhea is most commonly caused by what bacteria? - Answers
:Enterohemorrhagic E. coli
What bacteria is a common cause of travelers diarrhea? - Answers :E. coli
What is the most common intestinal parasite that causes diarrhea in the United States?
- Answers :Giardia lamblia
What are some ways infectious organisms can attack the intestines? - Answers :1. Alter
secretion and/or absorption of enterocytes w/o causing inflammation
2. Impair absorption by destroying cells, cause inflammation, and produce toxins
What is secretory diarrhea? - Answers :Diarrhea that occurs when ingested pathogens
survive in the GI tract long enough to absorb into the enterocytes. Cell permeability
changes resulting in the over secretion of water and sodium and chloride ions into the
bowel.
What factors influence the susceptibility to pathogenic organisms? - Answers :Age
Gastric acidity
Intestinal microflora
Immune status
Who is most likely to suffer life-threatening diarrhea? - Answers :Older adults
How can antibiotics cause diarrhea? - Answers :They kill the normal flora, making the
person more susceptible to pathogenic organisms.
What may be helpful in preventing antibiotic induced diarrhea in some patients? -
Answers :Probiotics
A nursing diagnosis should be _______ to the patient. - Answers :specific
What are the 5 steps of the nursing process?
HINT: ADPIE - Answers :1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
What should your nursing diagnosis be based on? - Answers :Your assessment
Characteristics of the pt
What you can do to improve pt's quality of health
What are the 3 categories of nursing diagnoses? - Answers :1. actual or problem-
focused NDs
2. potential or risk for NDs
3. health promotion NDs
What is the formula for a complete diagnostic statement? - Answers :Problem (in
NANDA format) + Etiology (specific related or risk factors) + Signs/Symptoms (defining
characteristics)
Is this a proper *nursing* diagnostic statement?
deficient Knowledge of wounds R/T misinformation presented by others AEB pt
statement "My friend told me my blister would heal faster if I popped it." - Answers :Yes.
It has the NANDA, etiology of the problem, and the evidence.
What arteries can be used to assess pedal pulse? - Answers :The posterior tibial and
dorsalis pedis arteries.
When taking a pedal pulse, what should you note? - Answers :The amplitude of the
pulse.
Pulse amplitude can be given a value from 0 to +3. Describe each value. - Answers :0:
Pulse is absent, unable to palpate
+1: Diminished, weaker than expected
+2: Brisk, expected (normal)
+3: Bounding
Reduced or absent pedal pulse are defining characteristics of what NANDAs? -
Answers :decreased Cardiac Output
, ineffective peripheral Tissue Perfusion
*there are likely more*
Why assess peripheral pulses? - Answers :It can help identify issues with cardiac
output, vascular health, blood volume, and more.
How is diarrhea defined? - Answers :It is the passage of at least three loose or liquid
stools per day.
What type of diarrhea lasts up to 14 days? - Answers :Acute
What type of diarrhea lasts between 15 and 30 days? - Answers :Persistent
What type of diarrhea last 30 days or longer? - Answers :Chronic
Bloody diarrhea is most commonly caused by what bacteria? - Answers
:Enterohemorrhagic E. coli
What bacteria is a common cause of travelers diarrhea? - Answers :E. coli
What is the most common intestinal parasite that causes diarrhea in the United States?
- Answers :Giardia lamblia
What are some ways infectious organisms can attack the intestines? - Answers :1. Alter
secretion and/or absorption of enterocytes w/o causing inflammation
2. Impair absorption by destroying cells, cause inflammation, and produce toxins
What is secretory diarrhea? - Answers :Diarrhea that occurs when ingested pathogens
survive in the GI tract long enough to absorb into the enterocytes. Cell permeability
changes resulting in the over secretion of water and sodium and chloride ions into the
bowel.
What factors influence the susceptibility to pathogenic organisms? - Answers :Age
Gastric acidity
Intestinal microflora
Immune status
Who is most likely to suffer life-threatening diarrhea? - Answers :Older adults
How can antibiotics cause diarrhea? - Answers :They kill the normal flora, making the
person more susceptible to pathogenic organisms.
What may be helpful in preventing antibiotic induced diarrhea in some patients? -
Answers :Probiotics
