Nur 345 - Study guides, Class notes & Summaries

NUR 345 Study Guide Final Exam

The nurse is caring for a patient following a motor vehicle crash. What kind of spinal cord injury (SCI) indicates the patient is at high risk for respiratory compromise? Sacral SCI Lumbar SCI Cervical SCI Thoracic SCI Cervical SCI The nurse understands that a patient with a cervical SCI is at high risk for respiratory compromise because the cervical spinal nerves (C3-5) innervate the phrenic nerve controlling the diaphragm. Patients with sacral, lumbar, and thoracic SCIs do not have as hig...

Normal Sodium Value 136-145 mEq/L Hypernatremia Symptoms with decreased ECF • Restless, agitation, brain cells dehydrated, seizures, coma, sticky mucus membranes, hypotension, weight loss Hypernatremia Symptoms with increased ECF Restless, agitation, twitching, seizures, coma, intense thirst, weight gain (peripheral or pulmonary edema), increased intravenous pressure Causes of hyperatremia • Water loss or sodium gain • Hyperosmolality • Primary protection is thirst (common concern in ...

The nurse provides care for a client diagnosed with hypokalemia. which findings does the nurse expect when assessing the client? the ECG has a depressed ST segment and inverted T wave The nurse provides care for a client after a total abdominal hysterectomy. The nurse notes the client's vital signs are apical pulse 102 and thready, respiration 28 per minute, and supine blood pressure 88/50. The client is weak and restless with skin that is pale, moist, and cool to the touch. Which intervention...

Anatomy of Urinary Tract kidneys, ureters, bladder, urethra Act of Urination Bladder contraction + urethral sphincter and pelvic floor muscle relaxation Process of Voiding 1. Stretching of the bladder signals the micturition centers in the spinal cord 2. Impulses from the micturition center in the brain respond to or ignore this urge, thus making urination under voluntary control 3. When a person is ready to void, the external sphincter relaxes, the bladder contracts, and the bladder empties ...

A patient receiving an anticholinergic drug to treat nausea and vomiting should be taught to expect which adverse effect? Dry mouth Which drug works by blocking serotonin in the gastrointestinal tract, vomiting center, and chemoreceptor trigger zone? Ondansetron (Zofran) Which medication can be prescribed for the treatment of hyperemesis gravidarum? Ondansetron Which are the clinical uses of meclizine? -Vertigo -Motion sickness The nurse would expect to teach a patient about which anticholin...

Mental illness psychiatric disorders that have definable diagnoses Physiological needs food, water, oxygen, sleep, sex, and constant body temperature Safety needs includes security, protection, freedom from fear, anxiety, and chaos Belonging and love needs intimate relationships, love, and affection, and belonging; seek to overcome feelings of loneliness and alienation Esteem needs -need for having a high self-regard and have it reflected from others - when these needs are met there is a fee...

Infant's understanding of illness -unaware of effects but senses parent distress Infant responses to hospitalization -sleep-wake cycles disrupted -feeding routines disrupted -displays excessive irritability -separation anxiety -starting about 9 months What helps relieve the separation anxiety for infants and toddlers consistency of nursing care, providers Toddler and pre-schooler's understanding of illness -understanding of cause and effect is not fully developed -have a general concept of ...

A client reports that her mother-in-law is very intrusive. The nurse responds, I know how you feel. My mother-in-law is nosy, too. What is the nurse is demonstrating? countertransference. What is the possible outcome of the nurse's expressions of sympathy instead of empathy toward the client? decreased client communication. A client states "That nurse nevers seems comfortable being with me. How would the nurse's behavior be understood? The nurse does not seem genuine to the client. The nur...