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Tanners/Nursing Process
Pain
ABGs/Acid/Base Balance
Osteoarthritis
Normal Lab Values
100
What is not a stage of Tanner's model A. Noticing B. Interpreting C. Reasoning D. Responding
What is C. Reasoning
100
There is a link between depression and pain. True or false?
What is True
100
What does the ROME mnemonic stand for?
What is respiratory opposite, metabolic equal
100
What happens to the cartilage during the process of osteoarthritis?
What is cartilage becomes less elastic, softer
100
The nurse is reviewing a patient's morning lab results. Which of these lab results is of highest concern? a. Serum K+ of 2.6 mEq/L b. Serum NA+ of 150 mEq/L c. Serum Mg++ of 1.3 mEq/L d. Serum Ca+ + (total) of 8.6 mg/dL
A, With a low K+ there is an increased risk for dysrhythmias and severe muscle weakness. The sodium and magnesium levels are also not within normal limits, However the implications are not as life threatening. The Ca+ level is normal.
200
When a nurse has a an immediate understanding of a situation due to experience and knowledge of patterns, the nurse is demonstrating what?
What is B. intuitive thinking
200
Consequences of untreated pain is/are….(select all that apply) a. immunosuppression b. sleep disturbances c. psychosocial dysfunction d. creation of new nerve cells
What is a. immunosuppression b. sleep disturbances c. psychosocial dysfunction
200
A patient comes in experiencing hyperreflexia, muscle cramps, and tetany. They also exhibit a positive Chvostek's sign. As a nurse, you suspect the problem is ...?
What is hypocalcemia
200
Does osteoarthritis affect joints symmetrically or asymmetrically?
What is asymmetrically
200
A patient who has required prolonged mechanical ventilation has the following arterial blood gas results: pH 7.47, PaO2 85 mm Hg, PaCO2 30 mm Hg, and HCO3 25 mEq/L. The nurse interprets these results as a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
D, The pH indicates that the patient has alkalosis and the low PaCO2 indicates a respiratory cause. The other responses are incorrect based on the pH and the normal HCO3.
300
When responding to a emergency situation the nurse should be (select all that apply) A. Calm B. Confident C. Flexible to change D. Only use one general care plan for all patients
What is A. Calm B. Confident C. Flexible to change
300
Define nociceptive pain
What is damage to somatic or visceral tissue damage (surgical incision, broken bone)
300
Using this information, what state is the patient in? pH 7.34 PaCO2 67 mm Hg PaO2 47 mm Hg HCO3 37 mEq/L
What is respiratory acidosis
300
There should be a balance of rest and movement with osteoarthritis. How long should immobilization last?
Immobilization should not exceed 1 week..
300
A patient receiving isoosmolar continuous tube feedings develops restlessness, agitation, and weakness. Which laboratory result is most important to report to the health care provider? a. K+ 3.7 mEq/L b. Ca+2 8.9 mg/dl c. Na+ 154 mEq/L d. PO4-3 4.5 mg/dl
C, The elevated serum sodium level is consistent with the patient?s neurologic symptoms and indicates a need for immediate action to prevent further serious complications such as seizures. The potassium and calcium levels vary slightly from the normal but do not require any immediate action by the nurse. The phosphate level is within the normal parameters.
400
Which is not a step in the nursing process? A. Assess B. Determine C. Planning D. Evaluate E. None of the above
What is B. Determine
400
What are clinical manifestations of acute pain? (select all that apply) a. decreased respirations b. increased pulse c. increased blood pressure d. increased urine output
What is b. increased pulse c. increased blood pressure
400
In terms of giving fluids, a nursing intervention for a patient experiencing hyponatremia would be ...?
What is restrict fluids
400
If ice is used for acute inflammation, what is heat used for?
What is stiffness
400
A patient has the following arterial blood gas (ABG) results: pH 7.30, PaO2 88 mm Hg, PaCO2 35 mm Hg, and HCO3 15 mEq/L. The nurse interprets these results as a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
A, The pH and HCO3 indicate that the patient has a metabolic acidosis. The ABGs are inconsistent with the other responses.
500
Which task is the most appropriate to delegate to a nurse's assistant? A. Performing proper foot hygiene for a Diabetic patient with his third related hospitalization. B. Administering a patient's insulin C. Giving a bed bath to an obese patient who needs assistance D. Taking glucose readings because the nurse is at lunch
What is C. Giving a bed bath to an obese patient who needs assistance
500
Which medication does not have an analgesic ceiling? a. nonopioids b. opioids c. NSAIDS d. beta-blockers
What is b. opioids
500
What is the preferred type of IV fluid for a patient experiencing hypovolemia?
What is isotonic fluid (LR, 0.9% NaCl)
500
What makes Osteoarthritis different from Rheumatoid Arthritis?
OA doesn't have systemic manifestations (fever, fatigue, organ involvement)
500
The nurse is performing an admission assessment on a 20 year old college student who is being admitted for electrolyte disorders of unknown etiology. Which assessment is most important to report to the health care provider: a. Na level is 140 mEq/L. b. Patient is very thirsty. c. The patient has a history of weight fluctuations. d. The patient's serum potassium level is 2.9 mEq/L
D, The potassium level is critical and needs to be addressed immediately