NUR 215 Final Exam with Right Answers
Define the term RACE and when it is used. - ✅✅ R - Rescue
A - Alert
C - Confine
E - Extinguish/Evacuate
Used to set priorities in case of a fire
What is another word for a medication being metabolized? - ✅✅ Biotransformation
What is a synergistic effect? - ✅✅ Multiple things going on at the same time
Give an example of an intended synergistic effect. - ✅✅ When a patient has hypertension, they may need to take two medications to control high blood pressure from the effect of the two different medications
What are the three etiologies to a pressure injury? - ✅✅ 1. Pressure intensity
2. Pressure duration
3. Tissue tolerance
What is the difference between a stage II and stage III pressure injury? - ✅✅ Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed
Stage III: Full thickness tissue loss; Subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed
What are leg exercises and compression devices helpful for immobile patients? - ✅✅ Prevention of DVT
T/F:
One reason why elimination is affected in immobile patients is due to gravity. - ✅✅ True
Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear is called what? - ✅✅ Deep tissue (DTPI) If a patient is immobile for over four years, how might their metabolic system be affected? - ✅✅ Low metabolic rate
Eat less
Lowing of peristalsis
Hypercalcemia
Dehydration
Mrs. White is a 75 year old patient who has been bed bound for the past year. What
is the nurse's concern with Mrs. White's heart? - ✅✅ Complications r/t immobility
lead to: orthostatic hypotension, increased workload, and thrombus formation
How does hypoventilation occur? - ✅✅ Due to atelectasis
^When the secretions block the bronchioles, causing the alveoli to collapse
This stage of sleep occurs when delta waves begin to appear. - ✅✅ Stage III
During this age of sleep, eye movement and bran waves are slowing down. - ✅✅ Stage II
Who is most at risk for a disrupted circadian rhythm? - ✅✅ Nurses working night shift
T/F:
The amount of food a client eats will influence how many hours they get per night?
- ✅✅ True
Name ways the nurse can aid in a patient sleeping? - ✅✅ Environmental control
Promoting bedtime routines
Promoting safety
Comfort
Stress reduction
Bedtime snacks
Pharmacological approaches
The liver is responsible for which pharmacokinetics? - ✅✅ Metabolism
The kidneys, liver, bowel, and lungs are responsible for which pharmacokinetics? -
✅✅ Excretion
Define the term RACE and when it is used. - ✅✅ R - Rescue
A - Alert
C - Confine
E - Extinguish/Evacuate
Used to set priorities in case of a fire
What is another word for a medication being metabolized? - ✅✅ Biotransformation
What is a synergistic effect? - ✅✅ Multiple things going on at the same time
Give an example of an intended synergistic effect. - ✅✅ When a patient has hypertension, they may need to take two medications to control high blood pressure from the effect of the two different medications
What are the three etiologies to a pressure injury? - ✅✅ 1. Pressure intensity
2. Pressure duration
3. Tissue tolerance
What is the difference between a stage II and stage III pressure injury? - ✅✅ Stage II: Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed
Stage III: Full thickness tissue loss; Subcutaneous fat may be visible, but bone, tendon, or muscle are not exposed
What are leg exercises and compression devices helpful for immobile patients? - ✅✅ Prevention of DVT
T/F:
One reason why elimination is affected in immobile patients is due to gravity. - ✅✅ True
Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear is called what? - ✅✅ Deep tissue (DTPI) If a patient is immobile for over four years, how might their metabolic system be affected? - ✅✅ Low metabolic rate
Eat less
Lowing of peristalsis
Hypercalcemia
Dehydration
Mrs. White is a 75 year old patient who has been bed bound for the past year. What
is the nurse's concern with Mrs. White's heart? - ✅✅ Complications r/t immobility
lead to: orthostatic hypotension, increased workload, and thrombus formation
How does hypoventilation occur? - ✅✅ Due to atelectasis
^When the secretions block the bronchioles, causing the alveoli to collapse
This stage of sleep occurs when delta waves begin to appear. - ✅✅ Stage III
During this age of sleep, eye movement and bran waves are slowing down. - ✅✅ Stage II
Who is most at risk for a disrupted circadian rhythm? - ✅✅ Nurses working night shift
T/F:
The amount of food a client eats will influence how many hours they get per night?
- ✅✅ True
Name ways the nurse can aid in a patient sleeping? - ✅✅ Environmental control
Promoting bedtime routines
Promoting safety
Comfort
Stress reduction
Bedtime snacks
Pharmacological approaches
The liver is responsible for which pharmacokinetics? - ✅✅ Metabolism
The kidneys, liver, bowel, and lungs are responsible for which pharmacokinetics? -
✅✅ Excretion
