Nurs 1871 Exam 2 Questions With Complete Solutions
6 elements of infection Correct Answer 1. Pathogen
2. Susceptible host
3. Reservoir (where pathogen lives/multiplies)
4. Portal of exit (from the reservoir)
5. Mode of transmission
6. Portal of entry (to susceptible host)
A patient reports no bowel movement in 3 days and a feeling of
abdominal fullness. Upon palpating the patient's abdomen, the
nurse finds that the left lower quadrant is firm. Which
instruction given by the nurse will be beneficial for the patient?
Select all that apply.
-"Take loperamide as prescribed"
-"Include high-fiber foods in your diet"
-"Consider eating white bread for breakfast"
-"Try to defecate at the same time every day"
-"Ensure that your daily fluid intake is at least 1.5L" Correct
Answer -"Include high-fiber foods in your diet"
-"Try to defecate at the same time every day"
-"Ensure that your daily fluid intake is at least 1.5L"
ABCDE of pain assessment and management Correct Answer
A: ASK about pain regularly. Assess pain systematically.
B: BELIEVE the patient and family in their report of pain and
what relieves it.
C: CHOOSE pain control options appropriate for the patient,
family, and setting.
D: DELIVER interventions in a timely, logical, and coordinated
fashion.
,E: EMPOWER patients and their families. Enable them to
control their course to the greatest extent possible.
Acute versus chronic pain Correct Answer · Acute: sudden,
short duration, associated with illness or injury
less than three months
· Chronic: persists "beyond the expected time frame from
healing or that occurs in disease processes in which healing may
never occur. Greater than 3 to 6 months
Adjuvant analgesics Correct Answer Local anesthetics
anticonvulsants,
antidepressants,
Adults typically void when their bladder is at a volume of
Correct Answer 400-600mL
An absence of bowel sounds may be associated with Correct
Answer paralytic ileus
Anuria Correct Answer Lack of producing urine/very little
(less than 50 mL in 24 hours)
Aqueous suspension (Liquids; Medication delivery) Correct
Answer Solid particles suspended in liquid (MIX WELL
BEFORE ADMINISTRATION)
Bowel diversions (Ostomies) Correct Answer Sigmoid
colostomy (FORMED STOOL)
Ileostomy (LIQUID)
, Changes in cognition and level of consciousness Correct
Answer Subtle/early signs:
-restlessness
-apprehension
-slight confusion
late signs. Changes in pupil response
Characteristics of urine (COPA) Correct Answer Color/clarity
Odor
Particles
Amount
Cushing triad
- what is it a sign of? Correct Answer hypertension, reflex
bradycardia, respiratory depression
- sign of increased intracranial pressure (constricts arterioles -
cerebral hypo perfusion - sympathetic response causes HTN)
Documentation needs to confirm to standards of the ______ and
_______ to maintain institutional accreditation and minimize
liability Correct Answer NCQA (National committee for
quality assurance)
TJC
Duration of action Correct Answer Length of time which a
medication is present in a concentration great enough to produce
a therapeutic effect
During a neurological assessment of an older-adult patient, a
nurse reviews the patient's history for incidents of drug toxicity,
6 elements of infection Correct Answer 1. Pathogen
2. Susceptible host
3. Reservoir (where pathogen lives/multiplies)
4. Portal of exit (from the reservoir)
5. Mode of transmission
6. Portal of entry (to susceptible host)
A patient reports no bowel movement in 3 days and a feeling of
abdominal fullness. Upon palpating the patient's abdomen, the
nurse finds that the left lower quadrant is firm. Which
instruction given by the nurse will be beneficial for the patient?
Select all that apply.
-"Take loperamide as prescribed"
-"Include high-fiber foods in your diet"
-"Consider eating white bread for breakfast"
-"Try to defecate at the same time every day"
-"Ensure that your daily fluid intake is at least 1.5L" Correct
Answer -"Include high-fiber foods in your diet"
-"Try to defecate at the same time every day"
-"Ensure that your daily fluid intake is at least 1.5L"
ABCDE of pain assessment and management Correct Answer
A: ASK about pain regularly. Assess pain systematically.
B: BELIEVE the patient and family in their report of pain and
what relieves it.
C: CHOOSE pain control options appropriate for the patient,
family, and setting.
D: DELIVER interventions in a timely, logical, and coordinated
fashion.
,E: EMPOWER patients and their families. Enable them to
control their course to the greatest extent possible.
Acute versus chronic pain Correct Answer · Acute: sudden,
short duration, associated with illness or injury
less than three months
· Chronic: persists "beyond the expected time frame from
healing or that occurs in disease processes in which healing may
never occur. Greater than 3 to 6 months
Adjuvant analgesics Correct Answer Local anesthetics
anticonvulsants,
antidepressants,
Adults typically void when their bladder is at a volume of
Correct Answer 400-600mL
An absence of bowel sounds may be associated with Correct
Answer paralytic ileus
Anuria Correct Answer Lack of producing urine/very little
(less than 50 mL in 24 hours)
Aqueous suspension (Liquids; Medication delivery) Correct
Answer Solid particles suspended in liquid (MIX WELL
BEFORE ADMINISTRATION)
Bowel diversions (Ostomies) Correct Answer Sigmoid
colostomy (FORMED STOOL)
Ileostomy (LIQUID)
, Changes in cognition and level of consciousness Correct
Answer Subtle/early signs:
-restlessness
-apprehension
-slight confusion
late signs. Changes in pupil response
Characteristics of urine (COPA) Correct Answer Color/clarity
Odor
Particles
Amount
Cushing triad
- what is it a sign of? Correct Answer hypertension, reflex
bradycardia, respiratory depression
- sign of increased intracranial pressure (constricts arterioles -
cerebral hypo perfusion - sympathetic response causes HTN)
Documentation needs to confirm to standards of the ______ and
_______ to maintain institutional accreditation and minimize
liability Correct Answer NCQA (National committee for
quality assurance)
TJC
Duration of action Correct Answer Length of time which a
medication is present in a concentration great enough to produce
a therapeutic effect
During a neurological assessment of an older-adult patient, a
nurse reviews the patient's history for incidents of drug toxicity,
