NURS 3605 exam 4 fund Questions With Complete Solutions
-IMplementation of pain Correct Answers -maintain wellness
-nonpharm pain relief,
-acute: analgesics: NSAIDS, opioids, adjuvants; PCA, topical,
local, epidural, perineural local infusions
-chronic: WHO ladder
-Metabolic alkalosis: Correct Answers elevation of HCO3-
usually caused by an excessive loss of metabolic acids
• Cardiovascular Correct Answers • Orthostatic hypotension
• Thrombus
• Integumentary Correct Answers • Pressure ulcer
• Ischemia
• Metabolic Correct Answers Endocrine, calcium absorption,
and GI function
• Moving patients Correct Answers • Safety is first priority
• Ask patient to help as much as possible
• Determine if patient comprehends what is expected
• Determine patient's comfort level
• Determine if you need assistance in moving the patient
• Muscle effects Correct Answers • Loss of muscle mass
• Muscle atrophy
• Respiratory Correct Answers • Atelectasis and hypostatic
pneumonia
,• Skeletal effects Correct Answers • Impaired calcium
absorption
• Joint abnormalities
• Urinary elimination Correct Answers • Urinary stasis
• Renal calculi
•Musculoskeletal changes Correct Answers • Loss of
endurance and muscle mass and decreased stability and balance
Acid-Base Imbalances Correct Answers -Respiratory acidosis:
hypovent.
-Respiratory alkalosis: hyperventilation
-Metabolic acidosis: increase metabolic acid or decrease base
(bicarb)
-Metabolic alkalosis: increase in base (bicarb) or decrease
metabolic acid
Acid-Base Lab Values Correct Answers pH:7.35-7.45
PaCO2:35-45 mmHg
HCO3:22-26 mEq/L
PaO2: 80-100 mmHg
SaO2:95-100%
Active ROM exercises Correct Answers the patient is able to
move each joint to the full extent of intended function
Addressing the Health Concerns of Older Adults Correct
Answers • Healthy People 2020 goals:
, • Increase the number of older adults with one or more chronic
conditions who report confidence in maintaining their
conditions.
• Reduce the proportion of older adults who have moderate-to-
severe functional limitations.
• Increase the proportion of older adults with reduced physical
or cognitive function who engage in light, moderate, or vigorous
leisure-term physical activities.
• Increase the proportion of older adults who receive diabetes
self-management benefits.
• Increase the proportion of the health care workforce with
geriatric certification.
ADH mechanism of action Correct Answers increase water
reabsorption by blood
Adults/Older Adults and Immobility Correct Answers •
Decreased physical activity with aging
• Medications
• Chronic conditions/illnesses
Alignment and Balance Correct Answers posture
ANP Correct Answers how much water and sodium excreted
into urine
assess a patient experiencing pain Correct Answers -
characteristics of pain: timing (onset, duration, pattern),
location, severity, quality, aggravating and precipitating factors,
relief measures, behavioral effects, impact on ADL,
concominant symptoms
-IMplementation of pain Correct Answers -maintain wellness
-nonpharm pain relief,
-acute: analgesics: NSAIDS, opioids, adjuvants; PCA, topical,
local, epidural, perineural local infusions
-chronic: WHO ladder
-Metabolic alkalosis: Correct Answers elevation of HCO3-
usually caused by an excessive loss of metabolic acids
• Cardiovascular Correct Answers • Orthostatic hypotension
• Thrombus
• Integumentary Correct Answers • Pressure ulcer
• Ischemia
• Metabolic Correct Answers Endocrine, calcium absorption,
and GI function
• Moving patients Correct Answers • Safety is first priority
• Ask patient to help as much as possible
• Determine if patient comprehends what is expected
• Determine patient's comfort level
• Determine if you need assistance in moving the patient
• Muscle effects Correct Answers • Loss of muscle mass
• Muscle atrophy
• Respiratory Correct Answers • Atelectasis and hypostatic
pneumonia
,• Skeletal effects Correct Answers • Impaired calcium
absorption
• Joint abnormalities
• Urinary elimination Correct Answers • Urinary stasis
• Renal calculi
•Musculoskeletal changes Correct Answers • Loss of
endurance and muscle mass and decreased stability and balance
Acid-Base Imbalances Correct Answers -Respiratory acidosis:
hypovent.
-Respiratory alkalosis: hyperventilation
-Metabolic acidosis: increase metabolic acid or decrease base
(bicarb)
-Metabolic alkalosis: increase in base (bicarb) or decrease
metabolic acid
Acid-Base Lab Values Correct Answers pH:7.35-7.45
PaCO2:35-45 mmHg
HCO3:22-26 mEq/L
PaO2: 80-100 mmHg
SaO2:95-100%
Active ROM exercises Correct Answers the patient is able to
move each joint to the full extent of intended function
Addressing the Health Concerns of Older Adults Correct
Answers • Healthy People 2020 goals:
, • Increase the number of older adults with one or more chronic
conditions who report confidence in maintaining their
conditions.
• Reduce the proportion of older adults who have moderate-to-
severe functional limitations.
• Increase the proportion of older adults with reduced physical
or cognitive function who engage in light, moderate, or vigorous
leisure-term physical activities.
• Increase the proportion of older adults who receive diabetes
self-management benefits.
• Increase the proportion of the health care workforce with
geriatric certification.
ADH mechanism of action Correct Answers increase water
reabsorption by blood
Adults/Older Adults and Immobility Correct Answers •
Decreased physical activity with aging
• Medications
• Chronic conditions/illnesses
Alignment and Balance Correct Answers posture
ANP Correct Answers how much water and sodium excreted
into urine
assess a patient experiencing pain Correct Answers -
characteristics of pain: timing (onset, duration, pattern),
location, severity, quality, aggravating and precipitating factors,
relief measures, behavioral effects, impact on ADL,
concominant symptoms
