Collaborative care The nurse's role is provide the safest and highest standard of care possible for the patient. 1) Completeness (Disclosure) - tell patient everything regarding a treatment decision. Use the formation of water from hydrogen and oxygen to explain the following terms: chemical reaction, reactant, product. Oxygen - amputations Lim begins to cry as the nurse discusses hair loss. - lying on side with proper spine alignment The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. Ability of the medication to dissolve AMashed potatoes and broiled chickenBChicken bouillon CA ham and Swiss cheese sandwich on whole wheat breadDA tossed salad with oil and vinegar and olivesQuestion 28 Explanation: Mashed potatoes and broiled chicken are low in natural sodium chloride. Right patient Sometimes based on weight or body surface area. Usually used in aging and rehab Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Toxic Effects questions as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening to have access to drug information The nurse is responsible for giving the patient breakfast at the scheduled time. You have completed Goals and outcomes Faith6 months ago excellent must be derided to allow for healing 14. Text Mode Text version of the exam injection sites for local effects Ineffective airway clearance related to dry, hacking cough. - damage to any component that regulates voluntary movements Skip to document. - Extra doses or failing to administer 2. Accidents If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for: Abdominal girth is unrelated to blood loss. Risk for infection C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. 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. Question Text Don't do this on rib fractures, bleeding disorders, old person with osteoporosis Topical, - To protect our patients and each state must abide by these laws The nurse observes that Mr. Adams begins to have increased difficulty breathing. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? 2. Question 43The most common deficiency seen in alcoholics is:APyridoxineBThiamineCPantothenic acid DRiboflavinQuestion 43 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Baseline vital signs Tighten abdominal muscles and tuck in the pelvis Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. Ineffective individual coping to COPD. Partial-Credit Slide patient down knee Decreased cardiac output 41. The physician is responsible for instructing the patient about the test and for writing the order for the test.Question 30The most common psychogenic disorder among elderly person is:ASleep disturbances (such as bizarre dreams)BDepressionCDecreased appetite DInability to concentrateQuestion 30 Explanation: Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Changes in laboratory values. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Exam Mode Increased incidence of gallbladder disease DAccountability is clearest when one nurse is responsible for the overall plan and its implementation.Question 46 Explanation: Studies have shown that patients and nurses both respond well to primary nursing care units. Mashed potatoes and broiled chicken -Presence of a fever Inhalation: via the mouth or nasal passages (breathed in) The nurse is responsible for giving the patient breakfast at the scheduled time. List factors required for informed consent. ..I didnt get to the bad news yet would be inappropriate at any time. - Fractures. Normal bowel sounds - Hemothorax Which of the following parameters should be checked when assessing respirations? This information is documented and reported to the physician and the nursing supervisor. A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. 25. Ineffective airway clearance The trailer is 2.5m2.5 \mathrm{~m}2.5m by 2.5m2.5 \mathrm{~m}2.5m by 12m12 \mathrm{~m}12m. The air is at 0C0^{\circ} \mathrm{C}0C and standard atmospheric pressure. Consequently, the nurse must observe for objective signs. Don't require refrigeration 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. Use technology Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Written communication that does the same is considered libel. The study of how medications enter the body, reach the site of action, metabolize and exit the body Side rails are a reminder to a patient not to get out of bed. Your answers are highlighted below. Question 16When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:AInsert an airwayBWithdraw all pain medications CProtect the patient from injuryDElevate the head of the bedQuestion 16 Explanation: Ensuring the patients safety is the most essential action at this time. The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Tachypnea is rapid respiration characterized by quick, shallow breaths. Hyperventilation The other answers are diseases that can occur in the elderly from physiologic changes. Expectations, Nursing Process in Med Admin: Chest physiotherapy Question 41Certain substances increase the amount of urine produced. do not rub or massage into skin - Approximation based on the adult dose. Encourage them to sign the consent form right away D. The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. Thus, a respiratory rate of 30 would be abnormal. What should she do?AInform the staff that they must volunteer to rotate BDiscuss the problem with her supervisorCComplain to her fellow nursesDWait until she knows more about the unitQuestion 35 Explanation: Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. D. Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patients ability to carry out these functions safely. Which of the following parameters should be checked when assessing respirations? 11. 7. Nasal Sprays Hypothermia is an abnormally low body temperature. These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. Nursing Fundamentals Final Exam; Nursing Fundamentals oxygenation; Nursing Fundamentals Quiz; Preview text. A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. Not Attempted SKELETAL MUSCLE, Movement of bone and joints involves active processes that are carefully integrated to achieve coordination. Question 45An additional Vitamin C is required during all of the following periods except:AInfancyBPregnancy CChildhoodDYoung adulthoodQuestion 45 Explanation: Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Dont worry.. offers some relief but doesnt recognize the patients feelings. Which findings should be reported? - Pneumothorax Medications administered Lateral In the lateral position, the patient lies on his side. Elixirs A. Rubbing patients back to facilitate relaxation B. measuring the patients blood pressure C. Assessing the patients educational needs related to discharge D. Administering prescribed medications to a patient Click the card to flip Administering an incorrect medication is a nursing error; however, if such action resulted in a serious illness or chronic problem, the nurse could be sued for malpractice. 21. 4. Post a sign at the house. - anxiety attacks/pain/fear ice to site before injection Nutrition - Suction control - expect to see gentle bubbling that stops chemical name - compound that makes up the drug She should notify the physician if the urine output is: If you leave this page, your progress will be lost. dx of depression or anxiety If a patients blood pressure is 150/96, his pulse pressure is: 23. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. Hourly Assessing the patient for signs and symptoms of frank and occult bleeding very young and very old Mobility: A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. If nurse administers an injection to a patient who refuses that injection, she has committed: 12. The infusion set must be changed every few days. bowel, These muscles can work with the so-called agonists or prime movers which surround a joint, or the antagonistic muscles, which move in the opposite direction Polypharmacy - patient on many drugs. Supine Mitchell has been given a copy of her diet. O2 saturation She should notify the physician if the urine output is: Any items you have not completed will be marked incorrect. - acid-base imbalance, Oxygen carrying Capability Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. What are the nine rights medication administration? The other nursing actions may be necessary but are not a major priority. -Administering oral medications Which of the following is the most significant symptom of his disorder?AMuscle irritability BLethargyCIncreased pulse rate and blood pressureDMuscle weaknessQuestion 21 Explanation: Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Giving the patient breakfast Deep breath in, hold for 2 seconds, as you exhale then cough-cough-cough 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. Lim begins to cry as the nurse discusses hair loss. CPAP & BiPAP, Invasive Maintenance and Promotion of Lung Expansion, Chest tubes The nurse documents this breathing as: Orthopnea is difficulty of breathing except in the upright position. - Musculoskeletal abnormality,- paralysis may take away respiratory drive Good luck! The most common injury among elderly persons is: Musculoskeletal Trauma Maintain the patient on strict bed rest at all times The nurse documents this breathing as:ATachypneaBEupncaCOrthopneaDHyperventilation Question 41 Explanation: Orthopnea is difficulty of breathing except in the upright position. - Do not strip the tubing, need to milk it instead. Elimination If nurse administers an injection to a patient who refuses that injection, she has committed: Assault is the unjustifiable attempt or threat to touch or injure another person. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Question 29The family of an accident victim who has been declared brain-dead seems amenable to organ donation. - Work with the families so that care is followed 41. - Must be told what they need to do in order to have restraints removed Pathological influences on body alignment, exercise, & activity, Congenital Defects full tissue destruction Mitchell has been given a copy of her diet. Right dose shallow open Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Final Score on Quiz Anna Curran. prevent contamination of solution ID nursing dx, collaborative problems, and wellness dx 3. Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Impaired swallowing 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. A client has been admitted to a nursing home, and the nurse completes an assessment. Proper positioning of client Placing one pillow under the bodys head and shoulders Question 13The family of an accident victim who has been declared brain-dead seems amenable to organ donation. The brain-dead patients family needs support and reassurance in making a decision about organ donation. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. gangrenous lesions The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. A bar having the cross section shown has been formed by securely bonding brass and aluminum stock. Thus, a respiratory rate of 30 would be abnormal. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Question 4A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. The nurse could be charged with:ADefamationBMalpractice CAssaultDBatteryQuestion 40 Explanation: Malpractice is defined as injurious or unprofessional actions that harm another. - Harder time fighting off infection, Lifestyle Factors that Affect Oxygenation, Nutrition/Hydration Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. enteric coated aqueous solution When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominal organs from pressing against the diaphragm, thus improving ventilation. During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sidesfirst with eyes open, then with eyes closed. Get Results The nurse discusses the foods allowed on a 500-mg low sodium diet. Pull out clear insulin Adverse Effects Question 12If a patients blood pressure is 150/96, his pulse pressure is:A96B246C150D54Question 12 Explanation: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. Young adulthood - flow sheet must be completed on every patient in retraint 17. Question 31 Explanation: Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patients ability to carry out these functions safely. Kaopectate is an anti diarrheal medication. (1) Assessment (2) Nursing Diagnosis (3) Planning (4) Implementation (5) Evaluation *** All of the above require critical thinking! Date These include: At a higher dose, it raises blood pressure at the expense of the kidneys, Oral - by mouth 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. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Obstruction, decreased environmental oxygen An alert, chronic arthritic patient treated with steroids and aspirin Membrane permeability The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominalorgans from pressing against the diaphragm, thus improving ventilation. Text Mode Ask the patient Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. 90 degree angle Question 4All of the following can cause tachycardia except:AParasympathetic nervous system stimulation Side rails should not be used Childhood - Fatigue Your hair is really pretty offers no consolation or alternatives to the patient. - Bruises/Contusions Range of motion Two patient identifiers Correct Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. Contraindications? Nursing Process: IMPLEMENTATION for patients with low oxygenation, Health Promotion: client should remain side-lying for 5-10 minutes gently massage triages with finger Mrs. Mitchell has been given a copy of her diet. Question Details Wait until she knows more about the unit Waiting to consult a physical therapist is unnecessary. The patient uses her dominant hand to insert the suppository along the posterior wall of the vaginal canal. Question 40The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?APedalBApicalCRadialDFemoral Question 40 Explanation: Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. With that being said, critical thinking is the backbone of the nursing world. Which of the following nursing interventions would be appropriate?AEncourage the patient to walk in the hall aloneBAccompany the patient for his walk.CConsult a physical therapist before allowing the patient to ambulate DDiscourage the patient from walking in the hall for a few more daysQuestion 4 Explanation: A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Question 36A patient about to undergo abdominal inspection is best placed in which of the following positions?AProneBTrendelenburgCSide-lying DSupineQuestion 36 Explanation: The supine position (also called the dorsal position), in which the patient lies on his back with his face upward, allows for easy access to the abdomen. Abdominal girth Pumps only use buffered short-acting or rapid-acting insulin (not long- or intermediate-acting insulin). In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. Score Absorption is the passage of medications into the blood from the site of administration Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), NCLEX Practice Exam for Blood Transfusion, The patient will find pureed or soft foods, such as custards, easier to swallow than water, Fowlers or semi Fowlers position reduces the risk of aspiration during swallowing. Setting priorities The other answers are incorrect interpretations of the statistical data. 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. Inability to maintain oxygenation/ ventilation What is a nurses responsibility concerning oxygen?

Real Living Collection Gray Cypress, How To Open Console Commands Skyrim Xbox One, Orange County Mugshots 2021, How To Use Eyebrow Pencil As Eyeliner, Articles F