Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Complete lack of control over urination
Situational loss
Cognitive learning
Hesitancy - Altered urine pattern
Total (reflex) Incontinence


2. ability to break down nitrogen to excrete
Social Justice
Fecal Occult Blood Test
Liver disease effects on nutritional status of a patient
Advance Directives


3. no harsh or abrasive cleansers - use mild soap & water - dry gently - use skin protectant products to toughen area & protect from irritating stool
How one provides continuity of care
Community Factors Affecting Health
Peristomal Skin Care Cleansing
Post - operative complications Coughing


4. Difficulty or painful urination
Full stage of illness
Dysuria - Altered urine pattern
Characteristics of a colostomy
Medical Asepsis - clean technique


5. Leakage when coughing - sneezing - or increased intra - abdominal pressure
cleasing enema
Stress Incontinence
Hesitancy - Altered urine pattern
What disinfectant does


6. Plantlike organisms - molds (Ex: Athlete's foot - Ringworm)
Test used for determng blood in stool
Situational loss
Serosanguineous wound drainage
Fungi


7. Benefit the patient.
Comfort Measures Only
Beneficence
Ileostomy -
Perceived loss


8. Provide information on What is happening - Provide private area to grieve - Allow family time alone with patient before & after death - if so desired - Assist with contacting mortician - May attend funeral services

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9. ability to excrete excess nitrogen
Nonmaleficence
Incubation period
Frequency - Altered urine pattern
How does renal disease affect a patients nutrional health


10. I & O - monitor for fluid volume deficit or overload - Bladder distention - assess by palpating above pubic symphysis if patient has not voided within 8 hrs after surgery or if patient has been voiding frequently in amounts less than 50 mL
Postmortem Care
Test used for determng blood in stool
Nursing Interventions to promote post - operative urinary elimination needs.
Human Dimensions of Health


11. Give each his/her due & act fairly
Stoma Bag/Appliance changes
Patient Teaching necessary to prevent potential post - operative complications.
Justice
Surgical classifications: Urgent


12. Disposable one - piece bags may be used at first - will have karaya or stomahesive attached - After stoma is stable - two - piece bag may be used - face plate attaches to skin around stoma - bag attaches to face plate - easy to remove & empty bag w
Urge Incontinence
Total (reflex) Incontinence
Factors Affecting Health Status - Beliefs - & Practices
Peristomal Bag or Applicance changes


13. Absence of basic human needs results in illness - Presence of basic human needs helps prevent illness or signals health - Meeting basic human needs restores health - One feels something missing when needs are unmet - One feels satisfaction when need

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14. Integration of mental & muscular activity (physical)
Paternalism
Palliative surgery
Psychomotor learning
Ways to prevent or treat constipation


15. Obtaining complete proteins - soy products
Situational loss
Catheter Urine Specimen procedure
Factors affecting a vegan diet
Nonmaleficence


16. Demonstration - discovery - audiovisual materials - printed materials
How does renal disease affect a patients nutrional health
Susceptible Host
Psychomotor teaching strategy
Slow Code


17. Delay or problem starting urinary stream
Hesitancy - Altered urine pattern
micturition - urination - or voiding
Human Dimensions of Health
Maslows Hiearchy of Needs - Self - Actualization


18. Most common nosocomial infection (esp. in elderly) - may cause systemic infections in elderly - more common in females - urethra is shorter; urinary meatus is closer to anus - E. coli - cause of most UTI's - Risk Factors - Sexually active female - ca

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19. Regular exercise
Anticipatory loss
Full stage of illness
TPN
What elevates HDL


20. Dishonesty to alleviate patient anxiety or concern
Fecal Occult Blood Test
Susceptible Host
Deception
Definition of acute illness


21. Physical - genetic inheritance - age - developmental level - race - & gender - Emotional - how the mind affects body function & responds to body conditions - Intellectual - cognitive abilities - educational background - & past experiences - Environme
Patient Teaching necessary to prevent potential post - operative complications.
Maslows Hiearchy of Needs - Self Esteem
Stoma Care Assessments
Human Dimensions of Health


22. Cultural - views on healthcare - Environmental - access to healthcare - Socioeconomic - financial resources - insurance - Physical - mobility
Ways to prevent or treat constipation
Risk Factors for Altered Family Health
Hesitancy - Altered urine pattern
Challenges to health care access


23. Goal of treatment is a comfortable dignified death & that further life - sustaining measures are no longer indicated.
Serosanguineous wound drainage
Nursing Consideratins for stoma care
Comfort Measures Only
Physical loss


24. Should be moist & red or pink if circulation is adequate - Pale or bluish indicates problem - bleeds easily (mucosa) but amount is minimal - Very edematous at first - but will shrink down to normal size as healing occurs (6-8 weeks) - Protrude above
Causes of food poisoning
Stoma Care Assessments
Psychomotor teaching strategy
Fungi


25. Patients who require in - hospital care are more acutely ill or injured than in the past - Length of stay has decreased; Often leads to re - admissions - Nurses in hospitals must have knowledge & skills to perform complex care to very ill patients
Factors affecting a vegan diet
What is length of stay & How do we control it?
Serosanguineous wound drainage
urinary retention


26. - Peel fruits & vegetables - Eat dry foods & foods that are piping hot & cooked thoroughly - avoid tap water - ice cubes - fruit juice - fresh salads - unpasteurized dairy products - cold sauces & toppings - open buffets - & undercooked or reheate

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27. Lab / Screenings - Chest x- ray - is there fluid or anything pressing on the heart? - ECG - heart health - circulatory - ischemia - CBC - WBC's - infection - RBC's - platelets - bleeding time - Chemistry profile - Urinalysis
Symptoms of UTI
Causes of food poisoning
What happens during the pre - op phase of surgery
Nurses role with 'informed consent'


28. Composed of white blood cells - liquefied dead tissue debris - & dead & live bacteria
What happens during the pre - op phase of surgery
Purulent wound drainage
Risk Factors for Altered Family Health
Frequency - Altered urine pattern


29. Acceptable environment for an infectious agent
Susceptible Host
Peristomal Bag or Applicance changes
Questions to ask during an abdominal health history
Patient Teaching necessary to prevent potential post - operative complications.


30. Increase venus return and helps prevent complications of thrombophlebitis & resultant emboli
Effects of cholesterol on patients nutritional status
What disinfectant does
Post - operative complications Leg exercises
Peristomal Skin Care Assessments


31. Works to stimulate peristalsis by distending & irritating bowel - Used to remove stool and/or flatus - relieve constipation or fecal impaction - prevent escape of fecal material during surgical procedures - promote visualization of GI tract by radiog
What happens during the pre - op phase of surgery
Dysuria - Altered urine pattern
Reasons a patient not have an appetite.
cleasing enema


32. Assess for: - illness - fever - fatigue - N/V - medications - can alter taste or decrease appetite (chemo - steroids) - poor fitting dentures - no teeth - bad teeth - mouth problems - lesions - inflamed mucosa - pain - dislike of certain foods - unfa
Reasons a patient not have an appetite.
How to prevent 'travelers diarrhea'
Full stage of illness
Susceptible Host


33. Dysuria - urinary frequency or urgency - cloudy urine with foul odor
Nursing Consideratins for stoma care
Perceived loss
Symptoms of UTI
Deception


34. Equal care & rights for all
Social Justice
Patient teaching regarding post operative pain management.
Fungi
'informed consent'


35. Keep promises
What antiseptic does
Hospice Care
Fidelity
Fungi


36. Lecture or discussion - panel discussion - discovery - audiovisual materials - printed materials - programmed instruction - computer - assisted instruction programs
Terminal Illness
Liver disease effects on nutritional status of a patient
Cognitive teaching strategy
How to review - assess and develop a nursing diagnosis based on patients clinical presentation.


37. Patient's voluntary agreement to undergo a procedure or treatment after receiving the following information in layman's terms: Description of procedures & potential alternatives - Underlying disease process & its course - Name & qualifications of per

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38. Medicate for pain - N/V - Rest periods before each meal - Offer mouth care prior to each meal - Be sure dentures are clean & in mouth - Offer foods patient likes & can eat - Cold - soft foods may be better tolerated - Smaller portions - More frequent
Factors affecting UTI's
How to stimulate a patients appetite
Nocturia - Altered urine pattern
Atherosclerosis effects on nutritional status of patient


39. Inspect
How to prevent 'travelers diarrhea'
Ways to prevent food poisoning
Abdominal physical assessment
Postmortem Care


40. Collect from specimen port on drainage tubing - Cleanse with alcohol & use sterile syringe to pull out urine - Collect urine only from upper tubing - never from drainage bag - Urinalysis - collect 30 mL; Culture & Sensitivity (C&S) - collect 10 mL -
Enuresis
Catheter Urine Specimen procedure
Stoma Bag/Appliance changes
Maslow's Hierarchy of Needs & Meeting Basic Human Needs and how it's used to treat patients.


41. Liquids can have color but must be able to see through (Coffee is ok) - No milk products - Nutritionally inadequate over time - Used as preparation for surgery - diagnostic studies - post - operative advancement - Hydrates - rests GI tract - N
Paternalism
What elevates HDL
Components of a clear liquid diet
Human dignity


42. Improves venus return - respiratory function - & peristalsis - relieves skin pressure. Patient should practice before surgery
pre - operative assessments & screenings
How a nurse supports grieving patient's family
Post - operative complications Turning in bed
Virus


43. Activity - movement stimulates intestinal muscle action = peristalsis - abdominal & pelvic muscle exercises to maintain tone for intra - abdominal pressure
ostomy
Convalescent period
Ways to help a patient manage pain
Ways to prevent or treat constipation


44. O Spiritual / Religious needs - Know & respect special ceremonies - rituals - Contact clergy to visit if patient desires
How one provides continuity of care
Susceptible Host
What a nurse needs to do about the spiritual needs of a dying patient
Comfort Measures Only


45. Diet - should include adequate fiber or bulk - Whole grains - fruits - vegetables - legumes - Eating at regular intervals helps stimulate peristalsis (gastrocolic reflex) - Food allergies or food poisoning may lead to diarrhea - Some foods cause
Factors Affecting Health Status - Beliefs - & Practices
Components of a clear liquid diet
Ways to prevent or treat constipation
Convalescent period


46. Improves musculoskeletal system - Improves cardiovascular function - Improves circulation - tissues get oxygen & nutrients - Promotes relaxation

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47. Hand Hygiene - Wash - before & after touching patient; before & after wearing gloves - Alchohol - based handrubs - if hands are not visibly soiled - Soap & water - if hands are visibly soiled or contaminated with blood or body fluids; wash for 15 sec
Retention - Altered urine pattern
Liver disease effects on nutritional status of a patient
Situational loss
Most effective way to prevent spread of organisms


48. Felt by person but intangible to others (Ex: loss of youth - independence)
Perceived loss
Atherosclerosis effects on nutritional status of patient
Ways to help a patient manage pain
Combination Directive


49. Should be cut 1/8 inch larger than stoma to protect skin & avoid stoma rub - may use charcoal or other deodorizer in bag to control odor - Bismuth subgallate oral also controls odor
Functional Incontinence
Stress Incontinence
Maslow's Hierachy of Needs - Love and belonging
During Peristomal Bag or Applaince change - opening in karaya


50. Brings large intestine to surface Can be created anywhere along large intestine - Consistency of stool depends on how far stool travels through colon before diversion - May be able to train bowel to evacuate at same time each day - if solid stool
Characteristics of a colostomy
Living Wills
Ethical dilemma
Serosanguineous wound drainage