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Exam (elaborations)

NURB 235 Exam 2 Questions With Complete Solutions

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NURB 235 Exam 2 Questions With Complete Solutions

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NURB 235 Exam 2 Questions With Complete Solutions

1 L o2 by nasal cannula = what % FiO2 delivered to lungs
Correct Answers 24%

2 sleep phases Correct Answers 1. non-rapid eye movement
(NREM)
2. rapid eye movement (REM)

3 parts of diagnostic statements Correct Answers **ONLY
USED FOR PROBLEM-FOCUSED DIAGNOSES**
1. problem
2. etiology (related to)
3. symptoms (as evidenced by)

3 T's for continuity of care Correct Answers 1. teaching (at
home after discharge)
2. technology (sharing of information, telehealth)
3. transition (discharge coordinator, follow up appointments)

4 basic elements of normal movement Correct Answers 1. body
alignment (posture)
2. joint mobility
3. balance
4. coordinated movement

actual FiO2 depends on what Correct Answers rate and depth
of inspiration

agency standards for health care safety Correct Answers 1.
Agency for Healthcare Research and Quality

,2. Quality and Safety Education for Nurses
3. Centers for Medicare and Medicaid Services
4. The Joint Commission
5. Healthy People

all systems required for adequate oxygenation and gas exchange
Correct Answers neuro, muscular, cardiac, GI, renal

altered oxygen transport Correct Answers insufficient number
or quality of erythrocytes available to carry oxygen, or amount
of hemoglobin in the blood is low

alternatives to using restraints Correct Answers 1. assign
nurses in pairs
2. place unstable patients in area that is constantly or closely
supervised
3. prepare patients before a move to limit relocation shock
4. stay with a patient using a bedside commode or bathroom if
confused, sedated, or has gait disturbance or a high risk score for
falling
5. monitor all the patient's medication and if possible lower or
eliminate dosages of sedative or narcotics
6. position beds in lowest position
7. replace full-length side rails with half- or three-quarter length
rails
8. encourage constructive activity to expend energy for the
confused patient
9. wedge blanket or pillow in chair to prevent falls
10. try a warm beverage, soft lights, or a walk
11. use environmental restraints

,12. place a picture or other personal item on the door to the
patient's room
13. try to determine the cause of a patient's "sundowner
syndrome"
14. establish ongoing assessment

analysis Correct Answers compare data against standards,
identify significant cues

analytical reasoning Correct Answers using an analytic
problem-solving process to make meaning from data and
determine a plan
1. define problem
2. gather information about problem to better understand it
3. develop multiple solutions
4. consider possible results and consequences of each solution
5. choose a solution to act on

antiemboli devices Correct Answers antiemboli stockings,
sequential compression devices

arterial, venous or capillary blood gases Correct Answers
testing blood for oxygen and CO2, as well as other acid/base
information related to breathing

assessment of activity and exercise during physical examination
Correct Answers 1. body alignment
2. gait
3. appearance and movement of joints
4. capabilities and limitations for movement
5. muscle mass and strength

, 6. activity tolerance
7. problems related to immobility

assessments that indicate the need for suctioning Correct
Answers 1. rhonchi
2. crackles
3. hear/ see secretions from the nose
4. a wet cough that is not productive

benefits of health care provided in a safe environment with a
focus on community safety Correct Answers 1. reduces risk for
illness and injury
2. helps contain health care costs
3. improves or maintains functional status
4. increases a sense of well-being

biological clock Correct Answers predictable pattern to the
sleep cycle, varying among individuals (explains being morning
vs. night person)

body alignment/ posture Correct Answers brings body parts
into a position that promotes optimal balance and body function;
person maintains balance as long as the line of gravity passes
through the center of gravity and the base of support; widening
stance increases base of support

body systems involved in sleep regulation Correct Answers 1.
hypothalamus: sleep center
2. CNS
3. PNS
4. endocrine

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