Hondros Nur 163 exam 1 (with Accurate Answers)
Question : Scoring clock test
Correct answer: Hands point to the correct time and numbers
on clock are in correct sequence.total score of 3,4,5 low likelihood of dementia but doesn't rule out cognitive impairment
Question : pt at risk for hip fracture
Correct answer: low calcium, throw rugs, stairs, altered
cognition,falls, meds
Question : warm bath/shower
Correct answer: hypothermia
Question : hypothermia sx
Correct answer: core body temp 95 or lower
mental confusion pulse and respitory rate slow, skin cool cold to touch, pallor or cyanosis, poor balance gait changes
Question : new med is started and pt c/o dizziness
Correct answer: go back and check the med
Question : intervention for leg swelling
Correct answer: ted hose
ambulation SCDs Lasix elevate legs
Question : what is the purpose of an assesment
Correct answer: to identify changes
Question : how long is a pulse taken
Correct answer: 1 min
Question : SX of bp meds
Correct answer: decrease bp
Question : food high in pottasium
Correct answer: apple juice
Question : Assess for before pt fall risk discharge
Correct answer: stairs, rugs, meds, furniture
Question : healthy diet interventions
Correct answer: portion control
reduce fat, sugar, unhealthy cholesterol, salts exercise
Question : electrolyte important to elderly
Correct answer: pottasium
Question : joint commision
Correct answer: fall prevention a priority, national pt safety
goal requires organizations to implement and evaluate a falls reduction program
Question: What is health?
Correct answer: A complex phenomenon that involves
physical, mental, and spiritual aspects
Question: What is wellness?
Correct answer: A way of life oriented toward optimal health
and well-being
Question: What is nourishment?
Correct answer: Life and wellness require nourishment.
Nourishment comes in the form of food, exercise, sleep, relationships, meaningful work, the environment, and memories