NUR 501 FINAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
How do we maintain safety with confused and disoriented
patients? - correct answer- Keep patient close
to nurse's station, check on the patient frequently, keep
the bed in the lowest position, and four side rails up at the
same time constitute as a restraint.
How should we report incidents and occurrences? -
correct answer- Never document in the medical
record that an incident report was filed. Never attach a
paper incident report to a paper chart. There is a separate
documentation system for reporting incidents.
Your responsibility with an "incident" is to assess the
patient, notify the HCP about the incident, and document
in the chart the event and nursing actions taken to
address the event.
How should you take care of lower extremities including
feet in patients with PAD? - correct answer-
Wash legs and feet daily in warm water and soap, avoid
,applying moisturizer or lotions to feet and in between
toes, cut toenails straight across, look at legs/feet daily to
assess skin integrity, wear clean white cotton socks, avoid
knee-high socks - could potentially restrict blood flow
distal to stenotic region, and make sure shoes are
sturdy/strong and fit well - sizing should not be in the
morning. Never go barefoot.
In Amputations, What are Psychosocial considerations
with patients who have undergone an amputation? -
correct answer- Body image, altered role
performance, and social isolation are psychosocial
considerations with patients who have undergone an
amputation. Patients should be encouraged to express
their feelings and concerns.
IN COPD/ Emphysema/ Chronic Bronchitis, What are
Interventions to improve nutritional outcomes in patients
who have COPD/emphysema? - correct answer-
Weight loss and malnutrition are big concerns as the
disease progresses. What are ways to enhance nutritional
outcomes in these individuals? Resting before meals,
eating smaller and frequent meals, avoid gas-producing
foods (i.e. broccoli, cabbage, etc.), consuming high-calorie
, meals, may require nutritional supplements, pacing self
with meals and utilization of oxygen during meals.
In COPD/EMPHYSEMA/CHRONIC BRONCHITIS, Carbon
dioxide narcosis and associated manifestations are? -
correct answer- Continuous rise in carbon
dioxide level that can induce deleterious manifestations.
Manifestations of carbon dioxide narcosis include altered
level of consciousness, tremors/seizures, cardiac
dysrhythmias, and hypotension. Individuals who are at
risk for carbon dioxide narcosis: diagnosed with
emphysema (alveoli are destroyed), over-medicated with
opioids and sedatives, higher amounts of oxygen for
prolonged periods of time, and COPD exacerbations.
In COPD/Emphysema/Chronic Bronchitis, What is Chronic
bronchitis and ineffective airway clearance? - correct
answer- Think about why a patient with chronic
bronchitis has an ineffective airway clearance. What
about their disease process makes it difficult to maintain a
patient airway? How can we enhance an effective airway
clearance? Adequate fluids, effective coughing
techniques, ambulation/positioning, cough expectorants,
and tobacco cessation.
WITH DETAILED VERIFIED ANSWERS
How do we maintain safety with confused and disoriented
patients? - correct answer- Keep patient close
to nurse's station, check on the patient frequently, keep
the bed in the lowest position, and four side rails up at the
same time constitute as a restraint.
How should we report incidents and occurrences? -
correct answer- Never document in the medical
record that an incident report was filed. Never attach a
paper incident report to a paper chart. There is a separate
documentation system for reporting incidents.
Your responsibility with an "incident" is to assess the
patient, notify the HCP about the incident, and document
in the chart the event and nursing actions taken to
address the event.
How should you take care of lower extremities including
feet in patients with PAD? - correct answer-
Wash legs and feet daily in warm water and soap, avoid
,applying moisturizer or lotions to feet and in between
toes, cut toenails straight across, look at legs/feet daily to
assess skin integrity, wear clean white cotton socks, avoid
knee-high socks - could potentially restrict blood flow
distal to stenotic region, and make sure shoes are
sturdy/strong and fit well - sizing should not be in the
morning. Never go barefoot.
In Amputations, What are Psychosocial considerations
with patients who have undergone an amputation? -
correct answer- Body image, altered role
performance, and social isolation are psychosocial
considerations with patients who have undergone an
amputation. Patients should be encouraged to express
their feelings and concerns.
IN COPD/ Emphysema/ Chronic Bronchitis, What are
Interventions to improve nutritional outcomes in patients
who have COPD/emphysema? - correct answer-
Weight loss and malnutrition are big concerns as the
disease progresses. What are ways to enhance nutritional
outcomes in these individuals? Resting before meals,
eating smaller and frequent meals, avoid gas-producing
foods (i.e. broccoli, cabbage, etc.), consuming high-calorie
, meals, may require nutritional supplements, pacing self
with meals and utilization of oxygen during meals.
In COPD/EMPHYSEMA/CHRONIC BRONCHITIS, Carbon
dioxide narcosis and associated manifestations are? -
correct answer- Continuous rise in carbon
dioxide level that can induce deleterious manifestations.
Manifestations of carbon dioxide narcosis include altered
level of consciousness, tremors/seizures, cardiac
dysrhythmias, and hypotension. Individuals who are at
risk for carbon dioxide narcosis: diagnosed with
emphysema (alveoli are destroyed), over-medicated with
opioids and sedatives, higher amounts of oxygen for
prolonged periods of time, and COPD exacerbations.
In COPD/Emphysema/Chronic Bronchitis, What is Chronic
bronchitis and ineffective airway clearance? - correct
answer- Think about why a patient with chronic
bronchitis has an ineffective airway clearance. What
about their disease process makes it difficult to maintain a
patient airway? How can we enhance an effective airway
clearance? Adequate fluids, effective coughing
techniques, ambulation/positioning, cough expectorants,
and tobacco cessation.
