hold syringe steady while needle is in tissue Accompanying him will offer moral support, enabling him to face the rest of the world. ..I didnt get to the bad news yet would be inappropriate at any time. generic name - official name 4. History psychosocial techniques, Oxygen supply, methods of oxygen delivery, hydration, humidification, nebulization None of the above All of these positions are appropriate for a rectal examination. Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. Question Text 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. -Use one pharmacy to coordinate all medications. The other answers are incorrect interpretations of the statistical data. 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. A patient asks you what vitamin is best for eye sight. Fundamentals Exam 2 Flashcards | Quizlet (more prone to trips & falls throw rugs are a death trap), Other Issues/Risk Factors that are concerns for safety, Lifestyle if ordered, send specimen to lab apply to chest, back, upper arm, or legs. Fundamentals Exam 2 Practice Test Flashcards | Quizlet Examples of patients suffering from impaired awareness include all of the following except: 44. Implementation, Patient and family teaching Parasympathetic nervous system stimulation The act protects patients from unskilled, undereducated and unlicensed personnel. Soft foods, Fowlers or semi-Fowlers position, and oral hygiene before eating should be part of the feeding regimen. prevent contamination of solution 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. Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle Your hair is really pretty offers no consolation or alternatives to the patient. If nurse administers an injection to a patient who refuses that injection, she has committed: 36. You got 50 minutes to finish the exam .Good luck! Pedal Medication Dose Responses, expected effects that don't contribute to helping the patient Which of the following is an example of nursing malpractice? Continue administering oxygen by high humidity face mask Antibiotics, healthy tissue Use of hand rails or wall nearby. counts Mandatory for Now - give it now, without breaking neck to do so Prime insulin pen D. The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. Aging Such a patient is unlikely to display emotion, such as crying. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. Dont worry.. offers some relief but doesnt recognize the patients feelings. 41. 38. In order for perfusion to occur, must have ventilation, diffusion & respiration, Neural 17. - Buccal: by the cheek Fundamentals of Nursing Flashcards Quizlet.pdf - Course Hero No-interruption zones Question 49A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Ineffective airway clearance related to dry, hacking cough. 4. These include: Caffeine-containing drinks, such as coffee and cola. ..I didnt get to the bad news yet would be inappropriate at any time. Everyone! Congratulations - you have completed Fundamentals of Nursing Practice Exam 2 (EM). ice to site before injection Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. The nurse is responsible for giving the patient breakfast at the scheduled time. - Cardiac arrest -Prepare the medication for administration. Fundamentals of Nursing Quiz Question with Answer 1. always draw up medication with a filter needle, plastic or glass container with rubber seal, insert 5-15 degrees Dont worry.. offers some relief but doesnt recognize the patients feelings. CAutonomy and authority for planning are best delegated to a nurse who knows the patient wellDAccountability is clearest when one nurse is responsible for the overall plan and its implementation.Question 36 Explanation: Studies have shown that patients and nurses both respond well to primary nursing care units. This information is documented and reported to the physician and the nursing supervisor. I will be back to check on you." A patient about to undergo abdominal inspection is best placed in which of the following positions? However, the familys concerns must be addressed before members are asked to sign a consent form. 90 ml in 3 hours Location of ET tube in airway (nose or mouth) Which findings should be reported? 11. 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. Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Anxiety will not cause an elevated temperature. Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Kaopectate is an anti diarrheal medication. Hint 5. 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. Your answers are highlighted below. - 2 t to milliliters Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation Toddlers have a much higher metabolic rate. Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . Noncompliance 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. B. Remain with patient until meds are taken The nurse could be charged with:ADefamationBMalpractice CAssaultDBatteryQuestion 40 Explanation: Malpractice is defined as injurious or unprofessional actions that harm another. rotate sites 7. Ensure that client has taken medications before leaving the room At a higher dose, it raises blood pressure at the expense of the kidneys, Oral - by mouth Increased peripheral resistance of the blood vessels An 88-year old incontinent patient with gastric cancer who is confined to his bed at home, An alert, chronic arthritic patient treated with steroids and aspirin. Insert an airway What is the first thing the nurse should do after writing down the order? Have client look at ceiling What are the 3 muscle signs for IM injections? instruct client to breathe through mouth The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. The nurse discusses the foods allowed on a 500-mg low sodium diet. CPAP & BiPAP, Invasive Maintenance and Promotion of Lung Expansion, Chest tubes - Age-related changes: thickening of ventricular walls, reduction of cilia (the ability to capture things that can cause an infection) Waiting to consult a physical therapist is unnecessary. Motor vehicle accident, Common developmental safety hazards for ADULT, Issues related to lifestyle habits If this activity does not load, try refreshing your browser. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. High-pitched gurgles head over the right lower quadrant are: 19. Impaired physical mobility Airway protection C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. Choose the letter of the correct answer. Radial Pantothenic acid Such a patient is unlikely to display emotion, such as crying. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Assuming that a semitrailer behaves as a square cylinder, find the force exerted if a wind of 20km/h20 \mathrm{~km} / \mathrm{h}20km/h strikes it broadside. What should the nurse do? Placing one pillow under the bodys head and shoulders use proper injection angle ** acid--base regulation, O motivates Beets and urinary analgesics, such as pyridium, can color urine red. deep and away from major nerves and blood vessels - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use Quiet crying Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Risk for infection 20. Must be used for insulin and nothing else, 3/8-3 inches in length, gauge indicates diameter, part that fits onto the tip of the syringe, reusable plastic syringe holders Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. Coordinated Body Movement Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. A patient is kept off food and fluids for 10 hours before surgery. RN, BSN, PHN. You have not finished your quiz. The infant falls off the scale, suffering a skull fracture. Allergic Reactions Cigarette smoking - Dialogue on how to quit (claudication = limping, relieved by a short period of rest). 1. If you leave this page, your progress will be lost. The need to move the feet apart to maintain this stance is an abnormal finding. wash hands, Daily record taken to provider sharpest Start Hypothermia Proper positioning of client Chest physiotherapy Know delegation last/ regarding medication administration Side rails are a deterrent that prevent a patient from falling out of bed. Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. 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. Hypothermia is an abnormally low body temperature. Recumbent Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Encourage the patient to walk in the hall alone, Consult a physical therapist before allowing the patient to ambulate, Discourage the patient from walking in the hall for a few more days. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? Ability of the medication to dissolve - Some drugs can cross the placenta and should not be administered to pregnant women, Therapeutic Effects A. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. ASittingBTrendelenburg CStandingDGenupectoralQuestion 18 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. 16. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. You have completed Reporting any changes in patient's status after medication administration, Which task would be most appropriate for the nurse to delegate to the nursing assistive personnel (NAP)? (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) At a middle dose, will raise blood pressure. Hypercapnia, hypoxemia, fever, pregnancy, wound healing ABGs Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. If nurse administers an injection to a patient who refuses that injection, she has committed: 12. Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2) She may be involved in obtaining consent for an autopsy or notifying the coroner or medical examiner of a patients death; however, she is not legally responsible for performing these functions. - Assess ability for patient self medication - RSV (respiratory syncytial virus) What is comfort level (any pain?) Are drugs interacting, does patient know why taking the drug? The force that occurs in a direction to oppose movement. use meticulous hand hygiene and clean gloves Applying a hot water bottle orheating pad to a patient without a physicians order does not include the three required components. 6. A platelet count evaluates the number of platelets in the circulating blood volume. You scored %%SCORE%% out of %%TOTAL%%. Question 28Mrs. You have not finished your quiz. The patient lies on her left side. Which finding contraindicates the use of a rectal suppository? Use stronger leg muscles If this activity does not load, try refreshing your browser. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. - Ex. These include: Calibrated in units not mL Question 29The family of an accident victim who has been declared brain-dead seems amenable to organ donation. 15. Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. Question 50A 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. The nurse administers the wrong medication to a patient and the patient vomits. The patient should always feed himself The nurse should perform oral hygiene before assisting with feeding. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Fluids containing caffeine have a diuretic effect. Mashed potatoes and broiled chicken are low in natural sodium chloride. patient education, Locked cabinet Chest wall movement Which of the following is an example of nursing malpractice? Your answers are highlighted below. 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 Return Strict aseptic technique She should notify the physician if the urine output is: Pharmacist's Role, Interaction with other drugs Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. High-pitched gurgles head over the right lower quadrant are: Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. gangrenous lesions Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. The nurse could be charged with: 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. (can be as low as 12) Examples of patients suffering from impaired awareness include all of the following except: Eupnca In the prone position, the patient lies on his abdomen with his face turned to the side. Increased peripheral resistance of the blood vessels, Increased work load of the left ventricle. Exam 1 Fundamentals Of Nursing Flashcards Quizlet. 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. Question 29The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. Normal bowel sounds PRN - as needed / per requested Eupnea is normal respiration quiet, rhythmic, and without effort. Document injury, Special Considerations for Administering Medications to Infants and Children, Age, weight, surface area An additional Vitamin C is required during all of the following periods except: 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. - anxiety attacks/pain/fear Right patient Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. The nurse discusses the foods allowed on a 500-mg low sodium diet. If loading fails, click here to try again -To decrease the number of medication orders A negative nitrogen balance is present when catabolic states exist. 45-90 degrees, do not expel air bubble from prefilled syringe; inject into anteriolateral or posteriolateral abdominal wall at least 2 inches away from the umbilicus only, deposits medications into deep muscle tissue Patient's tolerance of procedure, Coughing Techniques to prevent poor oxygenation, Cascade Crutches - 3 fingertips below the armpit and arms should be at an angle with the hand grip. Lipid solubility of the medication (fat-soluble/water-soluble), (1) Enteric Coated - won't dissolve right away. Ineffective airway clearance Intra osseous - narrow space of long bone, Metric system The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. 30. depth dependent upon location, over boney prominence it will not be as deep as over areas with abundant subcutaneous tissue, Full thickness Perform chest physiotheraphy on a regular schedule Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. D. All of these positions are appropriate for a rectal examination. Nursing Process: IMPLEMENTATION for patients with low oxygenation, Health Promotion: Standing - give once a day for the rest of life read & record results O2 saturation Some type II diabetes Respiratory rate A) Instruction was done at the bedside by a physician in the U.S. B)Curriculum in American schools was more standardized C)Student nurses in the U.S. worked for minimum wage D)The nightingale program was less organized A) Instruction was done at the bedside by a physician in the U.S. 2/8 Fundamentals of Nursing Ch. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. The four main concepts common to nursing that appear in each of the current conceptual models are: The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. Acute pain, Nursing Process: Planning for patients with low oxygenation. 47. When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: Please wait while the activity loads. Increased incidence of gallbladder disease Respiratory rate only The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. 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. A. Get Results NO BONE, TENDON OR MUSCLE EXPOSED Thiamine 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. Relationship of one body part to another - It is thought that bipap is easier on the patient, but it is noisier. CThe nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.DThe nurse administers penicillin to a patient with a documented history of allergy to the drug. Toddler Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract?AVital signsBComplete blood countCAbdominal girth DGuaiac testQuestion 15 Explanation: To assess for GI tract bleeding when frank blood is absent, the nurse has two options: She can test for occult blood in vomitus, if present, or in stool through guaiac (Hemoccult) test. Continue to develop & grow and gain fine motor skills A patient about to undergo abdominal inspection is best placed in which of the following positions?
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