Nutrition 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. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. I didnt get to the bad news yetDI know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy Question 14 Explanation: I know this will be difficult acknowledges the problem and suggests a resolution to it. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. Exercise Allowing for rest periods decreases the possibility of hypoxia. 12. - info medical personnel can look at After 1 week of hospitalization, Mr. Gray develops hypokalemia. Changes in vital signs may be cause by factors other than blood loss. The physician is responsible for instructing the patient about the test and for writing the order for the test. Chronic pain abuse, The force that occurs in a direction to oppose movement. Via epideral In the prone position, the patient lies on his abdomen with his face turned to the side. 1. The other answers are incorrect interpretations of the statistical data. not well developed in many adults improper use. - Orthopnea Fever, exercise, and sympathetic stimulation all increase the heart rate.Question 5If 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:AAssaultBSlanderCRespondent superior DLibelQuestion 5 Explanation: Oral communication that injures an individuals reputation is considered slander. The infant falls off the scale, suffering a skull fracture. Quad - muscle-skeletal changes occur Faith6 months ago excellent - Normally for sleep apnea. A patient about to undergo abdominal inspection is best placed in which of the following positions? Infancy Usually used in aging and rehab Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. Lungs - alcohol, nitrous oxide The nurse documents this breathing as:ATachypneaBEupncaCOrthopneaDHyperventilation Question 41 Explanation: Orthopnea is difficulty of breathing except in the upright position. 5. Right dose 2. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? Chest physiotherapy Shaded items are complete. Feeding himself is a long-range expected outcome. Continue administering oxygen by high humidity face mask Wrong The other nursing actions may be necessary but are not a major priority. hold syringe steady while needle is in tissue - Asthma Setting priorities The other nursing actions may be necessary but are not a major priority.Question 50The most common injury among elderly persons is:AHip fracture BUrinary Tract InfectionCIncreased incidence of gallbladder diseaseDAtheroscleotic changes in the blood vesselsQuestion 50 Explanation: Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. - Chest wall movement All of the following can cause tachycardia except: 27. Herbal drugs can interact negatively with prescribed meds. A prescribed amount of oxygen s needed for a patient with COPD to prevent: 20. prevention- Hep B vaccine, cylindrical barrel Ineffective airway clearance related to thick, tenacious secretions. Documented on patient medical record, Movement of gases between air spaces and blood stream, Movement of blood into and out of the lungs to organs and tissues - Rates if 8-15 liters 1. verify rights Describe some of the body changes throughout the life span: Newborn You Selected Which finding contraindicates the use of a rectal suppository? 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. Obtaining a consent of an autopsy His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:AAnxietyBDehydration CHypothermiaDInfectionQuestion 19 Explanation: 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. use middle third of muscle, easily accessible Side rails should not be used Use stronger leg muscles - A decimal system organized into units of 10 - Cardiac arrest Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Battery Abdominal girth is unrelated to blood loss. These include: Ensuring the patients safety is the most essential action at this time. Alterations compared to surrounding tissue, softer or firmer, warmer or cooler, partial thickness loss The nurse is responsible for: 33. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. Exercise A. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. Patient education generic name - official name Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. Ex: Dopamine at a low dose will improve renal perfusion. -Contact the pharmacy to have the medication sent to the nursing unit STAT. Don't require refrigeration This information is documented and reported to the physician and the nursing supervisor. Urinary analgesics (2) Sustained Release - a longer time to dissolve, What factors Influence Medication Distribution, Circulation Your hair is really pretty Malpractice B. O2 is a drug and must have doctor's orders Thus, a respiratory rate of 30 would be abnormal. D. Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Which findings should be reported? Nursing responsibilities for Mrs. Mitchell now include: 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. 14. Which finding might lead the nurse to suspect a nutritional alteration? Venturi Mask The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. Do not apply to hairy surfaces or scar tissue Decreased cardiac output A patient about to undergo abdominal inspection is best placed in which of the following positions? Final Score on Quiz Impaired skin integrity 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. 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. Its only temporary Person, nursing, environment, medicine What is a nurses responsibility concerning Humidity? However, the familys concerns must be addressed before members are asked to sign a consent form. In Maslows hierarchy of physiologic needs, the human need of greatest priority is: 8. Lim begins to cry as the nurse discusses hair loss. to have policies on safe drug administration - Monitor side effects 34. - Fractures. Sitting The body of an organ donor is available for burial. - Atelectisis Dependent edema, Activity intolerance- quality of life? C. An Asian patient is likely to hide his pain. - Move from side to side allows for secretions and expansion Which of the following is the most significant symptom of his disorder? During the procedure, the client begins to cough and has difficulty breathing. Question 17In Maslows hierarchy of physiologic needs, the human need of greatest priority is:AOxygen BEliminationCNutritionDLoveQuestion 17 Explanation: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. A sign of abdominal cramping for tuberculin and allergy skin testing A patient about to undergo abdominal inspection is best placed in which of the following positions? D. Alzheimer;s disease, sometimes known as senile dementia of the Alzheimers type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. The nurse discusses the foods allowed on a 500-mg low sodium diet. position head depending upon where instillation is desired instill drops- position dropper 1/2 to 3/4 inch above conjunctival sac- drop in prescribing number of drops 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. seconds Fever His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: 24. Question 26Which of the following parameters should be checked when assessing respirations? Body Balance gangrenous lesions 7. In the prone position, the patient lies on his abdomen with his face turned to the side. Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. All of the above Supine Your score is incorrect no answer. You scored %%SCORE%% out of %%TOTAL%%. The correct sequence for assessing the abdomen is: 18. Decreased appetite Which findings should be reported?ATemperature and respiratory rate BRespiratory rate onlyCPulse rate and temperatureDTemperature onlyQuestion 8 Explanation: Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Position the patient Question 39Palpating the midclavicular line is the correct technique for assessingARespiratory rateBApical pulse CBaseline vital signsDSystolic blood pressureQuestion 39 Explanation: The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Lim begins to cry as the nurse discusses hair loss. aqueous solution 4. Which of the following statement is incorrect about a patient with dysphagia? 2-5 mL max in adults, for intramuscular injection The patient should always feed himself Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. - Exhale, then have patient suck in and hold it. ASittingBTrendelenburg CStandingDGenupectoralQuestion 47 Explanation: 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. Which findings should be reported?ATemperature onlyBRespiratory rate onlyCPulse rate and temperatureDTemperature and respiratory rate Question 35 Explanation: Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. usually accompanied by purulent drainage Question 32The most common deficiency seen in alcoholics is:AThiamineBRiboflavinCPantothenic acid DPyridoxineQuestion 32 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. ** acid--base regulation, O motivates 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. Motor vehicle accident, Common developmental safety hazards for ADULT, Issues related to lifestyle habits SKELETAL SYSTEM, Provides attachments for muscles and ligaments and the leverage necessary for movement: -Presence of a fever Seizures, Procedure Related Risks in the Health Care Agency, Equipment Related Risks in the Health Care Agency, The nursing process in regards to Safety Awareness, Assessment In this case, the supervisor is the resource person to approach. 125 ml in 4 hours - 2 t to milliliters If you withhold a medication what do you do? A bar having the cross section shown has been formed by securely bonding brass and aluminum stock. Used to administer medications in small precise doses, 0.3-1 mL capacity 1. When a patient self-administers a vaginal suppository, which behavior would require further teaching? Altered neurovascular status to extremities (cyanosis, pallor, coldness of skin, tingling, pain, numbness) 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. - Osteogenesis imperfecta - Head of bed elevated, support and align hips and spine Expectations, Nursing Process in Med Admin: 28. - vision, hearing, sense of touch, ability to perform fine motor tasks. All diminish HS = at bedtime (1) Assessment (2) Nursing Diagnosis (3) Planning (4) Implementation (5) Evaluation *** All of the above require critical thinking! 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. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle Question 13Before rigor mortis occurs, the nurse is responsible for:APlacing one pillow under the bodys head and shouldersBRemoving the bodys clothing and wrapping the body in a shroudCAllowing the body to relax normally DProviding a complete bath and dressing changeQuestion 13 Explanation: The nurse must place a pillow under the decreased persons head and shoulders to prevent blood from settling in the face and discoloring it. Fundamentals Of Nursing Exam 2- Documentation by Roxy0214049 , Sep. 2008 Subjects: 2 documentation exam fundamentals Click to Rate "Hated It" Click to Rate "Didn't Like It" Click to Rate "Liked It" Click to Rate "Really Liked It" Click to Rate "Loved It" Favorite Add to folder Flag Flashcards Memorize Test Games Tweet Related Essays With that being said, critical thinking is the backbone of the nursing world. High-pitched gurgles head over the right lower quadrant are: Intra arterial Organize. - Harder time fighting off infection, Lifestyle Factors that Affect Oxygenation, Nutrition/Hydration Hypothermia Use __________ mL of ________________ to deliver medications that have been crushed, dissolved, or powder removed from capsules- in Nasogastric tube. Simple Face Mask Nurse safety - 2nd priority Risk for aspiration, Prepare medications A 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. - Approximation based on the adult dose. Disturbed body image Which of the following is the most significant symptom of his disorder? prevent contamination of solution B. to have the correct drug route and dose dispensed Question 6Mrs. 17-20% patients have to come back related to initial hospitalization. - Asymmetrical chest tube No-interruption zones Malpractice Young and middle-age adults Fluids containing caffeine have a diuretic effect. In an abdominal surgery patient, these might include immobility, diaphoresis, and avoidance of deep breathing or coughing, as well as increased heart rate, shallow respirations (stemming from pain upon moving the diaphragm and respiratory muscles), and guarding or rigidity of the abdominal wall. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. The physician is responsible for instructing the patient about the test and for writing the order for the test.Question 43After 1 week of hospitalization, Mr. Gray develops hypokalemia. & drink, Impaired skin integrity Question 31If a patients blood pressure is 150/96, his pulse pressure is:A54B150C246D96Question 31 Explanation: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. The act protects patients from unskilled, undereducated and unlicensed personnel. Question 22The correct sequence for assessing the abdomen is:AAssessment for distention, tenderness, and discoloration around the umbilicus.BTympanic percussion, measurement of abdominal girth, and inspectionCPercussions, palpation, and auscultationDAuscultation, percussion, and palpation Question 22 Explanation: Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. plan to safely handle and dispose of needles before procedure begins What should the nurse do? Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Such a patient is unlikely to display emotion, such as crying. 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. Airway protection 24. 28. psychosocial techniques, Oxygen supply, methods of oxygen delivery, hydration, humidification, nebulization Ensure that client has taken medications before leaving the room In the event that a medication error occurs, the nurse should do the following first: The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. System much more like the beta cells of your pancreas If this activity does not load, try refreshing your browser. - Smoking potential for injury of axillary, radial, brachial, and ulnar nerves and brachial artery Pantothenic acid A. Your response is Vitamin C Coordinated Body Movement An appropriate nursing diagnosis would be: 37. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Your hair is really pretty offers no consolation or alternatives to the patient. Please visit using a browser with javascript enabled. Question 27Which of the following vascular system changes results from aging?ADecreased blood flowBIncreased peripheral resistance of the blood vesselsCIncreased work load of the left ventricleDAll of the above Question 27 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. The nurse documents this breathing as: Orthopnea is difficulty of breathing except in the upright position. Administration of Meds: Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? "up to heaven, down to hell" means that you lead with good foot when going up the stairs and lead with bad leg when going down the stairs". Explain in detailed medical terms Maintain an erect trunk, Fowler/semi-Fowler (more prone to trips & falls throw rugs are a death trap), Other Issues/Risk Factors that are concerns for safety, Lifestyle CPAP & BiPAP, Invasive Maintenance and Promotion of Lung Expansion, Chest tubes Such a patient is unlikely to display emotion, such as crying. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. . hold it displaced until after needle is removed. Question 18During a Romberg test, the nurse asks the patient to assume which position? If sending patient home with O2, educate on no open flames. What are the most frequent route of exposure to blood-borne disease? The infant falls off the scale, suffering a skull fracture. An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. - swayed back, less coordination, budda belly prevent needle contamination Riboflavin Changes in vital signs may be cause by factors other than blood loss. Question 8In Maslows hierarchy of physiologic needs, the human need of greatest priority is:ANutritionBEliminationCLoveDOxygen Question 8 Explanation: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. access to download your test bank fundamentals of nursing practice test questions final exam web answered 0 of 0 questions 1 when it comes to client education . Toddler Establishing outcomes, Nursing Process in Med Admin: The nurse administers the wrong medication to a patient and the patient vomits. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale. Consuit a physical therapist before allowing the patient to ambulate The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. How many patient identifiers should you use? Current condition Canes - personal preference as to what side use on, although usually used on weaker side.
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