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Funds Exam 4
| Question | Answer |
|---|---|
| What would be an appropriate response to a teenager who might be crying and states “Go away, no one can help me”? | I'll come back later and we can talk |
| What are the benefits of music therapy as complementary therapy particularly with palliative care client? | Provides emotional support, reduces anxiety, life review, mood elevation, provides distraction from pain, and allows expression of emotions |
| How do you assess cranial nerve 2? | Use the Snellen chart for visual acuity. Test visual fields and examine with the ophthalmoscope |
| What are seizure precautions and what do you do? | Rescue equip. oxygen, suction, side rail padding. Inspect environment, remove items that could cause injury. Don't put anything in mouth. Do not restrict, lower to floor, protect head. |
| What are signs and symptoms of dehydration and what do you assess if patient has dry flaky skin? | poor skin turgor, dizziness, syncope, confusion, weakness, fatigue; seizures, hypo or hyperthermia, tachycardia, diminished cap refill, cool clammy skin, diaphoresis, sunken eyes ASSESS SKIN TURGOR |
| What are signs and symptoms of tinea pedis? | Rash, blisters, dryness, peeling or stinging, itching, or swelling |
| What are teaching points for new diagnosis of acne vulgaris? | Do not use oil base skin care. Use a new and clean make up pad. Do not pick at sores and do not use friction on sores |
| What is therapeutic communication for a client who may feel anxious ? | Clarify the words they are using instead of assuming |
| How do you measure for TEDs/Antiembolic stockings and what are things to watch for when putting them on? | Knee high= place the measuring tape at narrowest part of ankle, above ankle bone/ circumferences of widest part of calf/ distance form bend in knee to floor. Inspect for wrinkles which can cause skin breakdown |
| How do you document severity of pitting edema? | 1+ Trace, 2mm deep, rapid skin response 2+ Mild, 4mm deep, 10-15sec skin response 3+ Moderate, 6mm deep, prolonged skin response 4+ Severe, 8mm deep prolonged skin response |
| What are Erikson's stage for birth to adolescents (put in order and identify for certain ages)? | Infant(2days-1year): Trust vs. mistrust Toddler(1-3): Autonomy vs. shame and doubt Preschool(3-6): Initiative vs. guilt School-Age(6-12): Industry vs. inferiority Adolescents (12-20): Identity vs. role confusion |
| Identify and put in order feeding skills to normal development | Pushes object, Drinks from cup, experiments w spoon, eats soft cooked food |
| What are nursing interventions to promote development in preterm infants? | Cluster care |
| What age do you see manifestations of autism? | Toddler age (1-3 years old) |
| What 13 year old concerns should be addressed at Well Child Visit | Ask about friends and if they do not have peer friendships, this is a concern over “normal” teenage physical findings like acne |
| What precollege immunizations are needed? | Meningococcal |
| What is the pubertal sequence of events in boys(when does voice change, when does growth spurt happen, when do scrotal changes happen)? | Increase sized of testes and scrotum Appearance of pubic hair Rapid growth of genitalia Growth of axillary hair Appearance of downy hair on upper lip Change in voice |
| What Health Teaching should you provide to adolescents? | Sleep increase during periods of growth |
| What are the risk factors for suicide? | Previous suicide attempt |
| What are common lab findings with anorexia? | Low albumin |
| What considerations do you need to take into account when caring for a client that practices Islam? | Believes in faith healing, avoid talks about death, avoid organ transplants, pain is cleansing, avoid pork and alcohol, body be washed and wrapped by same gender, prayer, Five Pillars, group prayer, cremation, loved ones close by |
| What vitamins are fat soluble? | Vitamins A, D, E, and K |
| What complementary therapy can be described as programming the mind to override the stress response | Autogenic training |
| What therapy can be described as manipulating a series of channels to re-establish the flow of energy to the body? | Acupuncture |
| What therapy can be described as the nurse placing her hands on or above the client to transfer energy to the client? | Reiki |
| What do you document during a seizure? | Document any precipitating behavior and a description of the event (movements, injuries, duration of seizure, aura, postictal state) Report to provider |
| What are teaching points for clients with a new diagnosed latex allergy? | Tell them where everyday latex is found such as erasers on pencils. In the medical setting gloves or latex catheters are also latex as well as some surgical mask |
| What are signs and symptoms of contact dermatitis? | Itchy rash, leathery patches darker than usual, dry, cracked, scaly skin, bumps and blisters, swelling, burning, or tenderness |
| What percentage do you limit total fat intake for nutritional breakdown of saturated fat? | 30% |
| What is included in pre-puberty | Enlargement of testicles with changes in the scrotum Appearance of pubic hair 4-12 in during growth spurt |
| What is included in late-puberty | Change in voice Growth spurt |
Created by:
jowalker
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