Nursing Concepts: Sensory Deprivation & Emphysema

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Questions and Answers

Which factor is most likely to contribute to sensory deprivation in the elderly?

Increase in mobility

Side effects of medications

Isolation from social activities (correct)

Natural aging process

What is the primary benefit of pursed-lip breathing for a patient with chronic emphysema?

Reduces work of breathing and prevents lung collapse (correct)

Improves lung capacity permanently

Eliminates the need for supplemental oxygen

Increases blood oxygen levels directly

Which symptom would most likely indicate organ rejection in a kidney transplant patient?

Hypertension (correct)

Mild fever

Sudden weight loss

Increased urination

Why is it inappropriate to check a patient's temperature when they are restless and confused?

Temperature checks are not necessary in all cases. Signup and view all the answers

What is a common misconception regarding the effects of chronic pulmonary conditions on potassium levels?

Potassium levels remain stable regardless of condition. Signup and view all the answers

What complication is most concerning in a post-operative kidney transplant patient who feels generally unwell?

Rejection of the transplant organ Signup and view all the answers

What should be the nurse's immediate response to increased restlessness and confusion in a patients with emphysema?

Encourage the patient to control their pace of breathing. Signup and view all the answers

Which of the following is a common complication noted after kidney transplantation?

Acute rejection Signup and view all the answers

What should the nurse set the flow rate for Mario's IV fluid administration?

28 gtt/min Signup and view all the answers

Using the rule of nines, which area of the body accounts for the largest percentage of burns in a patient with burns on the face, neck, right upper arm, and upper trunk?

Upper trunk Signup and view all the answers

What is the total percentage of body surface area affected if a burn covers a patient's face and neck according to the rule of nines?

9% Signup and view all the answers

In the event of Mario's IV fluid administration, how many total minutes does the nurse need to consider for the flow rate calculations?

720 minutes Signup and view all the answers

What is the combined percentage of burns for Mario's right upper arm and the penis according to the rule of nines?

10% Signup and view all the answers

For a patient who is unconscious after a fall, what is the priority for immediate assessment?

Assess airway, breathing, and circulation Signup and view all the answers

What is the importance of the drop factor in IV fluid calculations?

It affects the speed of flow rate delivery Signup and view all the answers

Which of the following injuries did the patient suffer in the construction accident?

Concussion with superficial abrasions Signup and view all the answers

What is essential to maintain during the logrolling of a client after a laminectomy?

Maintain spinal alignment Signup and view all the answers

What should be avoided to prevent damage to the surgical site after a laminectomy?

Twisting the spine Signup and view all the answers

Which discharge instruction is appropriate for a client post-cataract removal surgery?

Refrain from straining during bowel movements Signup and view all the answers

What is the recommended weight limit for objects a client post-cataract surgery should avoid lifting?

15 lb (7 kg) Signup and view all the answers

In what position should a client avoid resting to facilitate healing after cataract surgery?

Prone position Signup and view all the answers

What does increasing intraocular pressure potentially affect after cataract surgery?

The healing of the surgical site Signup and view all the answers

Which of the following activities is appropriate for a client recovering from cataract surgery?

Walking as tolerated Signup and view all the answers

Why should clients keep their living spaces dimly lit after cataract surgery?

To reduce strain caused by glare Signup and view all the answers

At what age should George be encouraged to start regular testicular self-examinations?

Prior to the age of 20, to establish early detection habits during the peak incidence of testicular cancer. Signup and view all the answers

Why is it important for young adults like George to learn about testicular self-examinations?

To facilitate early detection of abnormalities for timely intervention. Signup and view all the answers

What common misconception might individuals have about the timing of testicular self-examinations?

They should start after age 40. Signup and view all the answers

What is the peak age range for the incidence of testicular cancer in men?

Between 20 and 30 years old. Signup and view all the answers

Which option correctly emphasizes the importance of initiating self-examination habits at a young age?

Starting self-examinations young can foster a lifetime of awareness about one's health. Signup and view all the answers

What is a recommended practice when educating young males about self-examinations?

Provide clear instructions on how to perform self-examinations effectively. Signup and view all the answers

What is a common misconception about the necessity of testicular self-examinations?

They are not needed for men who are not sexually active. Signup and view all the answers

What role does family history play in the discussion of testicular self-examinations?

It underscores the importance of proactive monitoring for those with known risks. Signup and view all the answers

What specific assessment finding indicates a potential basal skull fracture?

Bleeding from ears Signup and view all the answers

Which assessment finding is least associated with increased intracranial pressure?

Reactive pupils Signup and view all the answers

Which of the following is a critical consideration for the nurse when assessing a patient post-fall?

Immediate signs of head trauma Signup and view all the answers

What is the primary concern if a nurse observes bleeding from the patient's ears?

Risk of brain herniation Signup and view all the answers

How can hypothermia affect trauma patients?

It worsens recovery chances due to a lethal triad. Signup and view all the answers

What is the potential significance of a depressed fontanel in a pediatric patient?

Indication of dehydration Signup and view all the answers

Which symptom may show changes due to alterations in cerebral function from a head injury?

Change in pupillary response Signup and view all the answers

Which timeframe is typical for the anterior fontanel to remain soft in infants?

Until 18 months to 2 years of age Signup and view all the answers

Study Notes

Sensory Deprivation

Decreased visual, auditory, and gustatory abilities can interfere with normal functioning.
The side effects of medications do not usually affect the senses in the elderly.
Isolation is not the reason for developing sensory deprivation.
Decreased mobility and functioning do not cause sensory deprivation.

Chronic Emphysema

Signs and Symptoms: Restlessness, confusion, difficulty breathing
Nursing Interventions: Encourage pursed-lip breathing to prevent lung collapse and regulate breathing rate.
Incorrect Interventions: Checking temperature is unnecessary, emphysema does not affect potassium levels, and increasing oxygen flow rate is not recommended for clients with emphysema.

Kidney Transplant

Signs of Organ Rejection: Hypertension, fever, and tenderness over the grafted kidney.
Other potential signs of rejection: Sudden weight loss, polyuria, and shock.

Postoperative Laminectomy

Nursing Interventions: Logroll the client carefully to maintain spinal alignment and prevent damage to the surgical site.

Testicular Self-Examination

Recommended age to start: Prior to the age of 20 to establish early detection habits during the peak incidence of testicular cancer.
Why It's Important: Early detection is crucial for early intervention, especially for individuals with a family history of testicular cancer.

Cataract Removal

Postoperative Instructions: Avoid activities that increase intraocular pressure: straining during bowel movements, bending at the waist, lifting objects heavier than 15 lbs, and engaging in strenuous activities.
Other Important Points: Appropriate ambient lighting is necessary to prevent accidents and ensure safety.

Burn Injury

Rule of Nines: The percentage of burns on the body is estimated using a specific system.
Area with the largest percentage of burns (Rule of Nines): Upper trunk (18%)
Other burn percentages according to Rule of Nines: Head and neck (9%), Right upper extremity (9%), Left upper extremity (9%), Right lower extremity (18%), Left lower extremity (18%), Perineum (1%)

Head Trauma

Signs: Bleeding from the ears can indicate a basal skull fracture, which could lead to increased intracranial pressure and brain herniation.
Other assessment findings: Reactive pupils, depressed fontanel, and elevated temperature.

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Description

This quiz covers essential nursing concepts related to sensory deprivation, chronic emphysema, kidney transplants, and postoperative care. Test your knowledge on symptoms, nursing interventions, and signs of organ rejection. Ideal for nursing students seeking to strengthen their understanding of critical life-saving interventions.