Exam 3: NUR155/ NUR 155 Latest Updated 2024 Foundations of Nursing Exam With Correct Questions and Answers

Exam 3: NUR155/ NUR 155 Latest Updated 2024 Foundations of Nursing Exam With Correct Questions and Answers


3 stages of stress - alarm, resistance, exhaustion
internal strategies for stress coping - address pt feelings with stress
external strategies for stress coping - relief through mobilization of support
compensation - focusing on strengths rather than perceived weaknesses
denial - ignoring aspects of reality
displacement - redirecting negative emotion
intellectualization - overthinking a challenging situation to avoid dealing with emotion
projection - attributing one's own feelings to another person
rationalization - explaining personal actions that enhance self-image
reaction formation - responding to negative thoughts or feelings with positive actions
regression - reverting to behaviors of early stages of development
repression - blocking unacceptable thoughts and feelings
sublimation - channeling unacceptable emotions into acceptable actions
first principle of delegation - nurses must have knowledge of the nurse practice act in the
state where they are licensed
second principle of delegation - the RN cannot delegate assessment, planning, evaluation, or
accountability for the assigned task
third principle of delegation - the person to whom the assignment was delegated cannot
delegate that assignment to someone else
Transplant film, adhesive-backed polyurethane - prevents bacteria and fluids from entering
the wound; non-absorbant; wounds with minimal drainage; autolytic debridement
Hydrocolloids, occlusive, adhesive dressings composed of gelling agents and carboxymethylcellulose - absorb small to moderate amount of drainage; 3-7 days; prevents excess
moisture; for clean wounds with moderate drainage
Alginates, made from brown seaweed fiber - highly absorbent; non adhesive; avoid dry
wounds; highly exudative wounds use on bleeding wounds
stage 1 treatment - relieve pressure; repositioning; pressure relieving devices; keep pt clean
dry and nourished
stage 2 treatment - maintain moist healing environment; apply hydrocolloid dressing;
nutritional supplements; administer analgesics
stage 3 treatment - clean and/ or debride dressing, surgical intervention, proteolytic
enzymes; administer antimicrobials
stage 4 treatment - clean and debride; non adherent dressing change every 12 hrs; skin
grafts or hyperbaric oxygen
serous - clear
serosaguineous - clear and red mix
sanguineous - red
purulent - thick yellow, green, beige
Blood flow through the heart - R atrium --> tricuspid valve --> R ventr. --> pulm. valve -->
pulm. trunk --> R & L pulm. arteries (NO O2) --> capillary beds of alveoli (lungs) --> pulm.
vein (picks up O2) --> L atrium --> bicuspid valve (mitral) --> L ventr. --> aortic semilunar
valve --> aorta --> systemic arteris --> capillaries of body tiss. --> systemic veins -->
superior and inferior venae cavae
musculoskeletal/ nervous system interventions - exercise; positioning devices; assistive
devices; pain assessment; early ambulation
isotonic exercise definition - constant muscle contraction
isometric exercise definition - exercise without using joints
aerobic exercise definition - use oxygen for energy
anaerobic exercise definition - increase body mass
active ROM exercise - independent
passive ROM exercise - dependent/ with help
How many times should you perform ROM exercises with a patient? -2x daily; 3-5x per joint
anaerobic exercise example - weight lifting