NUR 176 Final Review Hondros
Exam/131 Questions and Answers
The nurse is assisting in implementing care plan for a patient with dementia.
Which interventions would you expect to see? (SATA) - -Keep a large clock
and calendar in view, reduce distractions during meal times, reduce
exposure to over-stimulating situations, and monitor weight regularly for
changes.
- Nurse is caring for a patient with type 1 diabetes. Which indicates need for
further assessment? - -"My dad and his dad had pancreatic cancer"
- Which of the following indicates that teaching on meningitis is understood?
(SATA) - -It is important that we vaccinate our son at the proper times,
meningitis is contagious if exposed to the bodily fluids from another infected
child, and if our child contracts bacterial meningitis, he will need antibiotic
treatment immediately.
- The nurse is caring for a patient with alzheimer's who is stumbling in the
hall frequently. The nurse will do which of the following to protect the client?
(SATA) - -Offer social or physical activity to promote safety, encourage staff
or family supervision for safety, and maintain a cal environment for the
patient.
- The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching
should the LPN provide? (SATA) - -Effects of illness and stress on the glucose
level, S&S of hypoglycemia, and effects of exercise on the glucose level
- The nurse is caring for a patient with type II diabetes. What statement
requires further teaching by the nurse? (SATA) - -"I am having difficulty with
my wife in bed", "My wife and I love to walk barefoot in the sand", and "My
heart Dr. put me on a new pill".
- Your patient is experiencing a new onset myoclonic (muscle-jerking)
seizures. The nurse knows which one of the following statements are true
about the seizure characteristics? - -Sudden excessive jerking of the body or
extremities.
- Nurse is caring for a patient with diabetes who is concerned about
developing long-term complications. Which interventions would the nurse
assist the patient with for this? (SATA) - -Daily foot exams, annual renal
function tests, and maintain LDL under 150mg/dL
, - The nurse is caring for a patient with type II Diabetes. Which statement
would indicate a need for further assessment by the nurse? (SATA) - -I mix
my glargine insulin with my Humalog, I am on prednisone for poison ivy, and
I have dry skin on my heel that keeps cracking.
- Patient in ER with symptoms of a stroke. The nurse knows prompt
medication attention is needed within 3 hours to reduce permanent disability
or death. Which interventions would nurse anticipate for patient? (SATA) - -
Administering tissue plasminogen activator (TPA), CT scan or MRI to rule out
hemorrhagic stroke, Neuro assessment using NIH stroke scale, and Review
any history of bleeding disorders.
- The nurse is caring for a patient with type I Diabetes post-op 1 day after a
right hip replacement.. What should be monitored for this patient? (SATA) - -
Microalbuminuria, BUN/Creatinine, Blood pressure, and CBC
- Nurse is caring for patient recently dx with seizures and prescribed
phenytoin (Dilantin). What education should we include? (SATA) - -Patient
should avoid alcohol when taking seizure meds, patient should be
encouraged to do good oral hygiene, explain the need to continue
medication even when seizures stop, explain that the patient may have
driving restrictions.
- When assessing for meningitis or encephalitis, the nurse is aware which of
the following statements is true? - -Determining organism specific cause of
the condition
- The nurse is providing dietary teaching to a newly dx diabetic patient.
What should be included in education? (SATA) - -Plan meals the same time
every day, reduce saturated fat and increase exercise, select food from
myplate food planning tool.
- Client is showing signs of dementia. The nurse will practice which
guidelines for reality orientation? (SATA) - -Set routine and be consistent, be
truthful in your responses, and engage them in simple tasks that have a
purpose.
- Patient with new dx of seizures, nurse will instruct patient to keep a log of
which of the following? (SATA) - -Time and duration of seizures, degree of
drowsiness after seizures, and any side effects of nausea and emesis.
- Nurse caring for patient with suspected early dementia. What S&S will the
nurse assess the patient for? (SATA) - -Gradual onset of memory loss,
difficulty focusing attention, and difficulty finding the right words.
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