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. - Skin care - clean & dry - Oral & nasal care q 2 hr - Turn & reposition q 2 hr - Pain control - Maintain nutrition & hydration - Patent airway - Vision may diminish - control lighting in the room
Surgicale Classification - elective
Pallative Care
What disinfectant does
How a nurse can meet the physical needs of a dying patient


2. Voiding too often but normal total amounts
Community Factors Affecting Health
Bacteria
Definition of acute illness
Frequency - Altered urine pattern


3. Most significant & most commonly observed infection - causing agents in healthcare institutions
splinting and its use in the health care setting
Pallative Care
Bacteria
Cognitive teaching strategy


4. provided for people with limited life expectancy - often in the home - focuses on the needs of the dying - comfort & dignity; encompasses biomedical - psychosocial - & spiritual aspects
Smoking destroys What type of fat
Hospice Care
Post - operative complications Often painful
How a nurse provides psychological support to a dying patient


5. - Allow to verbalize feelings - fears - Do not leave alone - Include family
Abdominal physical assessment
Urgency - Altered urine pattern
How a nurse provides psychological support to a dying patient
Human dignity


6. Sterile technique; practices that render & keep objects & areas free from microorganisms
Surgical asepsis
What a nurse needs to do about the spiritual needs of a dying patient
Liver disease effects on nutritional status of a patient
Peristomal Bag or Applicance changes


7. Cholesterol: Heredity is biggest factor in how body produces - handles - & excretes cholesterol - Type & amount of fat in diet - Saturated fats: carry cholesterol and stimulate liver to make cholesterol - Higher fat diets can elevate cholesterol blo
Stoma Bag/Appliance changes
Social Justice
Effects of cholesterol on patients nutritional status
Affective teaching strategy


8. Only in animal products
Peristomal Skin Care Assessments
Reasons a patient not have an appetite.
Virus
Where dietary intake of cholesterol can be found


9. Provide specific instructions about kinds of healthcare that should be provide or forgone
Palliative surgery
Living Wills
Benefits of exercise as it relates to a patient's ability to heal - rest - etc.
TPN


10. Backrubs- Warm / cold compresses - Auditory / visual stimuli - TENS (transcutaneous electrical nerve stimulation) - Acupuncture - Placebos - Analgesics - Endorphins - natural analgesic activated by stress & pain - Medications - IV - PO - PCA - Epidu
Psychomotor teaching strategy
What elevates HDL
Ways to help a patient manage pain
Overflow Incontinence


11. Recognized by others as well as patient (Ex: loss of job - spouse)
Actual loss
How does renal disease affect a patients nutrional health
Timed specimen collections (24- hour specimen)
Where dietary intake of cholesterol can be found


12. Retention with leakage that exceeds bladder capacity
cleasing enema
Overflow Incontinence
Hospice Care
Surgical Classification - emergent


13. - 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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14. Lecture or discussion - panel discussion - discovery - audiovisual materials - printed materials - programmed instruction - computer - assisted instruction programs
Anticipatory loss
Community Factors Affecting Health
Maslow's Hierachy of Needs - Love and belonging
Cognitive teaching strategy


15. skin should be intact - free of redness - Watch for any irritation - rash - signs of infection - Erosion around stoma can cause stoma to become flat or indented
Components of a clear liquid diet
Risk Factors for AlteresFmily health.
Advance Directives
Peristomal Skin Care Assessments


16. Urinary retention - inability to empty bladder
Signs of patient nearing death
urinary retention
What is length of stay & How do we control it?
Fecal Occult Blood Test


17. Reach full potential through development of capabilities - Continues throughout life: Acceptance of self & others as they are -
Maslows Hiearchy of Needs - Self - Actualization
Nursing Ethics
Susceptibility
Patient teaching regarding post operative pain management.


18. Binds fat & cholesterol to decrease absorption into bloodstream from GI tract
solube fiber
What happens during the pre - op phase of surgery
Nursing considerations for peristomal care.
micturition - urination - or voiding


19. Equal care & rights for all
Social Justice
Fidelity
Peristomal Skin Care Cleansing
Ways to prevent or treat constipation


20. Frequency that occurs during sleeping hours
Post - operative complications Coughing
Convalescent period
Nocturia - Altered urine pattern
pre - operative assessments & screenings


21. To remove a diseased body part (Ex: appendectomy - amputation)
Frequency - Altered urine pattern
Ways to prevent or treat constipation
Where dietary intake of cholesterol can be found
Ablative surgery


22. For bowel diversions that bring portion of small or large intestine to abdominal surface for stool elimination - Permanent or temporary diversion - If permanent - may do abdominal - perineal resection to close off rectum & anal area (esp. if cancer i
Stress Incontinence
ostomy
Hesitancy - Altered urine pattern
Peristomal Skin Care Cleansing


23. Health - state of complete physical - mental - & social well being - not merely the absence of disease - Wellness - active state - oriented toward maximizing the potential of the individual
Factors that affect a patients health state
Surgical Classification - emergent
chronic illness
Patient teaching regarding post operative pain management.


24. O Spiritual / Religious needs - Know & respect special ceremonies - rituals - Contact clergy to visit if patient desires
What a nurse needs to do about the spiritual needs of a dying patient
Hesitancy - Altered urine pattern
Questions to ask during an abdominal health history
How a nurse provides psychological support to a dying patient


25. Process by which healthcare providers give appropriate - uninterrupted care & facilitate the patient's transition between different setting & levels of care - Teaching patient & family - self - care - medications - Involve patient & family in care p
How one provides continuity of care
Overflow Incontinence
pre - operative assessments & screenings
Questions to ask during an abdominal health history


26. Obtaining complete proteins - soy products
Stoma Care Assessments
Maslows Hiearchy of Needs - Self - Actualization
Factors affecting a vegan diet
chronic illness


27. Must be done immediately to preserve life - a body part - or function
Affective teaching strategy
Maslow's Hierachy of Needs - Physiologic Needs - essential to life
Overflow Incontinence
Surgical Classification - emergent


28. Loss that is yet to come
Anticipatory loss
Timed specimen collections (24- hour specimen)
Fidelity
What a nurse needs to do about the spiritual needs of a dying patient


29. Palliative - to relieve or reduce intensity of an illness; is not curative (Ex: colostomy - arthroscopy - balloon angioplasties)
Palliative surgery
Functional Incontinence
Total (reflex) Incontinence
Fecal Occult Blood Test


30. Oxygen; skin color - V/S - mental responsiveness; Intake & elimination of fluids;I & O - skin turgor - weight - mucous membranes; Food;weight - muscle mass - labs; Temperature;Physical activity;Rest & sleep

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31. Improves venus return - respiratory function - & peristalsis - relieves skin pressure. Patient should practice before surgery
Components of a clear liquid diet
Post - operative complications Turning in bed
Retention - Altered urine pattern
Surgical Classification - emergent


32. Loss of voluntary control of urination
Postmortem Care
Incontinence
Durable Power of Attorney for Healthcare
Ethical dilemma


33. 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
Social Justice
Slow Code
splinting and its use in the health care setting
Characteristics of a colostomy


34. Incontinence in child after toilet control expected
Liver disease effects on nutritional status of a patient
Enuresis
Justice
Surgical Classification - emergent


35. 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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36. Cultural - views on healthcare - Environmental - access to healthcare - Socioeconomic - financial resources - insurance - Physical - mobility
Challenges to health care access
What antiseptic does
Effects of cholesterol on patients nutritional status
Peristomal Skin Care Cleansing


37. Frequency & amount of stools - history of diarrhea - constipation - impaction - Any abnormality of stool appearance - Use of laxatives or enemas - Dietary habits - food allergies - fluids - fiber - Amount of activity & exercise - Medications - Stress
Maslows Hiearchy of Needs - Self Esteem
ANA code for nurses - ethical & professional standards for a nurse to follow.
Questions to ask during an abdominal health history
Comfort Measures Only


38. Primary commitment to the patient; Priority is good of individual patient rather than society in general;Evaluation of competing claims of patient's autonomy & patient well - being
How to stimulate a patients appetite
Advocacy
Maslow's Hierachy of Needs - Love and belonging
Reservoir


39. Composed of white blood cells - liquefied dead tissue debris - & dead & live bacteria
Purulent wound drainage
Signs of patient nearing death
Clean Catch Specimen Collection
Peristomal Skin Care Assessments


40. Risk factors for illness - Factors in the human dimensions that influence health - illness status - Beliefs and practice - Basic human needs - Self - concept
Risk Factors for Altered Family Health
Factors Affecting Health Status - Beliefs - & Practices
Diagnostic surgery
Ablative surgery


41. 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
Situational loss
What elevates HDL
Reconstructive surgery
Most effective way to prevent spread of organisms


42. Teach patient & family that pain meds will be ordered by physician & administered by nurse - Patient should ask for pain meds before pain becomes severe - A different med can be ordered if the med does not control pain or has unpleasant side effects
Bacteria
Patient teaching regarding post operative pain management.
Physical loss
Affective learning


43. Kills organisms but not spores & is bacteriocidal - Betadine - alcohol - chlorine - Depends On what organisms & How many are present - Type of item being disinfected - Time & strength of disinfecting agent is critical
What disinfectant does
How does renal disease affect a patients nutrional health
Surgical Classification - emergent
Sanguineous wound drainage


44. Do - not - resuscitate - an order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest - Nurse is obligated to attempt CPR if there is no DNR order - Nurse should clarify the patient's code status: if th

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45. Delay or problem starting urinary stream
Slow Code
Prodromal stage (most infectious stage)
pre - operative assessments & screenings
Hesitancy - Altered urine pattern


46. 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
Patient Teaching necessary to prevent potential post - operative complications.
Frequency - Altered urine pattern
Nursing role with grief and death
What is length of stay & How do we control it?


47. Bowel sounds - auscultate every 4 hrs when patient is awake - reduced or absent; should return within 8-24 hrs after surgery - Distention - assess; esp. if bowel sounds are absent or high - pitched (could indicate paralytic ileus) - Is there an infe
How one provides continuity of care
Autonomy
Nursing Interventions to promote post - operative bowel elimination needs.
Challenges to health care access


48. Two or more clear moral principles apply but support mutually inconsistent courses of action
Perceived loss
What antiseptic does
Ethical dilemma
Beneficence


49. Sense of hopefulness - participation in decisions - expression of feelings & emotions - Not die alone - religious or spiritual needs - honesty

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50. Two - piece bag may be used - face plate attaches to skin around stoma - bag attaches to face plate - easy to remove & empty bag without disturbing seal on skin - bag is changed only when it leaks or seal is lost - opening in karaya should be cut 1/8
Enuresis
Ways to help a patient manage pain
Stoma Bag/Appliance changes
Fecal Occult Blood Test