NUR198 Exam 1 – Ryno questions
with verified answers rated A+
Labs, to check for UTI or pneumonia. Electrolytes issue like Hyponatremia - correct answer ✔✔
An older adult comes in with new onset of confusion. What should you do first?
the diminishing effect with regular use of the same dose of a drug, requiring the user to take
larger and larger doses before experiencing the drug's effect - correct answer ✔✔ tolerance
A state in which there is a compulsive or chronic need, as for a drug - correct answer ✔✔
dependence
hyperventilation, increased RR - correct answer ✔✔ first symptom of acidosis
hyperosmolar agent
used in patients with severe hyponatremic encephalopathy, traumatic brain injury, and cerebral
edema - correct answer ✔✔ action of 3% sodium
numeric rating scale: numbers
visual analog scale: faces
categorical scale: words, numbers, colors, locations on the body - correct answer ✔✔ pain
scales
Decreased activity, grimacing, frowning, crying, moaning, and irritability. - correct answer ✔✔
nonverbal cues of pain
breathing, circulation, and respiratory adequacy
,ABCs: airway, breathing, circulation - correct answer ✔✔ Priority assessment in the PACU
a genetic severe reaction to certain drugs used for anesthesia - correct answer ✔✔ malignant
hyperthermia
dangerously high body temperature, rigid muscles or spasms, a rapid heart rate
tachycardia, tachypnea, high fever - correct answer ✔✔ malignant hyperthermia symptoms
anesthesia drugs:
halothane
sevoflurane
desflurane
succinylcholine - correct answer ✔✔ medications that can cause malignant hyperthermia
dantrolene
by limiting the activation of calcium receptor - correct answer ✔✔ malignant hyperthermia
treatment
acetaminophen (tylenol)
NSAIDs: Ibuprofen (Advil, Motrin),Naproxen (Aleve)
Acetylsalicylic: Aspirin
non-opioid - correct answer ✔✔ appropriate medications for low-moderate pain
wound care
pain management or pain goals
activity restrictions
dietary guidelines
,medication management or adherence
signs of complications
ambulation to prevent DVT
follow up appointments - correct answer ✔✔ Post-Op teaching should include
Financial abuse - correct answer ✔✔ Most common form of elder abuse
mandatory reporter and documentation
- dementia or Alzheimer's are the most at risk(also parkinsons, immobile clients)
- neurological or degenerative diseases - correct answer ✔✔ role of the nurse in elder abuse
depression
risk of suicide is increased from losses, isolation, and illness - correct answer ✔✔ most common
affective disorder in elderly
- Acute
- Fluctuating state of confusion
- Onset: fast
- Duration: hours to less than 1 month
- Causes: multiple, such as surgery, infection (sepsis, stoke, UTI's), drugs
- Management: remove or treat the cause
- Nursing interventions: reorient the client to reality; provide a safe environment - correct
answer ✔✔ delirium
○ Dehydration
○ Electrolyte imbalance/ emotional stress
○ Lung, liver, heart, kidney, brain disorders
, ○ Infection (sepsis, stroke, UTI's)
○ Rx Drugs
○ Immobility
○ Untreated pain, unfamiliar environment
○ Metabolic disorders - correct answer ✔✔ possible causes of delirium
changes in level of consciousness, irreversible brain damage, and sometimes death - correct
answer ✔✔ if delirium is left untreated what are possible outcomes
CAM, confusion assessment method - correct answer ✔✔ what assessments are performed on
patients when they are in a state of acute confusion with alterations in attention and cognition?
(delirium is suspected)
§ Improve oxygen
§ Reorient the client to reality; provide a safe environment
§ Supporting cognitive function
§ Reducing anxiety and agitation
§ Improve communication - correct answer ✔✔ healthcare team's primary goals for delirium
patients
- Chronic
- Loss of short-term memory, thinking (cognitive), and behavior, causing reduced ability to
perform ADL's
- Progressive cognitive decline
- Onset: slow
- Duration: months to years
- Causes: unknown, possibly familial, chemical
- Management: treat signs and symptoms
with verified answers rated A+
Labs, to check for UTI or pneumonia. Electrolytes issue like Hyponatremia - correct answer ✔✔
An older adult comes in with new onset of confusion. What should you do first?
the diminishing effect with regular use of the same dose of a drug, requiring the user to take
larger and larger doses before experiencing the drug's effect - correct answer ✔✔ tolerance
A state in which there is a compulsive or chronic need, as for a drug - correct answer ✔✔
dependence
hyperventilation, increased RR - correct answer ✔✔ first symptom of acidosis
hyperosmolar agent
used in patients with severe hyponatremic encephalopathy, traumatic brain injury, and cerebral
edema - correct answer ✔✔ action of 3% sodium
numeric rating scale: numbers
visual analog scale: faces
categorical scale: words, numbers, colors, locations on the body - correct answer ✔✔ pain
scales
Decreased activity, grimacing, frowning, crying, moaning, and irritability. - correct answer ✔✔
nonverbal cues of pain
breathing, circulation, and respiratory adequacy
,ABCs: airway, breathing, circulation - correct answer ✔✔ Priority assessment in the PACU
a genetic severe reaction to certain drugs used for anesthesia - correct answer ✔✔ malignant
hyperthermia
dangerously high body temperature, rigid muscles or spasms, a rapid heart rate
tachycardia, tachypnea, high fever - correct answer ✔✔ malignant hyperthermia symptoms
anesthesia drugs:
halothane
sevoflurane
desflurane
succinylcholine - correct answer ✔✔ medications that can cause malignant hyperthermia
dantrolene
by limiting the activation of calcium receptor - correct answer ✔✔ malignant hyperthermia
treatment
acetaminophen (tylenol)
NSAIDs: Ibuprofen (Advil, Motrin),Naproxen (Aleve)
Acetylsalicylic: Aspirin
non-opioid - correct answer ✔✔ appropriate medications for low-moderate pain
wound care
pain management or pain goals
activity restrictions
dietary guidelines
,medication management or adherence
signs of complications
ambulation to prevent DVT
follow up appointments - correct answer ✔✔ Post-Op teaching should include
Financial abuse - correct answer ✔✔ Most common form of elder abuse
mandatory reporter and documentation
- dementia or Alzheimer's are the most at risk(also parkinsons, immobile clients)
- neurological or degenerative diseases - correct answer ✔✔ role of the nurse in elder abuse
depression
risk of suicide is increased from losses, isolation, and illness - correct answer ✔✔ most common
affective disorder in elderly
- Acute
- Fluctuating state of confusion
- Onset: fast
- Duration: hours to less than 1 month
- Causes: multiple, such as surgery, infection (sepsis, stoke, UTI's), drugs
- Management: remove or treat the cause
- Nursing interventions: reorient the client to reality; provide a safe environment - correct
answer ✔✔ delirium
○ Dehydration
○ Electrolyte imbalance/ emotional stress
○ Lung, liver, heart, kidney, brain disorders
, ○ Infection (sepsis, stroke, UTI's)
○ Rx Drugs
○ Immobility
○ Untreated pain, unfamiliar environment
○ Metabolic disorders - correct answer ✔✔ possible causes of delirium
changes in level of consciousness, irreversible brain damage, and sometimes death - correct
answer ✔✔ if delirium is left untreated what are possible outcomes
CAM, confusion assessment method - correct answer ✔✔ what assessments are performed on
patients when they are in a state of acute confusion with alterations in attention and cognition?
(delirium is suspected)
§ Improve oxygen
§ Reorient the client to reality; provide a safe environment
§ Supporting cognitive function
§ Reducing anxiety and agitation
§ Improve communication - correct answer ✔✔ healthcare team's primary goals for delirium
patients
- Chronic
- Loss of short-term memory, thinking (cognitive), and behavior, causing reduced ability to
perform ADL's
- Progressive cognitive decline
- Onset: slow
- Duration: months to years
- Causes: unknown, possibly familial, chemical
- Management: treat signs and symptoms
