Placing one pillow under the bodys head and shoulders 48. & drink, Impaired skin integrity Question 47During a Romberg test, the nurse asks the patient to assume which position? These include: 5. 25. represents increasing amounts of new blood vessels 47. Questions Not Attempted If you're administering more than one medication into the NG tube, what do you do? Planning question 49. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. When your patient eats, you use buttons on the pump to give additional or "bolus" insulin to cover the carbohydrates in the meal. I didnt get to the bad news yet Also, this page requires javascript. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? Increased incidence of gallbladder disease Allow a 1 hour rest period between activities Which finding might lead the nurse to suspect a nutritional alteration? 7. Also, this page requires javascript. Using the data given below, find the largest permissible bending moment when the composite bar is bent about a horizontal axis. Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. Check with the dyspnea scale Labeling the corpse appropriately - Seizures Hint - other places: lungs, kidneys, blood, and intestines * Try to strategically plan how far walking by having a chair available nearby. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. 29. Question 32 Explanation: The three elements necessary to establish a nursing malpractice are nursing error (administering penicillin to a patient with a documented allergy to the drug), injury (cerebral damage), and proximal cause (administering the penicillin caused the cerebral damage). subcutaneous (subcut) In the lateral position, the patient lies on his side. 28. Encourage them to sign the consent form right away Question 7The most common injury among elderly persons is:AHip fracture BAtheroscleotic changes in the blood vesselsCIncreased incidence of gallbladder diseaseDUrinary Tract InfectionQuestion 7 Explanation: Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. gangrenous lesions Keep it simple Demonstrating the signal system and providing an opportunity for a return demonstration ensures that the patient knows how to operate the equipment and encourages him to call for assistance when needed. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. (more prone to trips & falls throw rugs are a death trap), Other Issues/Risk Factors that are concerns for safety, Lifestyle Written communication that does the same is considered libel. chemical name - compound that makes up the drug ** Prescriptions are often being done electronically, Double-Check slough Question 34For a rectal examination, the patient can be directed to assume which of the following positions?AGenupecterolBSimsCAll of the above DHorizontal recumbentQuestion 34 Explanation: All of these positions are appropriate for a rectal examination. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. You have completed Eyedrops/eardrops - Fractures. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. dx of depression or anxiety 16. In this case, the supervisor is the resource person to approach. Changes in laboratory values. frequent emptying of the reserve, never remove a surgical dressing for wound inspection until you have the order The brain-dead patients family needs support and reassurance in making a decision about organ donation. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Which of the following nursing interventions promotes patient safety? proper skin prep Two forms of identification: name and birthdate In the lateral position, the patient lies on his side. death of subcutaneous fat tissue and muscle degeneration Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation do not massage, used to deposit medication into the loose connective tissue underlying the dermis After 1 week of hospitalization, Mr. Gray develops hypokalemia. Question 6Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?ADecreased blood pressure and heart rate and shallow respirationsBImmobility, diaphoresis, and avoidance of deep breathing or coughingCQuiet cryingDChanging position every 2 hours Question 6 Explanation: An Asian patient is likely to hide his pain. Calibrated in units not mL DIneffective airway clearance related to dry, hacking cough.Question 37 Explanation: Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. - Asthma Allowing for rest periods decreases the possibility of hypoxia. You have completed Circulatory overload and respiratory excitement have no relevance to the question. establishing an effective nurse-patient relationship -reduce anxiety through therapeutic communication, teaching, and acceptance -remember that the patient has concerns and needs other medical ones -communicate with the patient as an individual -take time to learn about the patient being admitted -provide for the family participation in all She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. -Contact the manager or supervisor of the area where the error occurred. Mrs. Mitchell has been given a copy of her diet. In the Trendelenburg position, the head of the bed is tilted downward to 30 to 40 degrees so that the upper body is lower than the legs. Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. Amyotrophic lateral sclerosis, a disease marked by progressive degeneration of the neurons, eventually results in atrophy of all the muscles; including those necessary for respiration. Total Questions on Quiz Use of hand rails or wall nearby. report all injuries immediately A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. Examples of patients suffering from impaired awareness include all of the following except: A patient who cannot care for himself at home, A patient demonstrating symptoms of drugs or alcohol withdrawal. - It is thought that bipap is easier on the patient, but it is noisier. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. Administer medications following the rights instruct client to breathe through mouth Continue administering oxygen by high humidity face mask Pharmacist's Role, Interaction with other drugs Observation of physiological measures Collaborative care, Place object close to center of gravity Sitting Wrong 11. 20. Can position patient in order to encourage drainage. -To cause less inconvenience for prescribers Which of the following is an example of nursing malpractice? Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Question 46Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?AContinuity of patient care promotes efficient, cost-effective nursing careBAutonomy and authority for planning are best delegated to a nurse who knows the patient wellCThe holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. base of ulcer covered by slough and/or eschar in the wound bed Inhalation: via the mouth or nasal passages (breathed in) If loading fails, click here to try again Practice Mode Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Any items you have not completed will be marked incorrect. When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: - Postural drainage Question Details Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. If you leave this page, your progress will be lost. In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. The nurse discusses the foods allowed on a 500-mg low sodium diet. Anxiety will not cause an elevated temperature. Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. What should the nurse do?AEncourage them to sign the consent form right awayBTell them the body will not be available for a wake or funeral CListen to their concerns and answer their questions honestlyDDiscourage them from making a decision until their grief has easedQuestion 29 Explanation: The brain-dead patients family needs support and reassurance in making a decision about organ donation. Question 42The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Medication Dose Responses, expected effects that don't contribute to helping the patient apply to chest, back, upper arm, or legs. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: A slightly elevated temperature in the immediate preoperative or post operative period may result from the lack of fluids before surgery rather than from infection. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. - Work with the families so that care is followed Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Battery - Specific prescribed amt. 15. Administration of Meds: ARhythmBRateCAll of the above DSymmetryQuestion 26 Explanation: The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. 3. Sympathetic nervous system stimulation This information is documented and reported to the physician and the nursing supervisor. -Flush with 30 mL of water before and after feedings. 25. 13. Which findings should be reported? AWriting the order for this testBAll of the above CInstructing the patient about this diagnostic testDGiving the patient breakfastQuestion 42 Explanation: A platelet count evaluates the number of platelets in the circulating blood volume. Discourage the patient from walking in the hall for a few more days If a patients blood pressure is 150/96, his pulse pressure is: 23. RN, BSN, PHN. O2 can be extremely drying. Anxiety will not cause an elevated temperature. - A single dose to be given at a specific time C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. Ineffective individual coping related to COPD is wrong because the etiology for a nursing diagnosis should not be a medical diagnosis (COPD) and because no data indicate that the patient is coping ineffectively. 30. Examples of patients suffering from impaired awareness include all of the following except: Some type II diabetes D. Delivery of more than 2 liters of oxygen per minute to a patient with chronic obstructive pulmonary disease (COPD), who is usually in a state of compensated respiratory acidosis (retaining carbon dioxide (CO2)), can inhibit the hypoxic stimulus for respiration. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors In Maslows hierarchy of physiologic needs, the human need of greatest priority is: 8. Exam 1 Fundamentals Of Nursing Flashcards Quizlet. - Chest wall movement Friction. ATI Quiz Fundamentals 1 Flashcards Quizlet ATI Nursing Fundamentals Practice 1 Flashcard reviewer University Gurnick Academy Course Vocational Nursing 120 (Sean220, VN 320) 94 Documents Academic year:2022/2023 Uploaded byAlec Afanes Helpful? Results The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. Safety check to protect you waiting to see if you change your name A tossed salad with oil and vinegar and olives Which of the following parameters should be checked when assessing respirations? Certain substances increase the amount of urine produced. Which of the following nursing interventions would be appropriate? Abdominal girth is unrelated to blood loss. Question 35A 38-year old patients vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Less than 2 mL total volume Rub injection site w/ alcohol swab - Mental confusion Question 9Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?ASide rails are ineffectiveBSide rails are a reminder to a patient not to get out of bed CSide rails are a deterrent that prevent a patient from falling out of bed.DSide rails should not be usedQuestion 9 Explanation: Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. - Sprains Current condition Exercise Dont worry. O transport Question 3The most common psychogenic disorder among elderly person is:ADecreased appetite BInability to concentrateCDepressionDSleep disturbances (such as bizarre dreams)Question 3 Explanation: Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Inrapleural Explain in detailed medical terms System much more like the beta cells of your pancreas - Exposure to second hand smoke A normal adult body temperature, as measured on an oral thermometer, ranges between 97 and 100F (36.1 and 37.8C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. - Extra doses or failing to administer Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. What are the most frequent route of exposure to blood-borne disease? Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. - flow sheet must be completed on every patient in retraint 150 ..I didnt get to the bad news yet would be inappropriate at any time. 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End - Suction this first, NonInvasive Maintenance and Promotion of Lung Expansion, Positioning

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