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NURS 356 - EXAM #1 QUESTIONS WITH COMPLETE SOLUTIONS
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NURS 356 - EXAM #1 QUESTIONS WITH COMPLETE SOLUTIONS
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NURS 356 - EXAM #1 QUESTIONS WITH COMPLETESOLUTIONS
"From everything you have said, it seems that you're concerned
about" Correct Answer Identifying Themes
"Getting back to why you're here" Correct Answer Redirecting
"Go on" Correct Answer Encouraging
"Let me see if I have this right" Correct Answer Clarifying
"Remember, you're in the hospital" Correct Answer Presenting
Reality
"Tell me more about that" Correct Answer Exploring
"The pain started and then what happened" Correct Answer
Sequencing
"What does it feel like?" Correct Answer Asking open-ended
questions
"You say you're afraid" Correct Answer Reflection
How do nursing standards affect nursing care? Correct Answer
Nursing Standards:
1. Assessment
2. Diagnosis
3. Outcomes Identification
4. Planning
, 5. Implementation
6. Evaluation
ADOPIE
--> The nursing process is the foundation of clinical decision
making
How do you prevent constipation? Correct Answer Administer
medications, collect fecal samples, enema, digital disimpactions
How does immobility affect the cardiac system? What are the
interventions? Correct Answer -Orthostatic hypotension = a
decrease in systolic blood pressure of 20mmhg or 10 mmhg in
diastolic and increase of HR within 3 minutes
-Increased workload of heart --> edema
-DVT --> Virchow's Triad = pooling of blood, increased
clotting, vessel injury
Interventions:
-Sitting up in bed
-Isometric exercises
-Avoiding valsalva maneuver --> possible syncope episode
-Ted hose
-Anticoagulants
-Early Ambulation
How does immobility affect the integumentary system? What
are the interventions? Correct Answer Causes skin irritation
and fragility due to reduced circulation, moisture, pressure and
friction
-Pressure ulcers
-Risk for infection
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