Section 1
Functions of the hypothalamus
Plays a part in the arousal or alerting mechanicsm
The autonomic nervous system is a subdivision of the __________ nervous system
Peripheral
Structure that is important to your sense of balance and equilibrium
crista ampullaris
The hypothalamus produces which hormone
Antidiuretic Hormone (ADH)
The parathyroid hormone
increases the amount of calcium in the blood
When is a sputum specimen collected
In the early morning
Discharge planning should ideally begin as soon as a patient is admitted to the hospital, or even before for planned admissions, to ensure a smooth and safe transition back home or to another care setting.
When does discharge planning begin? the day before discharge, on the first day postoperatively, when the health care provider writes orders or shortly after admission.
shortly after admission
The medical term for profuse sweating is?
A) Dyspnea
B) Eccycomosis
C) Diaphoresis
D) Cyanosis
C) Diaphoresis
What are the terminations of tube feedings considered at the end of life?
A) Active euthanasia
B) Holistic care
C) Passive euthanasia
D) Terminal care
C) Passive euthanasia
At the end of life, terminating tube feedings is considered a form of passive euthanasia, which involves allowing a patient to die naturally by withholding or withdrawing life-sustaining treatments, rather than actively causing death.
Blood capillaries and lymph capillaries are
The fluid in them continues to recirculate through the same vessels
Getting a flu shot to protect against the flu is an example of _____________.
artificial active immunity
Which part of a full stomach may prevent the diaphragm from moving downward, making it hard to take a deep breath
Fundus
Order of the segments of the small intestine
Duodenum, jejunum, ileum
Which hormones tend to decrease the amount of urine produced
Antidiuretic hormone and aldosterone
How often should the nurse include repositioning/turning the older adult to prevent pressure injuries
Every 2 hours
When a patient demands to be discharged without the health care provider's orders what should the nurse have the patient sign?
A form exercising the patient's right
An informed consent
An advanced directive
A discharge against medical advice form (AMA)
A discharge against medical advice form (AMA)
A patient with Hepatitis has a yellow tinge to their skin. The nurse understands the most likely cause of jaundice is what?
A) Heart
B) Brain
C) Intestines
D) Liver
D) Liver
The yellow tinge, or jaundice, seen in hepatitis is caused by a buildup of bilirubin, a yellow-orange pigment, in the blood due to the liver's inability to process it effectively.
What should a nurse do before approaching a grieving family member?
A) Offer sympathy
B) Assess the level of resolution
C) Give assurance that the pain will pass
D) Encourage the family member to return to normal activities
B) Assess the level of resolution
Grief resolution is a process, not an endpoint, and involves acknowledging the loss, experiencing the pain, and finding new ways to live with the absence, rather than "getting over" it. It's about adapting to a new reality and finding meaning and purpose in life after a loss.
Loss of elasticity is a clinical sign of_________.
Dehydration
Substances are added to the urine in the distal and collecting tubules through what process_________.
Secretion
Hyperkalemia is an ______normal level of ______in the blood.
above; potassium
Which body fluid has the highest pH
arterial blood
Define blood alkalosis
is caused by an increase in base or a loss of acid
Nocturia is due to ___________?
decrease in bladder capacity
To help prevent falls related to muscle weakness, what type of exercises should be selected for the aging patient?
Daily
Running
Aerobic
Weight-bearing
Weight-bearing
An unnatural paleness of the skin is recognized as:
A) Sallow skin
B) Jaundice
C) Pruritus
D) Skin pallor
D) skin pallor
Skin pallor refers to a pale or whitish discoloration of the skin. It can be a temporary or chronic condition, and is often associated with a decrease in blood flow or red blood cell count.
A dying patient is using the call light frequently to ask her to perform simple tasks. The nurse recognizes this as a fear of
A) increased pain
B) failure
C) abandonment
D) isolation
C) abandonment
Dying patients often fear abandonment, which can manifest as increased anxiety and a desire to avoid being alone.
Respiratory alkalosis is caused by ___________.
H2C03 deficit
When can dehydration become lethal
if a patient loses 20% of body fluid
What is the least amount of hourly urine output that the kidneys must produce to remove waste
30 mL
Obtaining a daily weight at the same time of day in the same clothing is a method for determining ______.
water balance
What should the nurse expect when assing the patient for respiratory alkalosis
muscle weakness
An older patient with COPD has a higher incidence of developing which age-related changes that will alter the ability to exchange air effectively?
Arthritis, osteomyelitis, kyphosis or osteoporosis
kyphosis
The healthcare provider is assessing a patient for a murmur. Which position should the nurse place the patient?
A) Sims
B) Prone
C) Lithotomy
D) Lateral Recumbent
D) Left lateral Recumbant
This position brings the heart closer to the chest wall, making it easier to hear low-pitched sounds like diastolic murmurs.
What should a nurse do to aid a dysphagic patient? Select all that apply:
A) Sit the patient upright
B) Reduce distraction during mealtime
C) Offer fluid from a straw
D) Thicken liquids
E) Cue the patient to swallow
A) sit patient upright B) Reduce distraction during mealtime D) Thicken liquids E) Cue the patient to swallow
A young nurse caring for a dying patient hastens through the care and leaves the room as quickly as possible. What reaction to the dying patient is the nurse exhibiting?
A) Anger
B) Anxiety
C) Withdrawal
D) Efficiency
C) Withdrawal
Hearing loss due to sensory changes of middle-aged adult
presbycusis
Failure to achieve ego integrity is termed ______.
Despair
Catheter care involves
cleansing the first 2 inches of the catheter with soap and water every shift
ileostomy stool is ______consistency
semiliquid stool
With an ileostomy, stool consistency is typically liquid to pasty because the large intestine, where most water absorption occurs, is bypassed, resulting in frequent, less formed output.
Which health professional has the responsibility for notifying the health care provider when labs deviate from normal values
Nurse
You observe a patient being tense and distracted. What does this behavior suggest as a common reaction to being hospitalized?
relief about being cared for; fear of the unknown; feeling powerlessness or concern about cost
fear of the unknown
A heart rate below 60 beats per minute is termed?
Bradycardia
When communicating with a patient who has difficulty hearing. How should the nurse change their pattern of speech?
A) Speak very loudly
B) Speak rapidly
C) Lower the tone of voice
D) Raise the tone of voice
C) Lower the tone of voice
Use a Normal Tone of Voice: Don't shout or speak in a raised voice, as this can distort the sound of speech and make it harder to hear.
Hearing loss is a sign of aging. What is the medical term
A) Otitis externa
B) Presbyopia
C) Otitis media
D) Presbycusis
D) Presbycusis
Presbycusis, or age-related hearing loss, is a gradual, progressive hearing loss that occurs naturally with age, often starting in the 40s or 50s and affecting both ears, typically starting with high-frequency sounds.
Otitis externa: inflammation of the external ear; swimmers' ear.
Otitis media: middle ear infection; inflammation and fluid buildup behind the eardrum.
Presbyopia: Presbyopia is a common age-related eye condition that affects the ability to focus on close objects.