Exam (elaborations)
PNR 116 Test #2 (weeks 4-7) –Questions with Solutions
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PNR 116 Test #2 (weeks 4-7) –Questions with Solutions
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PNR 116 Test #2 (weeks 4-7) –Questionswith Solutions
The GI side effects of immobility include - -Constipation
- CPAP is required for what kind of client? - -People with Down Syndrome
- Exercise has which effect? - -Increased appetite
- REM sleep includes - -A time in which you dream
- A patient measures a Braden score of 12. This is considered... - -A high
risk for PU development
- Stage 2 pressure ulcer is associated with? - -Pain
- Which colour is associate with serous sangenous drainage? - -Pink
- Nursing dx are based on pathology - -FALSE
- Which factor is not predictive of PU development according to Braden - -
Obesity
- In focus/DAR charting, the nurse documents that he gave the pt Tylenol for
temp in which area? - -A
- The nurse must document a fall witnessed by a PSW? - -FALSE
- In what part of nursing process is smart goals written? - -Planning
- A urine specimen required for R&M requires the nurse to? - -Maintain
medical asepsis
- The nurse needs how many mL of urine when sending it to the lab? - -
10mL
- What constitutes full fluids? - -Pudding & ice cream
- The FOBT test is used to test for what? - -Blood
- You know that conflict is associated with what stage of group
development? - -Storming
, - Signs and symptoms of dysphagia - -Pocketing, drooling, aspiration,
advantageous lung noises
- A task for a py in Ericksons stage of G&D called generatively vs stagnation
would include? - -Productive work
- What is missing in this SMART goal? The client will report pain 3/10 - -Time
frame
- What is the nursing process? - -Assessment
Diagnosis
Planning
Implementation
Evaluation
- What is assessment? - -Establishes database to determine the clients
nursing care needs
- What does IPPA stand for? - -Inspect, palpitate, percussion, auscultate
Inspect, auscultate, palpitate (for abdomen)
- Skills/knowledge for assessment - -Cognitive (nursing knowledge,
intellectual, problem solving)
Interpersonal (verbal/non-verbal, must communicate clearly,
teaching/counselling)
Psychomotive (hands on, direct care)
- What is a nursing diagnosis? (ADPIE) - -Actual (problem focused)
Risk
Health promotion
Syndrome
Collaborative problem
- What is Planning? (ADPIE) - -Setting goals with the patient
What will you do to meet the goals
- Components of goal statement - -1. Behaviour (observed)
2. Change expected (manner in which behaviour will change)
3. Time frame
- Smart goals - -S - Specific
M - Measurable
A - Attainable
R - Realistic
T - Time frame
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