fundamentals of nursing quizlet exam 2when will pa vote on senate bill 350 2021

1 mL capacity Things they like doing but can't 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: physical- vital signs, urine output, relief of *** Need to get pre-op or baseline in order to evaluate. Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2) A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Malpractice Correct dosage The brain-dead patients family needs support and reassurance in making a decision about organ donation. Which of the following is the most common cause of dementia among elderly persons? Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. CAn 88-year old incontinent patient with gastric cancer who is confined to his bed at homeDAn alert, chronic arthritic patient treated with steroids and aspirinQuestion 24 Explanation: Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. questions Decreased cardiac output Burns - the body requires insulin in order to convert sugar into energy. - Severe sleep apnea or other respiratory problems A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. What is a nurses responsibility concerning Nutrition? Potential Nursing Diagnosis for a patient that is immobile: Activity intolerance 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 . (more prone to trips & falls throw rugs are a death trap), Other Issues/Risk Factors that are concerns for safety, Lifestyle Love Parenteral: Subcut, IV, ID, IM I didnt get to the bad news yetBI know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy CDont worry. If this activity does not load, try refreshing your browser. In Maslows hierarchy of physiologic needs, the human need of greatest priority is: 8. turn on machine and assure calibration 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. Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. 5. 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. A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. Risk for infection -"That's fine, please take it the minute you get back from the restroom. Labeling the corpse appropriately Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. 2. Ineffective individual coping to COPD. Correct Answer Answer Choice(s) Selected Performing activities of daily living, Body Alignment A patient about to undergo abdominal inspection is best placed in which of the following positions? SKELETAL MUSCLE, Movement of bone and joints involves active processes that are carefully integrated to achieve coordination. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. D. Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Press plunger down until reads zero 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 nonviable tissue Nurses feel personal satisfaction, much of it related to positive feedback from the patients. Standing Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Deep breath in, hold for 2 seconds, as you exhale then cough-cough-cough Question 29The family of an accident victim who has been declared brain-dead seems amenable to organ donation. Guaiac test Plan disposal of needle and syringe prior to procedure Placing one pillow under the bodys head and shoulders subcutaneous (subcut) Tracheal Right medication Choose the letter of the correct answer. Which of the following parameters should be checked when assessing respirations? CNS Damage 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. apply prescribed number of inches over paper measuring guide All of the above 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. women Passive - The nurse moves the patient's joints sustained release. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. They also seem to gain a greater sense of achievement and esprit de corps. occlude nasolacrimal duct for 30-60 seconds if medication causes systematic effects, Warm drops by running water over the bottle Calibrated in units not mL 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. 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. This information is documented and reported to the physician and the nursing supervisor. 1) Completeness (Disclosure) - tell patient everything regarding a treatment decision. epidural Anna Curran. 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. All patients 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. 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. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. -Rectal hemorrhoids The physician is responsible for instructing the patient about the test and for writing the order for the test. Not Attempted Most people get insulin from endogenous means. behavioral- anxiety, agitation, consiousness Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Everyone! Mrs. Lim begins to cry as the nurse discusses hair loss. APerson, nursing, environment, medicineBPerson, environment, health, nursing CPerson, health, nursing, support systemsDPerson, health, psychology, nursingQuestion 44 Explanation: 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. Consuit a physical therapist before allowing the patient to ambulate. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? The nurses most important legal responsibility after a patients death in a hospital is: 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 2. Wait until she knows more about the unit In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale. - Document! 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. Anxiety These changes, in turn, increase the work load of the left ventricle. wash hands, Daily record taken to provider Libel Riboflavin After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. - Some drugs can cross the placenta and should not be administered to pregnant women, Therapeutic Effects The nurse observes that Mr. Adams begins to have increased difficulty breathing. Check to see that the patient is wearing his identification band usually accompanied by purulent drainage Which of the following vascular system changes results from aging? 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. What are the most frequent route of exposure to blood-borne disease? 42. - physician must see and assess the patient every 24 hours and write a new order nonviable tissue, usually accompanied by purulent drainage 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. (2) Sustained Release - a longer time to dissolve, What factors Influence Medication Distribution, Circulation Giving the patient breakfast never manually recap needles after injection Score Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? 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. An appropriate nursing diagnosis would be:APain related to immobilization of affected leg. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. An apathetic 63-year old COPD patient receiving nasal oxygen via cannula. Now - give it now, without breaking neck to do so position-supine Written communication that does the same is considered libel. 37. The nurse could be charged with: 14. Provide suction as necessary This information is documented and reported to the physician and the nursing supervisor. - It is thought that bipap is easier on the patient, but it is noisier. 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. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. Can you document that you gave a medication before you give it to the client? In the home- inadequate lighting and physical barriers (doors, stairs, curbs, furniture), Concerns for the Transmission of Pathogens, Hand hygiene - most effective way to limit spread of pathogens (gel in, gel out), Common developmental safety hazards for INFANT/TODDLER/PRESCHOOLER, Common developmental safety hazards for SCHOOL-AGE CHILD, Common developmental safety hazards for ADOLESCENT, Drug/alcohol use/abuse - Administer medication correctly Biotransformation occurs when enzymes detoxify, degrade, and remove active chemicals Question 34For a rectal examination, the patient can be directed to assume which of the following positions?AHorizontal recumbentBAll of the above CSimsDGenupecterolQuestion 34 Explanation: All of these positions are appropriate for a rectal examination. Anaphalaxsis The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Hypothermia 33. Thus, a respiratory rate of 30 would be abnormal. Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. Hint (Choose all that apply) The best response would be: 38. - Protein binding The most common deficiency seen in alcoholics is: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. 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. Tell them the body will not be available for a wake or funeral All four side rails up is considered a restraint Type I diabetes 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. Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Dont worry.. offers some relief but doesnt recognize the patients feelings. ", What is the goal of computerized physician order entry (CPOE)? They also seem to gain a greater sense of achievement and esprit de corps. Nurse is responsible for following legal provisions for administering opioids which are carefully controlled through federal and state guidelines, overuse, Administer medications following the rights 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. 9. intact or open serum filled blister Nurses feel personal satisfaction, much of it related to positive feedback from the patients. -Contact the prescriber to inform him/her of the error. Question 33Which of the following patients is at greatest risk for developing pressure ulcers?AAn 88-year old incontinent patient with gastric cancer who is confined to his bed at homeBAn alert, chronic arthritic patient treated with steroids and aspirinCAn apathetic 63-year old COPD patient receiving nasal oxygen via cannulaDA confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. D. All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. The nurse is responsible for: 4. - Musculoskeletal abnormality,- paralysis may take away respiratory drive as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening 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. Question 6Mrs. A semiconscious or over fatigued patient The physician orders a platelet count to be performed on Mrs. Smith after breakfast. - Smoking Reported to provider at time of test I know this will be difficult acknowledges the problem and suggests a resolution to it. Return if visible cerumen or drainage remove with cotton-tipped applicator Preoxygenate the patient - Ex: "upon discharge, patient will be able to maintain air on own" - Occurs in liver (major site of drug metabolism) people having trouble with this are older adults or people with liver diseases. Your score is Aging Eupnca 25 quizlet name written questions what position is easiest to assess the anus and rectum? Mrs. Mitchell has been given a copy of her diet. Lim begins to cry as the nurse discusses hair loss. 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 Question 20Which of the following is the most common cause of dementia among elderly persons?AAmyotrophic lateral sclerosis (Lou Gerhigs disease)BAlzheimers disease CMultiple sclerosisDParkinsons diseaseQuestion 20 Explanation: 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. 2-5 mL max in adults, for intramuscular injection I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy Safety awareness, Inherent Accident Risks in the Health Care Agency, (Normal everyday things that happen) What position should patient be in for rectal suppositories? Pain. 3. What should the nurse do? The physician is responsible for instructing the patient about the test and for writing the order for the test. - Patient and family education, 1. The nurse documents this breathing as: Orthopnea is difficulty of breathing except in the upright position. Sitting A negative nitrogen balance is present when catabolic states exist. do not rub or massage into skin tablet Question 42The nurse observes that Mr. Adams begins to have increased difficulty breathing. - Patient must be checked every 15 minutes You have not finished your quiz. Increased peripheral resistance of the blood vessels, Increased work load of the left ventricle. 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. Writing the order for this test Before rigor mortis occurs, the nurse is responsible for: Metabolic rate research shows the least injury from injections here Negligence Exam Mode Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. question For a rectal examination, the patient can be directed to assume which of the following positions? Administration of Meds: Reusability Ineffective airway clearance related to thick, tenacious secretions. -Calling the pharmacy to clarify the correct dose of medication, The nurse is caring for a patient who has an order for an acetaminophen (Tylenol) rectal suppository. apply to skin firmly Keep needle in skin for 10 sec, Clean the vials ..I didnt get to the bad news yet would be inappropriate at any time. 10. Intraocular: eye drops or eye ointment (intraopthalmic) 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)? Chapter 01 - Fundamentals of Nursing 9th edition - test bank 463505443 - Lecture notes 3 Logica proposicional ejercicios resueltos 1-2 Problem Set Module One - Income Statement Copy of Growing Plants SE answer key. The best response would be: Reporting an APTT above 45 seconds to the physician extremes of weight Patient education RN, BSN, PHN. When a patient self-administers a vaginal suppository, which behavior would require further teaching? In Maslows hierarchy of physiologic needs, the human need of greatest priority is: ..I didnt get to the bad news yet would be inappropriate at any time. Fowlers or semi Fowlers position reduces the risk of aspiration during swallowing Pulse rate and temperature sensory deprivation or overload Is patient better or worse? Correct Answer red or pink granulation tissue The nurse documents this breathing as:ATachypneaBEupncaCOrthopneaDHyperventilation Question 41 Explanation: Orthopnea is difficulty of breathing except in the upright position.

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