Nurs 3210: Exam 1 questions with complete solutions
When does discharge planning start? Correct Answer-Admission
Who is involved with discharge planning? Correct Answer-Patient, family, nurse, case manager, physician, PT/OT
What is the goal of discharge planning? Correct Answer-Educate, keep patient out of hospital
What do you assess in regards to discharge? Correct Answer-Stability, ability to understand instructions, equipment needed at home, transport
What factors affect the discharge plan? Correct Answer-Dx, patient, environment
Who is responsible for patient and family education? Correct Answer-Nurse
What is the purpose of patient education? Correct Answer-informed decisions, medical regimen adherence, cost
True or False: Health education is an independent function of nursing and is a primary nursing responsibility Correct Answer-True
What factors impact patient education? Correct Answer-Demographic, support system, medical dx, timing of education, environment
Nursing process of teaching plan: Assess Correct Answer-Readiness for learning, disabilities, cultural assessment Nursing process of teaching plan: Planning Correct Answer-Priorities, goals, strategies
What is the best strategy for patient learning? Correct Answer-Having the patient say what they are doing while performing a task
Nursing process of teaching plan: Implementation Correct Answer-Nurse implements when patient is ready to learn
Make sure patient verbalizes understanding and modify if necessary
Nursing process of teaching plan: Evaluation Correct Answer-Don't assume that teaching was always successful, evaluate goals/outcomes (modify if not met)
A nurse identifies that a patient is unable to identify the correct number of oral medication to take each morning. Which step of the nursing process does this problem involve? Correct Answer-Assessment
Acute Kidney Injury Correct Answer-Pre-renal
Intra-renal
Post-renal
Pre-renal assessment Correct Answer-Fluid volume deficit, decreased CO, hypotension, decreased CVP
Increased: Specific gravity, BUN, creatinine, K+
Decreased: UO Low urinary Na+
Urinary sediment normal
Intra-renal assessment Correct Answer-Fluid volume excess, oliguria/anuria
Increased: BUN, creatinine, CPK, K+, urine osmolarity
Decreased: H&H, UO, specific gravity
High urinary Na+
Post-renal assessment Correct Answer-Signs of obstruction (prostate/stones)
Decreased: UO (sometimes none)
BUN/creatinine= normal (elevated in later stages)
AKI stages Correct Answer-Oliguric/anuric phase
Diuretic phase
Recovery phase
Oliguric/Anuric phase Correct Answer-24H to 1 week
Urine output less than 400 mL/24H
Duration: 1 day to 8 weeks (usually 8-15 days)
Major problem: hyperkalemia, build up of waste products
When does discharge planning start? Correct Answer-Admission
Who is involved with discharge planning? Correct Answer-Patient, family, nurse, case manager, physician, PT/OT
What is the goal of discharge planning? Correct Answer-Educate, keep patient out of hospital
What do you assess in regards to discharge? Correct Answer-Stability, ability to understand instructions, equipment needed at home, transport
What factors affect the discharge plan? Correct Answer-Dx, patient, environment
Who is responsible for patient and family education? Correct Answer-Nurse
What is the purpose of patient education? Correct Answer-informed decisions, medical regimen adherence, cost
True or False: Health education is an independent function of nursing and is a primary nursing responsibility Correct Answer-True
What factors impact patient education? Correct Answer-Demographic, support system, medical dx, timing of education, environment
Nursing process of teaching plan: Assess Correct Answer-Readiness for learning, disabilities, cultural assessment Nursing process of teaching plan: Planning Correct Answer-Priorities, goals, strategies
What is the best strategy for patient learning? Correct Answer-Having the patient say what they are doing while performing a task
Nursing process of teaching plan: Implementation Correct Answer-Nurse implements when patient is ready to learn
Make sure patient verbalizes understanding and modify if necessary
Nursing process of teaching plan: Evaluation Correct Answer-Don't assume that teaching was always successful, evaluate goals/outcomes (modify if not met)
A nurse identifies that a patient is unable to identify the correct number of oral medication to take each morning. Which step of the nursing process does this problem involve? Correct Answer-Assessment
Acute Kidney Injury Correct Answer-Pre-renal
Intra-renal
Post-renal
Pre-renal assessment Correct Answer-Fluid volume deficit, decreased CO, hypotension, decreased CVP
Increased: Specific gravity, BUN, creatinine, K+
Decreased: UO Low urinary Na+
Urinary sediment normal
Intra-renal assessment Correct Answer-Fluid volume excess, oliguria/anuria
Increased: BUN, creatinine, CPK, K+, urine osmolarity
Decreased: H&H, UO, specific gravity
High urinary Na+
Post-renal assessment Correct Answer-Signs of obstruction (prostate/stones)
Decreased: UO (sometimes none)
BUN/creatinine= normal (elevated in later stages)
AKI stages Correct Answer-Oliguric/anuric phase
Diuretic phase
Recovery phase
Oliguric/Anuric phase Correct Answer-24H to 1 week
Urine output less than 400 mL/24H
Duration: 1 day to 8 weeks (usually 8-15 days)
Major problem: hyperkalemia, build up of waste products
