NRSG 421 FINAL EXAM REVIEW
QUESTIONS WITH VERIFIED SOLUTIONS
cognitive behavior therapy anxiety disorder - ANS-cognitive restructuring, relaxation training, modeling,
systemic desensitization, exposure and response prevention (OCD). during a moment of anxiety patient
will begin to think in negative thoughts so we should help to guide them to turn it around
ex: my heart is pounding, i think i'm going to die!
CBT techniques for anxiety - ANS-cognitive restructuring
relaxation training
modeling and systemic desensitization
exposure and response prevention for OCD
OCD - ANS-exposure: assist pt to deliverately confront the situations and stimuli that he/she usually
avoids, response prevention-assist patient to avoid performing rituals
ocd-identify outcome - ANS-planning in collaboration with the client should be prioritized according to
what the client identifies as most important and may include the following goals
-identify triggers for OCD
-learn to identify strengths that can be used to reorder thinking in order to reduce OCD
-recognize that continued OBC are not an indication of treatment failure that reductions in behaviors
signify positive progress
RSV/Bronchiolitis - ANS--highly contagious
RSV signs and symptoms - ANS--may lead to apnea and pulmonary edema
-3-5 days after exposure
-rhinorrhea, cough, irritability,
-low-grade fever for 1-3 days
-copioius mucus secretions, usually green
-wheezing and crackles in airway
-atelectasis and hypoxemia
more serious signs and symptoms
-irritability, excessive coughing, and wheezing
-observable retractions of ribcage
Call EMS
,-marked retractions, nasal flaring
-rapid RR, blue skin
-listlessness
-apneic periods
risk factors for RSV - ANS-infants, toddlers not breastfeed
secondhand smoke
socioeconomicallly disadvantaged
attend daycare
live in crowded conditions
prematurity
chronic lung diseae
congenital heart disease
reduced immunity
prevention for RSV - ANS-good hand hygiene
infection control measures
environmental exposure
disinfect surfaces: RSV live on surface for hours
keep toys, clothes, blankets, and sheets clean
no smoking around your baby
avoid crowds and other young children during RSV season
avoid sick people
isolation precautions for RSV - ANS-placed in a private room on contact and droplet precautions, avoid
sick people by politely asking who have been sick or are sick to not visit your baby
SIDS prevention and education - ANS-discuss protection at follow-up visits
supine sleeping
nonsmoking behaviors
bed quality-firm
adequate warmth but avoid overheating sleeping room
model and teach-back to sleep, crib or co-sleeper in parent's room, firm bed, tummy for play time when
awake, cuddle time for loving, upright position on chest or lap, blankets secured lower than infants
chest
-support groups
-reassure parents are not responsible
PE risk factors - ANS-stasis of blood flow
vessel wall damage
altered blood coagulation
history of PE/DVT
prolonged immobility
obesity
trauma
hip, femur fractures
surgery
MI, heart failure, a fib
, advanced age
smoking
oral contraceptives, estrogen therapy
pregnancy, childbirth
PE clinical manifestations - ANS-pleuritic chest pain
anxiety, sense of impending doom
diaphoresis (sweating)
cyanosis
hypoxia, decreased PO2
cough, hemoptysis
crackles, dyspnea
tachypnea, decreased PCO2
tachycardia, syncope, cardiac gallop
fat emboli
low grade fever
shortness of breath and chest pain are beginning signs and most common at first
clinical manifestation (neurological deficits) - ANS-dependent upon cerebral artery and area of brain
affected
-sudden, focal, and one-sided
-numbness, weakness of face, arm, leg, one side of the body
-loss of vision
-changes in speech
-sudden severe headache
-sometimes headache is the sign of stroke
interventions for deficits for CVA - ANS-monitor respiratory and and airway patency
encourage activity, dependent upon neuro deficits whether repo every 2 hours versus ambulate
encourage independence ability to perform own ADLs
nursing should speak slowly, allow time for patient to respond, face patient.
use simple statements, questions, alternative methods of communication
assess continence of bowel and bladder
monitor and assess ability to swallow, reduce risk of aspiration, supervise and or assist with eating as
well as consistency of food
labs and diagnosistic deficits:
-stoke scale level of consciousness
-CT
-cerebral arteriography
-transcranial doppler ultrasound
- MRI and PLAC blood test
-lumbar puncture
pharm therapy for CVA - ANS-acute stroke, ischemic-anti-coagulant therapy
thrombotic stroke fibrinolytic therapy
non pharm therapy for CVA - ANS-maintain safety
provide alternative modes of communication (writing and speech boards)
QUESTIONS WITH VERIFIED SOLUTIONS
cognitive behavior therapy anxiety disorder - ANS-cognitive restructuring, relaxation training, modeling,
systemic desensitization, exposure and response prevention (OCD). during a moment of anxiety patient
will begin to think in negative thoughts so we should help to guide them to turn it around
ex: my heart is pounding, i think i'm going to die!
CBT techniques for anxiety - ANS-cognitive restructuring
relaxation training
modeling and systemic desensitization
exposure and response prevention for OCD
OCD - ANS-exposure: assist pt to deliverately confront the situations and stimuli that he/she usually
avoids, response prevention-assist patient to avoid performing rituals
ocd-identify outcome - ANS-planning in collaboration with the client should be prioritized according to
what the client identifies as most important and may include the following goals
-identify triggers for OCD
-learn to identify strengths that can be used to reorder thinking in order to reduce OCD
-recognize that continued OBC are not an indication of treatment failure that reductions in behaviors
signify positive progress
RSV/Bronchiolitis - ANS--highly contagious
RSV signs and symptoms - ANS--may lead to apnea and pulmonary edema
-3-5 days after exposure
-rhinorrhea, cough, irritability,
-low-grade fever for 1-3 days
-copioius mucus secretions, usually green
-wheezing and crackles in airway
-atelectasis and hypoxemia
more serious signs and symptoms
-irritability, excessive coughing, and wheezing
-observable retractions of ribcage
Call EMS
,-marked retractions, nasal flaring
-rapid RR, blue skin
-listlessness
-apneic periods
risk factors for RSV - ANS-infants, toddlers not breastfeed
secondhand smoke
socioeconomicallly disadvantaged
attend daycare
live in crowded conditions
prematurity
chronic lung diseae
congenital heart disease
reduced immunity
prevention for RSV - ANS-good hand hygiene
infection control measures
environmental exposure
disinfect surfaces: RSV live on surface for hours
keep toys, clothes, blankets, and sheets clean
no smoking around your baby
avoid crowds and other young children during RSV season
avoid sick people
isolation precautions for RSV - ANS-placed in a private room on contact and droplet precautions, avoid
sick people by politely asking who have been sick or are sick to not visit your baby
SIDS prevention and education - ANS-discuss protection at follow-up visits
supine sleeping
nonsmoking behaviors
bed quality-firm
adequate warmth but avoid overheating sleeping room
model and teach-back to sleep, crib or co-sleeper in parent's room, firm bed, tummy for play time when
awake, cuddle time for loving, upright position on chest or lap, blankets secured lower than infants
chest
-support groups
-reassure parents are not responsible
PE risk factors - ANS-stasis of blood flow
vessel wall damage
altered blood coagulation
history of PE/DVT
prolonged immobility
obesity
trauma
hip, femur fractures
surgery
MI, heart failure, a fib
, advanced age
smoking
oral contraceptives, estrogen therapy
pregnancy, childbirth
PE clinical manifestations - ANS-pleuritic chest pain
anxiety, sense of impending doom
diaphoresis (sweating)
cyanosis
hypoxia, decreased PO2
cough, hemoptysis
crackles, dyspnea
tachypnea, decreased PCO2
tachycardia, syncope, cardiac gallop
fat emboli
low grade fever
shortness of breath and chest pain are beginning signs and most common at first
clinical manifestation (neurological deficits) - ANS-dependent upon cerebral artery and area of brain
affected
-sudden, focal, and one-sided
-numbness, weakness of face, arm, leg, one side of the body
-loss of vision
-changes in speech
-sudden severe headache
-sometimes headache is the sign of stroke
interventions for deficits for CVA - ANS-monitor respiratory and and airway patency
encourage activity, dependent upon neuro deficits whether repo every 2 hours versus ambulate
encourage independence ability to perform own ADLs
nursing should speak slowly, allow time for patient to respond, face patient.
use simple statements, questions, alternative methods of communication
assess continence of bowel and bladder
monitor and assess ability to swallow, reduce risk of aspiration, supervise and or assist with eating as
well as consistency of food
labs and diagnosistic deficits:
-stoke scale level of consciousness
-CT
-cerebral arteriography
-transcranial doppler ultrasound
- MRI and PLAC blood test
-lumbar puncture
pharm therapy for CVA - ANS-acute stroke, ischemic-anti-coagulant therapy
thrombotic stroke fibrinolytic therapy
non pharm therapy for CVA - ANS-maintain safety
provide alternative modes of communication (writing and speech boards)
