Systemic Effects of Immobility
Alterations in calcium, electrolytes, and fluids occur in this system.
What is Metabolic?
List the three most prevalent types of eating disorders?
What are anorexia nervosa, bulimia nervosa, and binge-eating disorder?
List four types of immobility?
-Temporary
-Permanent
-Sudden onset
-Slow Onset
Name three early manifestations of hypoxia?
-tachypnea -Restlessness/anxiety/confusion
-tachycardia -Pale skin/mucous membranes
-Elevated BP -Use of accessory muscles (nasal flaring, adventitious lung sounds)
A nurse is admitting a client who has active tuberculosis to a room on a medical-surgical unit. Which of the following room assignments should the nurse make for the client?
1) A room with air exhaust directly to the outdoor environment
2) A room with another nonsurgical client
3) A room in the ICU
4) A room that is within view of the nurses' station
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Decreased circulation to the tissues in this system causes ischemia, possibly leading to pressure injury.
What is Integumentary?
How do you calculate Body Mass Index (BMI)?
BMI=weight (kg)/height (m)2
Name three ways to promote Venous Return?
-Antiembolic stockings
-Positioning techniques
-ROM exercises
-SCD and IPC
Name three late manifestations of hypoxia?
-stupor -Cyanotic skin/mucous membranes
-bradypnea -bradycardia -hypotension
-cardiac dysrhythmias
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)
1) Dyspnea
2) Bradycardia
3) Barrel chest
4) Deep respirations
1, 3
Orthostatic Hypotension.
What is damage to the Cardiovascular System?
List three basic nutrients required by the body?
-Carbohydrates
-Fats
-Proteins
-Vitamins
-Minerals
-Water
This is inflammation of a vein that results in clot formation?
What are Thrombophlebitis or Deep Vein Thrombosis?
Name one disadvantage of a Simple Face Mask?
pg 324
A nurse is performing tracheostomy care for a client and suctioning to remove copious secretions. Which of the following actions should the nurse take?
1) Suction two to three times with a 60-second pause between passes.
2) Perform chest physiotherapy prior to suctioning.
3) Lubricate the suction catheter tip with sterile saline.
4) Hyperventilate the client on 100% oxygen prior to suctioning.
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Stasis of secretions, possibly resulting in atelectasis.
What are problems with the respiratory system?
Name four questions that should be included in a Dietary History Assessment?
-Number of meals/day -Allergies -Fluid Intake
-Food preferences -Food prep -Hx of indigestion
-Allergies -Taste -Chewing/swallowing -Apetite
-Elimination -Medications -Activity -
The practice of designing equipment and work tasks to conform to the capability of the worker, and provides a means of adjusting the work environment.
What is Ergonomics?
Which mask is best for patients who have chronic lung disease?
Venturi mask
A nurse is caring for a client with a tracheostomy. The client’s partner has been taught to perform suctioning. Which of the following actions by the partner should indicate to the nurse a readiness for the client’s discharge?
1) Attending a class given about tracheostomy care
2) Verbalizing all steps in the procedure
3) Performing the procedure independently
4) Asking appropriate questions about suctioning
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Changes in calcium metabolism with hypercalcemia, possibly resulting in renal calculi.
What are problems with Elimination/Genitourinary system?
Name five types of Therapeutic Diets?
-NPO -Clear Liquid -Full liquid -Pureed
-Mechanical soft -Soft/low residue -High Fiber
-Low sodium -Low cholesterol -Diabetic
-Dysphagia -Regular
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
1) Place the wheelchair at a 90° angle to the bed.
2) Lock the wheels of the bed and the wheelchair.
3) Acquire the help of several people to lift the client.
4) Elevate the bed to a position of comfort for the nurse.
2
Name the two types of aerosol masks?
-Face tent
-tracheostomy collar
A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?
1) Obtain a cardiology consult.
2) Suction the client less frequently.
3) Administer an antidysrhythmic medication.
4) Perform pre-oxygenation prior to suctioning.
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