fundamentals of nursing quizlet exam 2
Dodane 10 maja 2023The nurse discusses the foods allowed on a 500-mg low sodium diet. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. eratic use, aerosol Place a humidifier in the patients room. ** people in liver failure are at rate of liver failure b/c metabolism of meds is very poor, After metabolism, excretion occurs through Practice Mode A client has been admitted to a nursing home, and the nurse completes an assessment. Recumbent Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. if visible cerumen or drainage remove with cotton-tipped applicator Use of hand rails or wall nearby. Encourage the patient to walk in the hall alone Insert an airway The nurse is responsible for: Before rigor mortis occurs, the nurse is responsible for: The nurse contacts the prescriber and receives a STAT telephone order for a medication. During a Romberg test, the nurse asks the patient to assume which position? Written communication that does the same is considered libel. 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. The other answers are diseases that can occur in the elderly from physiologic changes. Questions Not Attempted Which of the following patients is at greatest risk for developing pressure ulcers? Pharmacist's Role, Interaction with other drugs Used to administer medications in small precise doses, 0.3-1 mL capacity Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. 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. Unit 4: The Roles Of Nurses In Different Health Care System I health educate the patients and families on ways to maintain a healthy lifestyles and how to prevent diseases. Elevate the head of the bed - Cough -To cause less inconvenience for prescribers Tracheal These include: Caffeine-containing drinks, such as coffee and cola. Evaluation, Place call light within reach Which of the following is the most significant symptom of his disorder?AMuscle irritability BIncreased pulse rate and blood pressureCLethargyDMuscle weaknessQuestion 43 Explanation: Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. A patient is kept off food and fluids for 10 hours before surgery. Question 35A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. Which of the following is the most significant symptom of his disorder? Pain. Skip to document. Right: Click the card to flip Flashcards Learn Test Match Created by as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening - Wrong medication, route, and time do not rub or massage into skin Nurse's role - Normally for sleep apnea. What are the 3 muscle signs for IM injections? Age is also a factor. (more prone to trips & falls throw rugs are a death trap), Other Issues/Risk Factors that are concerns for safety, Lifestyle frequent emptying of the reserve, never remove a surgical dressing for wound inspection until you have the order The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. 12. 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. - Nurse needs to know # of mLs and what to expect She is required to bathe only soiled areas of the body since the mortician will wash the entire body. 150 Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? Person, environment, health, nursing Membrane permeability date, time, and initial outer side of the patch Once you are finished, click the button below. Ineffective airway clearance related to thick, tenacious secretions. Aging - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use Maintain the patient in an orthopneic position as needed **place heal of hand over greater trochanter of hip with wrist perpendicular to femur; point thumb toward client groin; point index finger toward anterior superior iliac spine; extend middle finger along the iliac crest toward buttock; injection site is in the triangle formed, preferred site of immunizations in infants, toddlers, and children; thick and well developed A sign of decreased bowel motility 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 Knowledge and understanding of medication use 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 abuse of alcohol, nicotine, or street durgs If you leave this page, your progress will be lost. 21. Cotton ball to outermost part of ear canal is acceptable if prescriber orders-do not press into canal, remove after 15 minutes, instruct client to clear nose unless contraindicated Question 24Which of the following patients is at greatest risk for developing pressure ulcers?AAn apathetic 63-year old COPD patient receiving nasal oxygen via cannulaBA confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. Toxic Effects prevent needle contamination Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. - Osteogenesis imperfecta 125 ml in 4 hours a. Insert the tube quickly. Assessment for distention, tenderness, and discoloration around the umbilicus. 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. Which finding contraindicates the use of a rectal suppository? apply to chest, back, upper arm, or legs. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. What are the oral options for medications? What do nurses need to be aware of regarding patient safety, A safe environment reduces the risk for accidents, Safety, Moving & transferring patients, Medication Administration, Insulin, Oxygenation Parasympathetic nervous system stimulation -Rectal hemorrhoids What are the most frequent route of exposure to blood-borne disease? Substance abuse Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. The study of how medications enter the body, reach the site of action, metabolize and exit the body 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. Air or blood is trapped in the pleural space; - can be determined by having a person stand and just look to see if a person is wobbly. Amyotrophic lateral sclerosis (Lou Gerhigs disease). - damage to any component that regulates voluntary movements Which of the following vascular system changes results from aging? 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. 4. Incentive spirometry (IS) I will be back to check on you." 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. 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. taken into the body or administered in a manner other than through the digestive tract- intradermal, subcutaneous, intramuscular, intravenous. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. -Contact the manager or supervisor of the area where the error occurred. Increased incidence of gallbladder disease Encourage them to sign the consent form right away 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. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it. Metabolic rate Sensory impairments Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. System much more like the beta cells of your pancreas Autonomy and authority for planning are best delegated to a nurse who knows the patient well The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. Discourage the patient from walking in the hall for a few more days She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Flush with 30 mL of water before and after feedings. In the prone position, the patient lies on his abdomen with his face turned to the side. ** Prescriptions are often being done electronically, Double-Check Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. Eupnea is normal respiration quiet, rhythmic, and without effort. Immobility, diaphoresis, and avoidance of deep breathing or coughing, Decreased blood pressure and heart rate and shallow respirations. Question 44The four main concepts common to nursing that appear in each of the current conceptual models are: Circulatory overload and respiratory excitement have no relevance to the question. All of the above Side-lying Side rails are a reminder to a patient not to get out of bed. 30. A patient about to undergo abdominal inspection is best placed in which of the following positions? smallest gauge The nurse is legally responsible for labeling the corpse when death occurs in the hospital. Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. Can position patient in order to encourage drainage. 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. If you prepare the med, who should administer it? (mountain climbing, sky-diving, driving fast), Common developmental safety hazards for OLDER ADULT, Age related physiological changes - Monitor side effects What should the nurse do? 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. Don't press directly on eyeball anterior lateral aspect of thigh Exercise Allowing for rest periods decreases the possibility of hypoxia. Quad Which of the following vascular system changes results from aging? -Change the feeding pump bag and tubing every 24 hours. Systolic blood pressure When a patient self-administers a vaginal suppository, which behavior would require further teaching? desiccated tissue The need to move the feet apart to maintain this stance is an abnormal finding. Age is also a factor. use middle third of muscle, easily accessible - Chest wall movement History - Postural drainage 26. Atheroscleotic changes in the blood vessels -Administering oral medications Chest x-ray Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. Encourage the patient to increase her fluid intake to 200 ml every 2 hours ice to site before injection Look at when next due dose is? - Mental confusion For a rectal examination, the patient can be directed to assume which of the following positions? The correct sequence for assessing the abdomen is: 18. Medications administered Older adults The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Exam Mode Your answers are highlighted below. - BUT we cannot give too much O because they do not have functioning alveoli to carry out the O transport, so the O build-up causing high level of O resulting in no motivation to breathe. Document injury, Special Considerations for Administering Medications to Infants and Children, Age, weight, surface area However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Libel This information is documented and reported to the physician and the nursing supervisor. 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. Apical pulse Administer medications following the rights A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. The nurse documents this breathing as: 3. - anxiety attacks/pain/fear Intracardiac Achieved by a low center of gravity 96 Metered dose High-pitched gurgles head over the right lower quadrant are: plan to safely handle and dispose of needles before procedure begins The nurse could be charged with: 14. 2. You have completed The body of an organ donor is available for burial. Any items you have not completed will be marked incorrect. Also, this page requires javascript. - Patient must be checked every 15 minutes 14. Person, health, psychology, nursing Environmental modifications Changes in vital signs may be cause by factors other than blood loss. 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. 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. - Document! Nurses feel personal satisfaction, much of it related to positive feedback from the patients. - Anticoagulants 4. SKELETAL SYSTEM, Provides attachments for muscles and ligaments and the leverage necessary for movement: Huff slough Supositories Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. Use __________ mL of ________________ to deliver medications that have been crushed, dissolved, or powder removed from capsules- in Nasogastric tube. The infant falls off the scale, suffering a skull fracture. - Drops, teaspoons, tablespoons, cups, pints, quarts C. 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. Check accuracy, Nursing diagnoses for medication administration, Deficient knowledge regarding drug actions and purpose and self- administration Click the card to flip Definition 1 / 79 1. Ensure that client has taken medications before leaving the room It slows down in pre-school, Special Considerations for Administering Medications to Older Adults. - The gov't must also regulate off-label use of medications. 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. 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. Dosage calculations 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. 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. According to this theory, other physiologic needs (including food, water, elimination, shelter, rest and sleep, activity and temperature regulation) must be met before proceeding to the next hierarchical levels on psychosocial needs. The best response would be:ADont worry. These changes, in turn, increase the work load of the left ventricle. Assault ATI Quiz Fundamentals 1 Flashcards Quizlet ATI Nursing Fundamentals Practice 1 Flashcard reviewer University Gurnick Academy Course Vocational Nursing 120 (Sean220, VN 320) 94 Documents Academic year:2022/2023 Uploaded byAlec Afanes Helpful? These include: -Never use over-the-counter (OTC) drugs or herbal supplements. 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. Expectations, Nursing Process in Med Admin: (Select all that apply) The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. ..I didnt get to the bad news yet would be inappropriate at any time. Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. Can you document that you gave a medication before you give it to the client? which muscle should you not use for IM injections? -"I will wait until noon, when you have more medication ordered, and will bring it back to you then. Which of the following nursing interventions has the greatest potential for improving this situation? Get Results Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. minutes subcutaneous fat may be visible Age is also a factor. Question 1Examples of patients suffering from impaired awareness include all of the following except:AA patient who cannot care for himself at homeBA patient demonstrating symptoms of drugs or alcohol withdrawal CA semiconscious or over fatigued patientDA disoriented or confused patientQuestion 1 Explanation: A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. The most common psychogenic disorder among elderly person is: Sleep disturbances (such as bizarre dreams), Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. [irp] Nclex Rn 31 Flashcards Quizlet. You build on each experience by pulling . 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
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