No lecture today..
> use the time to complete your activities for Cardio
*Chapter 26
*Chapter 28
*Chapter 29
*Chapter 30
> put your output in a WHITE SHORT PLASTIC folder
> deadline: Apr 30 (Fri) together with the CD Project
> get your copies of the activities on my table
> Midterm Exams: Apr 29 (Thu)
For the midterm test:
*Coverage: Pain, Respiratory disorders, Cardio disorders
*no receipt, no test (if you can't pay yet, bring a letter of explanation with the signatures of your parents)
Tuesday, April 27, 2010
Friday, April 16, 2010
Remedial 202 QUIZ1
Remedial 202 Quiz 1
NEW: Answer Key
1. A 6. D 11. A 16. D
2. C 7. B 12. D 17. A
3. B 8. D 13. C 18. D
4. D 9. D 14. A 19. B
5. B 10. A 15. D 20. D
INSTRUCTIONS: DO NOT PRINT THIS TEST ANYMORE. Write your answers on a ¼ yellow pad. Use CAPITAL letters. DEADLINE 4/19/10. Submit on my table.
MULTIPLE CHOICE. Read each question carefully. Choose one best/correct answer from the choices given.
Case: Gina is a runner who joined the marathon. She accidentally stepped on a stone and sprained her ankle. Her ankle immediately became swollen and a hematoma is seen near the ankle.
1. The nurse assessing for pain should
a. believe a patient when he or she states that pain is present
b. doubt that pain exists when no physical origin can be identified
c. realize that patients frequently imagine and state that they have pain without actually feeling painful sensations
d. all of the above
2. Gina did not verbalize that she was in pain. As the nurse of Gina, you are aware that a behavioral response to pain includes
a. an expressionless face
b. clear verbalization of the pain felt
c. immobility of affected part
d. increase in blood pressure and heart rate
3. To reduce the swelling of the sprained ankle and eventually relieve the pain, the nurse should
a. Apply warm compress over the site of injury
b. Apply cold compress over the injured site
c. Apply liniment ointment
d. Play music or use a videotape
4. Cutaneous stimulation is helpful in reducing painful sensations because it
a. Provides distraction from the pain source and decreases awareness
b. Releases endorphins
c. Stimulates large diameter nerve fibers and reduces the intensity of pain
d. All of the above
5. The nurse’s major area of assessment for a patient receiving Morphine Sulfate is assessing which system?
a. Cardiovascular
b. Respiratory
c. Neurologic
d. Integumentary
Case: Isa, who has been having runny nose that goes on and off for a month now sought consult in the school clinic.
6. Nursing measures for viral rhinitis include all of the following except
a. Administering prescribed antibiotics to decrease the severity of the viral infection
b. Informing the patient about the symptoms of secondary infection as a complication of common colds
c. Instructing adequate fluid intake and rest
d. Teaching that the virus is contagious for 3 days before symptoms appear
7. Isa points to the area on the inside of the eye as a point of pain as she mentioned that she feels that her sinuses are congested. The nurse knows that the patient is referring to which sinus?
a. Frontal
b. Ethmoidal
c. Sphenoidal
d. Maxillary
8. Nursing measures for a patient with acute or chronic sinusitis include
a. Adequate fluid intake
b. Increased humidity
c. Local heat applications to promote drainage
d. All of the above
9. Health teachings for viral rhinitis include instructing the patient to
a. blow her nose gently to prevent spread of infection
b. blow through both nostrils to equalize the pressure
c. rest, to promote overall comfort
d. do all of the above
10. Isa has been taking an over-the-counter (OTC) decongestant from the start of her runny nose. Which of the following statements made by Isa needs further instructions?
a. “Decongestants can be used as long as I have this runny nose.”
b. “Rebound congestion is an effect if decongestants are used longer than 3 days.”
c. “Some decongestants need to be taken only twice a day while others may need to be used 3 to 4 times a day.”
d. “The oral form of decongestants is the preferred choice for most cases of nasal congestion.”
Case: Judy, a 36-year-old salegirl, has just undergone tonsillectomy and adenoidectomy. You are assisting her with transport from the recovery room to her room.
11. Based on the knowledge about tonsillitis, you known that Judy may have experienced symptoms that required surgical interventions. Clinical manifestations may have included:
a. Hypertrophy of the tonsils
b. Repeated attacks of otitis media
c. Suspected hearing loss secondary to otitis media
d. All of the above
12. Which diet is appropriate for Judy as soon as she has fully recovered from general anesthesia?
a. Full diet to build up resistance from infection
b. Vit C-rich foods to heal tissues
c. Only clear liquids for 3 days, to prevent pharyngeal irritation
d. Ice chips or ice cream to minimize edema
13. In the recovery room, as Judy starts to regain consciousness, you noticed that she keeps on swallowing. The most significant postoperative complication following tonsillectomy is
a. Epiglotitis
b. Eustachian tube perforation
c. Hemorrhage
d. Oropharyngeal edema
14. Tonsillectomy is recommended for those with recurrent tonsillitis to prevent what complication?
a. Acute rheumatic fever
b. Brain infection
c. Otitis media
d. Hypertension
15. Which of the following measures can prevent atelectasis in a postoperative client like Judy?
a. Chest physiotherapy
b. Mechanical ventilation
c. Suctioning prn
d. Use of incentive spirometer
Case: An elderly client in a home for the aged has been diagnosed with pneumonia.
16. This client may appear with which of the following symptoms except
a. Fever and chills
b. Hemoptysis and dyspnea
c. Pleuritic chest pain and cough
d. Edema and altered mental status
17. When auscultating the chest, the nurse would expect to hear which of the following sounds over areas of consolidation?
a. Bronchial
b. Bronchovesicular
c. Tubular
d. Vesicular
18. He has been treated with antibiotic therapy for 14 days. Which of the following physical symptoms would you expect to find if the therapy was effective?
a. Continued dyspnea
b. Temp of 38.9C
c. Respiratory rate of 32 breaths/min
d. Vesicular breath sounds in right lung base
19. He is also diabetic and hypertensive at the same time. Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present?
a. Dehydration
b. Group living
c. Malnutrition
d. Severe periodontal disease
20. Nursing management includes assessment for complications such as
a. Atelectasis
b. Hypotension and shock
c. Pleural effusion
d. All of the above
NEW: Answer Key
1. A 6. D 11. A 16. D
2. C 7. B 12. D 17. A
3. B 8. D 13. C 18. D
4. D 9. D 14. A 19. B
5. B 10. A 15. D 20. D
INSTRUCTIONS: DO NOT PRINT THIS TEST ANYMORE. Write your answers on a ¼ yellow pad. Use CAPITAL letters. DEADLINE 4/19/10. Submit on my table.
MULTIPLE CHOICE. Read each question carefully. Choose one best/correct answer from the choices given.
Case: Gina is a runner who joined the marathon. She accidentally stepped on a stone and sprained her ankle. Her ankle immediately became swollen and a hematoma is seen near the ankle.
1. The nurse assessing for pain should
a. believe a patient when he or she states that pain is present
b. doubt that pain exists when no physical origin can be identified
c. realize that patients frequently imagine and state that they have pain without actually feeling painful sensations
d. all of the above
2. Gina did not verbalize that she was in pain. As the nurse of Gina, you are aware that a behavioral response to pain includes
a. an expressionless face
b. clear verbalization of the pain felt
c. immobility of affected part
d. increase in blood pressure and heart rate
3. To reduce the swelling of the sprained ankle and eventually relieve the pain, the nurse should
a. Apply warm compress over the site of injury
b. Apply cold compress over the injured site
c. Apply liniment ointment
d. Play music or use a videotape
4. Cutaneous stimulation is helpful in reducing painful sensations because it
a. Provides distraction from the pain source and decreases awareness
b. Releases endorphins
c. Stimulates large diameter nerve fibers and reduces the intensity of pain
d. All of the above
5. The nurse’s major area of assessment for a patient receiving Morphine Sulfate is assessing which system?
a. Cardiovascular
b. Respiratory
c. Neurologic
d. Integumentary
Case: Isa, who has been having runny nose that goes on and off for a month now sought consult in the school clinic.
6. Nursing measures for viral rhinitis include all of the following except
a. Administering prescribed antibiotics to decrease the severity of the viral infection
b. Informing the patient about the symptoms of secondary infection as a complication of common colds
c. Instructing adequate fluid intake and rest
d. Teaching that the virus is contagious for 3 days before symptoms appear
7. Isa points to the area on the inside of the eye as a point of pain as she mentioned that she feels that her sinuses are congested. The nurse knows that the patient is referring to which sinus?
a. Frontal
b. Ethmoidal
c. Sphenoidal
d. Maxillary
8. Nursing measures for a patient with acute or chronic sinusitis include
a. Adequate fluid intake
b. Increased humidity
c. Local heat applications to promote drainage
d. All of the above
9. Health teachings for viral rhinitis include instructing the patient to
a. blow her nose gently to prevent spread of infection
b. blow through both nostrils to equalize the pressure
c. rest, to promote overall comfort
d. do all of the above
10. Isa has been taking an over-the-counter (OTC) decongestant from the start of her runny nose. Which of the following statements made by Isa needs further instructions?
a. “Decongestants can be used as long as I have this runny nose.”
b. “Rebound congestion is an effect if decongestants are used longer than 3 days.”
c. “Some decongestants need to be taken only twice a day while others may need to be used 3 to 4 times a day.”
d. “The oral form of decongestants is the preferred choice for most cases of nasal congestion.”
Case: Judy, a 36-year-old salegirl, has just undergone tonsillectomy and adenoidectomy. You are assisting her with transport from the recovery room to her room.
11. Based on the knowledge about tonsillitis, you known that Judy may have experienced symptoms that required surgical interventions. Clinical manifestations may have included:
a. Hypertrophy of the tonsils
b. Repeated attacks of otitis media
c. Suspected hearing loss secondary to otitis media
d. All of the above
12. Which diet is appropriate for Judy as soon as she has fully recovered from general anesthesia?
a. Full diet to build up resistance from infection
b. Vit C-rich foods to heal tissues
c. Only clear liquids for 3 days, to prevent pharyngeal irritation
d. Ice chips or ice cream to minimize edema
13. In the recovery room, as Judy starts to regain consciousness, you noticed that she keeps on swallowing. The most significant postoperative complication following tonsillectomy is
a. Epiglotitis
b. Eustachian tube perforation
c. Hemorrhage
d. Oropharyngeal edema
14. Tonsillectomy is recommended for those with recurrent tonsillitis to prevent what complication?
a. Acute rheumatic fever
b. Brain infection
c. Otitis media
d. Hypertension
15. Which of the following measures can prevent atelectasis in a postoperative client like Judy?
a. Chest physiotherapy
b. Mechanical ventilation
c. Suctioning prn
d. Use of incentive spirometer
Case: An elderly client in a home for the aged has been diagnosed with pneumonia.
16. This client may appear with which of the following symptoms except
a. Fever and chills
b. Hemoptysis and dyspnea
c. Pleuritic chest pain and cough
d. Edema and altered mental status
17. When auscultating the chest, the nurse would expect to hear which of the following sounds over areas of consolidation?
a. Bronchial
b. Bronchovesicular
c. Tubular
d. Vesicular
18. He has been treated with antibiotic therapy for 14 days. Which of the following physical symptoms would you expect to find if the therapy was effective?
a. Continued dyspnea
b. Temp of 38.9C
c. Respiratory rate of 32 breaths/min
d. Vesicular breath sounds in right lung base
19. He is also diabetic and hypertensive at the same time. Clients with chronic illnesses are more likely to get pneumonia when which of the following situations is present?
a. Dehydration
b. Group living
c. Malnutrition
d. Severe periodontal disease
20. Nursing management includes assessment for complications such as
a. Atelectasis
b. Hypotension and shock
c. Pleural effusion
d. All of the above
Wednesday, September 16, 2009
Case Study (Cynthia)
Questions:
Q1: What is the condition of Cynthia
Saturday, June 27, 2009
Surgical conscience
Surgical conscience is the professional behavior that demonstrates understanding and application of principles of surgical technology and legal, ethical, and moral responsibilities to patients and team members for which each practitioner is accountable.
Source: AORN Standards and Recommended Practices for Perioperative Nursing. Denver, CO, Association of Operating Room Nurses, 1988.
Test Yourself: NCLEX practice questions 4
Worried about passing the NCLEX? The more practice questions you do, the more confident you'll feel. Try these, then review the answers and rationales that follow. Experts recommend taking many practice questions before the NCLEX, so take advantage of review courses, books, and other products to help you succeed and pass the NCLEX. ANSWERS BELOW.
1. Which characteristic is expected for a client with paranoid personality disorder who receives bad news?
a. The client is overly dramatic after hearing the facts.
b. The client focuses on self to not become overanxious.
c. The client responds from a rational, objective point of view.
d. The client doesn’t spend time thinking about the information.
2. Which term describes an effect of isolation?
a. Delusions
b. Hallucinations
c. Lack of volition
d. Waxy flexibility
3. Which health finding is expected in a client who chronically abuses alcohol?
a. Enlarged liver
b. Nasal irritation
c. Muscle wasting
d. Limb paresthesia
4. A nurse notes a change in voice and mannerisms of a client with dissociative identity disorder (DID) after he learns that his wife has filed for a divorce. Which nursing intervention is most appropriate?
a. Avoid discussing the client’s feelings.
b. Force the client to discuss his feelings.
c. Offer encouragement to the client that he’ll be able to cope with the divorce.
d. Encourage the client to verbalize his feelings about the divorce.
5. A client with an ileostomy tells the nurse he can’t have an erection. Which pertinent information should the nurse know?
a. The client will never regain functioning.
b. The client needs an abdominal X-ray.
c. The client has no problem with self-control.
d. Impotence is uncommon following an ileostomy.
Answers to NCLEX practice questions
1. c. Clients with paranoid personality disorder are affectively restricted, appear unemotional, and appear rational and objective. Clients with histrionic personality disorder are overly dramatic in response to stress. Clients with narcissistic personality disorder focus on themselves and don’t spend time thinking about bad news. Clients with an obsessive-compulsive personality disorder are preoccupied with the fear of becoming very anxious and losing control.
2. b. Prolonged isolation can produce sensory deprivation, manifested by hallucinations. A delusion is a false, fixed belief that has no basis in reality. Lack of volition is a symptom associated with type I negative symptoms of schizophrenia. Waxy flexibility is a motor disturbance that’s a predominant feature of catatonic schizophrenia.
3. a. A major effect of alcohol on the body is liver impairment, and an enlarged liver is a common physical finding. Nasal irritation is commonly seen in clients who snort cocaine. Muscle wasting and limb paresthesia don’t tend to occur with clients who abuse alcohol.
4. d. Encouraging a client with DID to verbalize his feelings will help him cope with his anxieties. Forcing the client to discuss his feelings can increase his level of anxiety. Avoiding discussion of feelings doesn’t reduce anxiety and avoids the issue. Offering encouragement that the client will be able to cope with the divorce gives false reassurance and can erode the client’s trust in the nurse.
5. d. Sexual dysfunction is uncommon after an ileostomy. Psychological causes of impotence should be explored. An abdominal X-ray isn’t indicated for sexual dysfunction. An ileostomy can change a person’s self-control, making sexual functioning difficult.
Source: NCLEX-RN Questions & Answers Made Incredibly Easy!, 4th edition, Lippincott Williams & Wilkins, 2008.
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