extract - Head of bed elevated, support and align hips and spine 4. Providing a complete bath and dressing change Ineffective airway clearance related to thick, tenacious secretions. - Medicare is not going to pay if patient comes back to hospital w/in 30 days. Protect the patient from injury 2. - Wheezing There are 50 questions to complete. Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation Lateral Question 49When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:AProtect the patient from injuryBElevate the head of the bedCWithdraw all pain medications DInsert an airwayQuestion 49 Explanation: Ensuring the patients safety is the most essential action at this time. Baseline vital signs 1. verify rights Look at when next due dose is? Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? - We are helping this patient to heal and get out of the hospital A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Pregnancy Parasympathetic nervous system stimulation Pain related to immobilization of affected leg. 25 quizlet name written questions what position is easiest to assess the anus and rectum? Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.Question 23A patient about to undergo abdominal inspection is best placed in which of the following positions?ATrendelenburgBSide-lying CSupineDProneQuestion 23 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. An appropriate nursing diagnosis would be:AIneffective individual coping to COPD.B Ineffective airway clearance related to thick, tenacious secretions.CPain related to immobilization of affected leg. 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. Question 25Before rigor mortis occurs, the nurse is responsible for:AAllowing the body to relax normally BPlacing one pillow under the bodys head and shouldersCProviding a complete bath and dressing changeDRemoving the bodys clothing and wrapping the body in a shroudQuestion 25 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. (mountain climbing, sky-diving, driving fast), Common developmental safety hazards for OLDER ADULT, Age related physiological changes Ensuring that the attending physician issues the death certification Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. They also seem to gain a greater sense of achievement and esprit de corps. 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). Thus, a respiratory rate of 30 would be abnormal. Be alert to important functioning equipment. Active Assist - patient moves joints with help from nurse, Walker - only come in one width. Prone Herbal drugs can interact negatively with prescribed meds. - Musculoskeletal abnormality,- paralysis may take away respiratory drive 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. Inform the staff that they must volunteer to rotate. Less than 30 ml/hour 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. - Must be told what they need to do in order to have restraints removed Eye clear Shiny hair Ridged nails Moist conjunctiva 2. Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Score must be derided to allow for healing All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. Swallowing - patient may not be able to swollow and patient should sit upright when taking meds 22. I didnt get to the bad news yet A prescribed amount of oxygen s needed for a patient with COPD to prevent: Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2), Inhibition of the respiratory hypoxic stimulus. 47. Allpatients receiving anticoagulant therapy must be observed for signs and symptoms of frank and occult bleeding (including hemorrhage, hypotension, tachycardia, tachypnea, restlessness, pallor, cold and clammy skin, thirst and confusion); blood pressure should be measured every 4 hours and the patient should be instructed to report promptly any bleeding that occurs with tooth brushing, bowel movements, urination or heavy prolonged menstruation. What is Friction in Nursing Body Mechanics? During a Romberg test, the nurse asks the patient to assume which position? Continue administering oxygen by high humidity face mask Keep it simple Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. depth varies by location, full thickness tissue loss Crutches - 3 fingertips below the armpit and arms should be at an angle with the hand grip. The patient voids before insertion. - amputations Effect of rubbing or resistance when a moving body meets a surface when turning, Physiology & Regulation of Movement Which of the following nursing interventions promotes patient safety? Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. 7. Time allowed 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. Range of motion Anna Curran. An insulin pump is a small battery-operated device about the size of a small cell phone. The nurse observes that Mr. Adams begins to have increased difficulty breathing. Pulse rate and temperature incorrect no answer. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? Preoxygenate the patient Disturbed body image Asses the patients ability to ambulate and transfer from a bed to a chair Increased peripheral resistance of the blood vessels The nurse documents this breathing as: support client head with non-dominant hand In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale. Things they like doing but can't 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. Question 21If nurse administers an injection to a patient who refuses that injection, she has committed:AAssault and batteryBNone of the above CMalpracticeDNegligenceQuestion 21 Explanation: Assault is the unjustifiable attempt or threat to touch or injure another person. What position in the bed should the client be in to administer meds into nasogastric tube? Gait 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. Avoid twisting C. An Asian patient is likely to hide his pain. What should the nurse do?ADiscourage them from making a decision until their grief has easedBTell them the body will not be available for a wake or funeral CListen to their concerns and answer their questions honestlyDEncourage them to sign the consent form right awayQuestion 13 Explanation: The brain-dead patients family needs support and reassurance in making a decision about organ donation. 49. A. Writing the order for this test Parkinsons disease The greater the surface area of the object that is moved, the greater the friction. sharpest 246 In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. Tighten abdominal muscles and tuck in the pelvis - Osteoporosis - Teach kids and parents how to manage situations 2) Comprehension - The patient must understand the explanation. 36. Increased pulse rate and blood pressure Impaired gas exchange Age is also a factor. slough present the does not obscure depth of tissue loss Question 16If 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:ASlanderBLibelCAssaultDRespondent superior Question 16 Explanation: Oral communication that injures an individuals reputation is considered slander. The nurse administers penicillin to a patient with a documented history of allergy to the drug. Learning needs Which nursing action has the highest priority for a patient receiving medication via a nasogastric feeding tube? - Chest wall movement A. syrup extremes of weight Anaphalaxsis Practice Mode Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. -Allow a family member to coordinate all prescriptions. Text Mode What should the nurse do? Reporting an APTT above 45 seconds to the physician Fever, exercise, and sympathetic stimulation all increase the heart rate. *** Need to get pre-op or baseline in order to evaluate. 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. 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. Standing Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle -Complete the institution's incident or occurrence report. C. Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. ARateBAll of the above CSymmetryDRhythmQuestion 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. to have policies on safe drug administration hand hygiene before handling equipment. Cardiac catheterization Circulatory overload and respiratory excitement have no relevance to the question. Infancy The infant falls off the scale, suffering a skull fracture. Please wait while the activity loads. Encourage the patient to increase her fluid intake to 200 ml every 2 hours Use technology Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. Hip fracture To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Simple Face Mask While exhaling, open the epiglottis by saying the word huff Fundamentals of Nursing 100 Questions Practice Exam Once you are finished, click the button below. Orthopnea - Bruises/Contusions Fundamentals Of Nursing Exam #1 - Legal Aspects In Nursing

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