Rasmussen Nursing

Stages of general adaptation syndrome - *** 1. Alarm Initial reaction Sympathetic nervous system 2. Resistance Adaptation Limit stressor 3. Exhaustion Adaptation failing Disease develops Edema - ***Excess fluid in the interstitial space Dehydration (ECF volume deficit) - ***Can occur independently without electrolyte defects Decrease in fluid level leads to increase in level of blood solutes Cell shrinkage Hypotension Hypovolemia or fluid volume deficit - ***Decreased fl...

Benign cells - ***Normal cells growing in the wrong place or at the wrong time Benign Cell Features - ***o Harmless o Do not usually require intervention o Slow growing o Tight Adherence o Specific morphology o Small nuclear-to-cytoplasmic ratio o Specific differentiated functions o Tight adherence o Orderly growth o No migration o Normal chromosomes Benign cell looks similar to a - ***healthy cell Examples of Benign cells - ***o Skin Tag o Mole o Nasal Polyp o Uterine Fibroids ...

A fully developed outcome for a client goal would include: - ***time sensitive measurable term attainable for client 2. The nurse understands a client could be at risk for serotonin syndrome when taking which of the following medications in addition to over-the-counter medications or herbal supplements? - ***sertraline (SSRI) 3. A 4-year-old child grabs toys from siblings, saying, "I want that toy now!" The siblings cry and the child's parent become upset with the behavior. Using Fre...

A nurse is administering influenza immunizations at a local clinic. What level of disease prevention is the nurse demonstrating? - ***Primary 2. An elderly client has impaired sensation in her lower extremities. What educational statement would be necessary to reduce her risk of injury? - ***Always test the temperature of the bath before stepping in 3. The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which...

A. Encourage baseline colonoscopy screening - ***A patient has a positive family history of colon cancer. Which of the following is a recommendation you would want them to adhere to? A. Encourage baseline colonoscopy screening B. Strict physical activity C. Encourage the patient to increase dietary intake of red meats D. Encourage the patient to reduce intake of fiber A. The goal of radiation therapy is to destroy the cancer cells, while minimizing further damage to the body - ***The pa...

What are different tools to assess pain? - ***1-10 scale, face scale 3. When is a patient's pain level tolerable? - ***When they say it is 4. How soon after giving a pain medication should you reassess a patient's pain level? - ***IV - 30min or less, PO - 30min-1hr 5. What are standard precautions used for? - ***Every patient 6. What is droplet precautions used for? - ***Flu, RSV, Pertussis, R/O Meningitis 7. A patient with pneumonia pneumonia is on which type of precaution? - ***Standar...

After completing an initial assessment of a patient, the nurse has charted that his respiration's are eupneic and his pulse is 58 beats per minute. These types of data would be - ***Objective 2. A patient tells the nurse that he is very nervous, is nauseated, and "feels hot" These types of data would be - ***Subjective 3. The patients record, laboratory studies, objective data, and subjective data combine to form the - ***Database 4. When listening to a patients breath sounds, the nu...

What are the stages of cell growth in cancer development? 1. Initiation 2. Promotion 3. Progression 4. Metastasis What happens during Initiation phase during cancer cell growth? normal cells become damaged and leads to development of cancer (Malignant Transformation) this is irreversible What happens during the promotion stage during cancer cell growth? -repeat exposure to carcinogen enhances cell growth which leads to mutation -enhanced cell growth of cells by promotors (like hormones...

A nurse should instruct a pt with a positive family history of colon cancer to adhere to which of the following lifestyle modifications? - ***Encourage baseline colonoscopy screening 2. What is the step in which normal cells become damaged? This step is irreversible and leads to cancer development. - ***Initiation 3. Ellen is a 56 yo female in the ER with complaints of a fever for last 3 days. Recently completed a cycle of chemo. Temp is 103.6, HR 128, 89% on RA BP 88/60. The doc orders ...

If you have a patient that is getting an amputation, what type of therapy communication would you use? - ***Allow patient to voice concerns Do not offer advice If you have a patient on prolonged BR, what does it do to their body? - ***Weakens Muscle Slows GI tract A nurse is making plan of care for a fall risk patient, what is some important teaching to include - ***Teaching them about balance, home safety locking beds, and wheelchairs Have all items within reach If a patient is being...