NSG 241 FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
4 types of complicated grief Correct Answers chronic, delayed,
exaggerated, masked
5 components of culturally congruent care Correct Answers
cultural self awareness, cultural knowledge, cultural skills,
cultural encounters, cultural desires
ABG HCO3 Correct Answers 21-28 (bicarb)
ABG O2 Sat Correct Answers 95-100
ABG PaCO2 Correct Answers 35-45 mm Hg
ABG PaO2 Correct Answers 80-100%
ABG pH Correct Answers 7.35-7.45
ABGs Correct Answers measurement of arterial blood gasses
provides essential information on a patients acid base balance
and oxygenation status
abnormal wound healing Correct Answers secondary intention
- new tissue fills from bottom and sides of wound - more
common in in pts with diabetes and vascular disease
acute illness Correct Answers is typically characterized by an
abrupt onset and short duration (less than 6 months). Clinical
manifestations of acute illness appear quickly
,acute pain Correct Answers pain that lasts less than 6 months.
Pain resulting from an acute injury, rapid onset and short
duration
acute pain nervous system Correct Answers Sympathetic
nervous system: elevated HR & BP
Affective Correct Answers deals with expression of feelings
and acceptance of attitudes, opinions or values
Airborne precautions PPE Correct Answers utilize N95 resp
mask, eye protection, mask, gown and gloves
anticipatory grief Correct Answers defined as the cognitive,
affective, cultural, and social reactions to an unexpected death,
felt by the patient as well as family members & friends
(experienced BEFORE loss occurs)
antiseptic agents Correct Answers disinfect skin
anuria Correct Answers failure of the kidneys to produce or
excrete more than 50-100 mL of urine in 24 hours
Aphasia Correct Answers speech or language impairments
approved reasons to use a catheter Correct Answers acute
urinary retention, acute bladder obstruction, need for accurate
I&O, assist in healing (sacral wounds), improve comfort in end
of life
,ascending colostomies Correct Answers similar to ileostomies;
drainage is liquid and cannot be regulated -- digestive enzymes
are present and cause an odor - relatively rare
aspiration precautions Correct Answers prevent the following
material from entering into the lungs (food, fluid, saliva, other
foreign objects)
Assessment Correct Answers establish a database about
patients perceived needs, health problems and responses to these
problems & Observe, patient Interview and Physical Assessment
Assessment post-op Correct Answers respiratory, circulatory,
neurological status, pain, blood pressure, pulse ox, cardiac
monitoring
asthma/COPD care Correct Answers elevate HOB (45 Degrees
- Fowler), early ambulation, incentive spirometry, non-invasive
positive pressure, caution 2L or less of low flow oxygen
Autonomy vs shame and doubt Correct Answers 18 months - 3
years
bacteria Correct Answers single-cell organisms, named by
shape
Barriers to education Correct Answers pain, high fever, nausea,
extreme fatigue, visitors, anxiety, language, sensory
impairments (visual, auditory, psychomotor), lack of health
literacy, economic resources
, bed position for aspiration risk outside of eating Correct
Answers 30 degrees
Bed position for aspiration risk while eating Correct Answers
at least 45 degrees or fowlers
bed position for most effective lung expansion Correct Answers
45 degrees Fowlers
bias Correct Answers inclination or tendency to favoritism
BiPAP Correct Answers bilevel positive airway pressure
Body Mechanics Correct Answers "keep spine in neutral
alignmnet, elevate work surfaces to elbow height, never lift
more than 35 lbs, push rather than pull, bend from knees, avoid
twisting
border of the sterile field Correct Answers 1 inch, not sterile
braden scale Correct Answers skin integrity scale used for the
general population - sub-scales include (mobility, activity,
sensory perception, skin moisture, nutrition, friction/shear) 6-23
(lower score =higher risk)
broken seals/packaging Correct Answers contaminated
calcium level Correct Answers 8.5-10.5
cane Correct Answers used for balance problems and weakness
SOLUTIONS
4 types of complicated grief Correct Answers chronic, delayed,
exaggerated, masked
5 components of culturally congruent care Correct Answers
cultural self awareness, cultural knowledge, cultural skills,
cultural encounters, cultural desires
ABG HCO3 Correct Answers 21-28 (bicarb)
ABG O2 Sat Correct Answers 95-100
ABG PaCO2 Correct Answers 35-45 mm Hg
ABG PaO2 Correct Answers 80-100%
ABG pH Correct Answers 7.35-7.45
ABGs Correct Answers measurement of arterial blood gasses
provides essential information on a patients acid base balance
and oxygenation status
abnormal wound healing Correct Answers secondary intention
- new tissue fills from bottom and sides of wound - more
common in in pts with diabetes and vascular disease
acute illness Correct Answers is typically characterized by an
abrupt onset and short duration (less than 6 months). Clinical
manifestations of acute illness appear quickly
,acute pain Correct Answers pain that lasts less than 6 months.
Pain resulting from an acute injury, rapid onset and short
duration
acute pain nervous system Correct Answers Sympathetic
nervous system: elevated HR & BP
Affective Correct Answers deals with expression of feelings
and acceptance of attitudes, opinions or values
Airborne precautions PPE Correct Answers utilize N95 resp
mask, eye protection, mask, gown and gloves
anticipatory grief Correct Answers defined as the cognitive,
affective, cultural, and social reactions to an unexpected death,
felt by the patient as well as family members & friends
(experienced BEFORE loss occurs)
antiseptic agents Correct Answers disinfect skin
anuria Correct Answers failure of the kidneys to produce or
excrete more than 50-100 mL of urine in 24 hours
Aphasia Correct Answers speech or language impairments
approved reasons to use a catheter Correct Answers acute
urinary retention, acute bladder obstruction, need for accurate
I&O, assist in healing (sacral wounds), improve comfort in end
of life
,ascending colostomies Correct Answers similar to ileostomies;
drainage is liquid and cannot be regulated -- digestive enzymes
are present and cause an odor - relatively rare
aspiration precautions Correct Answers prevent the following
material from entering into the lungs (food, fluid, saliva, other
foreign objects)
Assessment Correct Answers establish a database about
patients perceived needs, health problems and responses to these
problems & Observe, patient Interview and Physical Assessment
Assessment post-op Correct Answers respiratory, circulatory,
neurological status, pain, blood pressure, pulse ox, cardiac
monitoring
asthma/COPD care Correct Answers elevate HOB (45 Degrees
- Fowler), early ambulation, incentive spirometry, non-invasive
positive pressure, caution 2L or less of low flow oxygen
Autonomy vs shame and doubt Correct Answers 18 months - 3
years
bacteria Correct Answers single-cell organisms, named by
shape
Barriers to education Correct Answers pain, high fever, nausea,
extreme fatigue, visitors, anxiety, language, sensory
impairments (visual, auditory, psychomotor), lack of health
literacy, economic resources
, bed position for aspiration risk outside of eating Correct
Answers 30 degrees
Bed position for aspiration risk while eating Correct Answers
at least 45 degrees or fowlers
bed position for most effective lung expansion Correct Answers
45 degrees Fowlers
bias Correct Answers inclination or tendency to favoritism
BiPAP Correct Answers bilevel positive airway pressure
Body Mechanics Correct Answers "keep spine in neutral
alignmnet, elevate work surfaces to elbow height, never lift
more than 35 lbs, push rather than pull, bend from knees, avoid
twisting
border of the sterile field Correct Answers 1 inch, not sterile
braden scale Correct Answers skin integrity scale used for the
general population - sub-scales include (mobility, activity,
sensory perception, skin moisture, nutrition, friction/shear) 6-23
(lower score =higher risk)
broken seals/packaging Correct Answers contaminated
calcium level Correct Answers 8.5-10.5
cane Correct Answers used for balance problems and weakness
