Ch 1-11
What is the current view of health
Includes mental, physical, social, and emotional adaptation to the environment.
The skin is intact, but when the nurse presses on the area, the redness does not fade. How should this area of pressure ulcer be classified?
Stage 1
What assessment should a nurse perform on a patient after the repair of an abdominal aortic aneurysm
bowel sounds
What does SBAR stand for
Situation, Background, Assessment, Recommendation
What is phlebitis
Inflammation of the vein wall
What should the nurse anticipate when assessing characteristics of tarry stools?
Black and sticky
A nurse takes into consideration that such emotions as worry, anxiety, and depression can contribute to the common nutritional problem of
anorexia
A patient is taking hydrochlorothiazide (HydroDIURIL) for hypertension. When providing dietary teaching what should the nurse encourage the patient to increase the intake of
bananas
What is homeostasis
The maintenance of a stable equilibrium state
What age group is at the highest risk for injury from falls
People older than 65 years.
A patient being assessed by the physician states, "I wet my pants every time I cough." The nurse recognizes this as which type of incontinence
stress
What portion of the internal nose traps particles and kills bacteria
mucous membrane
A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention?
periorbital edema
What is referred pain?
Pain that is felt in a different area than where the injury or issue is occurring
How should a stage II pressure ulcer be treated
Clean with mild soap and water or sterile saline, pat dry, and cover with a dressing that allows airflow
What is the main role of the nurse when assessing families and their coping strategies?
Information and reassurance
A patient asks the nurse how air goes from the nose to the lung. The nurse draws the route according to which sequence
Pharynx, trachea, bronchi, alveoli
What is the usual cause of the autoimmune disease of acute glomerulonephritis?
Streptococcal infection
What are potential complications of hypertensive crises?
Stroke, heart failure, and kidney failure
How do oral contraceptives affect warfarin
They lessen the effects of warfarin.
What are the characteristics of an effective leader? Hint-there's 4
Effective communication
- Delegates appropriately
- Acts as a role model
- Consistently handles conflict
What is true regarding bacterial pharyngitis that is untrue for viral pharyngitis?
has an abrupt onset
What action should the nurse implement when a patient falls to the floor in a generalized seizure
cradle the head to prevent injury
What does constant bubbling in the water seal of a chest tube indicate
an air leak
What is a serious postoperative event that can occur in a patient with a synthetic graft
A fever, which may lead to an infection and possibly amputation.