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Test Bank For Lewis s Medical Surgical Nursing exam bundle with verified solutions

Nursing Metaparadigm - ANSperson, environment, health, nursing Boundaries of client confidentiality - ANSreport when danger is possible (self harm or abuse) boundaries of therapeutic communication - ANSwhen just given bad news take a step back before continuing or if someone is in danger than don't use boundary transgression of therapeutic communication - ANSknowing when to and when not to use therapeutic communication How do professional nurses talk about substance abuse? - AN...

1. The nurse completes an admission database and explains that the plan of care and dischargegoals will be developed with the patient‘s input. The patient asks, “How is this different fromwhat the physician does?” Which response would the nurse provide? a. “The role of the nurse is to administer medications and other treatments prescribedby your physician.” b. “In addition to caring for you while you are sick, the nurses will help you plan to maintain your health.” c. “Th...

1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient‘s input. The patient states, ―How is this different from what the doctor does?‖ Which response would be most appropriate for the nurse to make? a. ―The role of the nurse is to administer medications and other treatments prescribed by your doctor.‖ b. ―The nurse‘s job is to help the doctor by collecting information and communicating any prob...

1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.Which statement, if made by the student nurse, indicates that teaching was successful? a. The nursing process is a scientific-based method of diagnosing the patients health care problems. b. The nursing process is a problem-solving tool used to identify and treat patients health care needs. c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature ofh...

A patient with acute diarrhea of 24 hours' duration calls the clinic to ask for directions for care. In talking with the patient, what should the nurse do? a. Ask the patient to describe the character of the stools and any associated symptoms. b. Advise the patient to use over-the-counter loperamide (Imodium) to slow gastrointestinal motility. c. Inform the patient that laboratory testing of blood and stool specimens will be necessary. d. Advise the patient to drink clear liquid fluids wi...

NURS 6501 2023 questions and answers graded A+ and accurately verified solutions ready for your revising needs exam bundle

acrocentric - ANSrefers to the terminal location of centromere on chromosomes 13, 14, 15, 21, and 22 allelic heterogeneity - ANSthe situation in which multiple alleles at a single locus can produce one or more disease phenotypes. amorphic - ANSrefers ro mutations that cause a complete loss of function for the respective gene, and therefore yield the same phenotype as a complete gene deletion. aneuploidy - ANSa general term used to denote any unbalanced chromosome complement antim...

Down Syndrome - ANS•Epicanthal fold •Brushfield spots (white spots on iris) •Microcephaly •Flattened nose, protruding tongue, & low set ears (shell-like) •Short hands/fingers with transverse palmers creases, 5thdigit curves inward •Delayed growth, development •Mental retardation across spectrum of low to high function •Hypotonic muscles •Delayed social skills Klinefelter's Syndrome - ANS•At lease 2 x and 1Y •Male appearance •Sterile •Gynecomastia (50%) ...

Overview of the Blood - ANS•Blood •5000ml •Plasma •3000ml Hematocrit defined - ANS- % of RBCs [higher value = higher viscosity = thicker blood) - Example: Polycythemia may have Hct of 60-70% Types of Blood Cells - Erythrocytes [RBCs) - ANS- Transport O2 - Small disc shape - Lifespan = 120 days - Carry Hgb [ferrous oxide, also an acid/base buffer) - Made in the bone marrow - Iliac crest for sample in leukemia [after age 20 in the vertebrae, sternum, ribs, iliac...

Eukaryotes - ANShave membrane-bound intracellular compartments (organelles) that includes a well defined nucleus. cells that bind with DNA and are involved in supercoiling of DNA prokaryotes - ANSno organelles, nuclear material is not encased by a nuclear membrane. Nuclei of cells carry genetic information in a single circular chromosome and they lack histones process of differentiation - ANScells become specialized and mature so that some cells eventually perform one kind of function a...

Signs of bacterial prostitis - ANS-Back pain -testes pain -frequency, hesitancy, urgency, nocturia, dysuria -unable to empty -elevated PSA levels Abx that work for bacterial prostitis (they penetrate the prostatic capsule) - ANS-trimethoprim-sulfamethoxazole or floroquinolones for 2-6 wks supportive measures for bacterial prostitis - ANSsitz baths 3x daily causes of transient proteinuria include - ANS-dehydration, fever, exercise -congestive heart failure exacerbation microp...

Cells become specialized through the process of - ANSdifferentiation or maturation Eight specialized cellular functions are - ANSmovement, conductivity, metabolic absorption, secretion, excretion, respiration, reproduction, and communication Eukaryotic cells consist of - ANSthe plasma membrane, the cytoplasm, and intracellular organelles What is the nucleus? - ANSthe largest membrane-bound organelle and found in the cell's center Chief functions of the nucleus are? - ANScell di...

Inflammation - ANSAllows inflammatory cells, plasma proteins (e.g., complement), and fluid to exit blood vessels and enter the interstitial space Divided into acute and chronic inflammation Acute Inflammation - ANS-Characterized by the presence of edema and neutrophils in tissue. -Arises in response to infection (to eliminate pathogen) or tissue necrosis (to clear necrotic debris) -Immediate response with limited specificity (innate immunity) Cardinal signs - ANSRedness (rubor) and w...

nonspecific immunity (4) - ANSsecretory activity of phagocytes barriers: i.e. skin, GI mucus, respiratory cilia chemicals: lysozyme, gastric acid flushing: tears, sweat, urine, GI motility specific immunity - ANSlymphocytes, antibodies effects seen with cytokine release (3) - ANSdilate intact arterioles and capillaries (hypermeia [congestion], redness [rubor] and heat [calor]) increase capillary permeability (swelling [tumor], WBCs and clot factors can become involved) stimulate fr...

histology - ANSmicroscopic study of tissues and cells, yields important diagnostic info biopsy - ANSextraction of cell sample from organ or mass of tissue to allow for histological examination pathognomonic changes - ANShistological findings that represent distinct disease processes atrophy - ANScellular adaptation in which cells revert to a smaller size in repsonse to changes in metabolic requirements or environment why does atrophy occur - ANSwhen cell's environment cannot su...

adenocarcinoma - ANScancers that arise from or form ductal or glandular structures. i.e.-mammary adenocarcinoma Anaplasia - ANSmicroscopic hallmarks of cancer cells. Loss of cellular differentiation. carcinoma in situ - ANSAccumulate specific genetic lesions. Localized to the epithelium but have no penetrated the local basement membrane or surrounding stoma. Not malignant. Cervix, skin, oral cavity. "watchful waiting" Tumor (neoplasm) - ANSAbnormal growth resulting from uncontroll...

Overview of the Blood - ANS•Blood •5000ml •Plasma •3000ml Hematocrit defined - ANS- % of RBCs [higher value = higher viscosity = thicker blood) - Example: Polycythemia may have Hct of 60-70% Types of Blood Cells - Erythrocytes [RBCs) - ANS- Transport O2 - Small disc shape - Lifespan = 120 days - Carry Hgb [ferrous oxide, also an acid/base buffer) - Made in the bone marrow - Iliac crest for sample in leukemia [after age 20 in the vertebrae, sternum, ribs, iliac...

A runner has depleted all the oxygen available for muscle energy. Which of the following will facilitate his continued muscle performance? - ANSAnswer: Anaerobic glycolysis What causes the rapid change in the resting membrane potential that initiates an action potential? - ANSAnswer: Sodium gates open, and sodium rushes into the cell, changing the membrane potential from negative to positive. A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of t...

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