fundamentals of nursing quizlet exam 2

Helps balance. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Metabolic rate date, time, and initial outer side of the patch List DOCUMENT, Chapter 9: Nursing Process STUDY QUESTIONS Pe, Chapter 5-9, Nursing Process Lecture Study, Julie S Snyder, Linda Lilley, Shelly Collins, Barbara T Nagle, Hannah Ariel, Henry Hitner, Michele B. Kaufman, Yael Peimani-Lalehzarzadeh, CRM UNIT 2: Emotions, Money, and Planning. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. 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. 90 degree angle 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. A. 11. Chest x-ray Side Effects 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End 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. This paper will focus on how one will use critical thinking in nursing practice. Dosage calculations A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? The other answers are incorrect interpretations of the statistical data. Question 6Mrs. disposable, prefilled, sterile, cartridge units, glass container with a constricted, pre-scored neck sensory deprivation or overload Parenteral: Subcut, IV, ID, IM Wrong 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. 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. 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. Inhibition of the respiratory hypoxic stimulus Standing The nurse is responsible for giving the patient breakfast at the scheduled time. Dont worry.. offers some relief but doesnt recognize the patients feelings. Receiving, transcribing, and communicating medication orders Question 14Mrs. Fundamentals of Nursing Quiz Question with Answer 1. Your score is C. Orthopnea is difficulty of breathing except in the upright position. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. Place a humidifier in the patients room. Continue administering oxygen by high humidity face mask, Perform chest physiotheraphy on a regular schedule, Encourage the patient to increase her fluid intake to 200 ml every 2 hours. Bend knees 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. -Contact the manager or supervisor of the area where the error occurred. Palpating the midclavicular line is the correct technique for assessing FUNdamentals of Nursing - Exam 1 Flashcards | Quizlet Ineffective airway clearance related to dry, hacking cough. Question 31 Explanation: Assisting a patient with ambulation and transfer from a bed to a chair allows the nurse to evaluate the patients ability to carry out these functions safely. The nurses most important legal responsibility after a patients death in a hospital is: Attempted Questions Correct B. Setting goals ARhythmBRateCAll of the above DSymmetryQuestion 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 other answers are incorrect interpretations of the statistical data. 23. - Rates if 8-15 liters Acute pain, Nursing Process: Planning for patients with low oxygenation. Discuss the problem with her supervisor death of subcutaneous fat tissue and muscle degeneration List Its only temporaryDYour hair is really prettyQuestion 2 Explanation: I know this will be difficult acknowledges the problem and suggests a resolution to it. What should the nurse do? - Make sure outcomes are measurable sustained release. Written communication that does the same is considered libel. SIMS 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. The patient will find pureed or soft foods, such as custards, easier to swallow than water cleanse site using circular stroke starting with area immediately next to drain and moving away Providing a complete bath and dressing change Temperature only Setting priorities Its only temporaryBYour hair is really prettyCWhy are you crying? eratic use, 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 An additional Vitamin C is required during all of the following periods except: If loading fails, click here to try again A complete blood count does not provide immediate results and does not always immediately reflect blood loss. C. Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. 4. Eupnea is normal respiration quiet, rhythmic, and without effort. Question 15A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Anxiety will not cause an elevated temperature. Once you are finished, click the button below. However, the familys concerns must be addressed before members are asked to sign a consent form. Changes in vital signs may be cause by factors other than blood loss. 30. 246 - 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. -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. Explain in detailed medical terms Kidneys, 1. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. - Antipyretic (fever) Be vigilant 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. Why are you crying? Venturi Mask Time used She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. These include: 1) Completeness (Disclosure) - tell patient everything regarding a treatment decision. and it increases 4% every liter, Continuous positive airway pressure B. Quad The study of how medications enter the body, reach the site of action, metabolize and exit the body 50. Question 19A patient is kept off food and fluids for 10 hours before surgery. abuse, Sitting Thus, any act that a nurse performs on the patient against his will is considered assault and battery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: 24. Use of hand rails or wall nearby. Documentation, Expected vs. actual response Two forms of identification: name and birthdate 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. 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: test: fundamentals of nursing 8th edition ch. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Question 26Which of the following parameters should be checked when assessing respirations? 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. - nervous system disease, - other places: lungs, kidneys, blood, and intestines Question 23A prescribed amount of oxygen s needed for a patient with COPD to prevent:ACardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)BInhibition of the respiratory hypoxic stimulus CCirculatory overload due to hypervolemiaDRespiratory excitementQuestion 23 Explanation: 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. 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. Get Results She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. High-pitched gurgles head over the right lower quadrant are: Administer oxygen by Venturi mask at 24%, as needed household system, When administering medications to older adults do what? Circulatory overload and respiratory excitement have no relevance to the question. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:AHypothermiaBInfectionCAnxietyDDehydration Question 15 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. The nurse observes that Mr. Adams begins to have increased difficulty breathing. use lancet to perform stick 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). D. The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. - Fractures. A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Idiosyncratic Reactions Choose the letter of the correct answer. -Administering oral medications I will be back to check on you." women topical wound care must clean the devitalized tissue. Question 24Which of the following vascular system changes results from aging?AIncreased peripheral resistance of the blood vesselsBAll of the above CDecreased blood flowDIncreased work load of the left ventricleQuestion 24 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. plunger, Select the _______________ syringe size possible for accuracy; size range 0.5 mL to 60 mL, Pre-attached needle 4. Normal bowel sounds Inability to maintain oxygenation/ ventilation Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. use biohazard sharps disposal containers- immediately B. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Herbal drugs can interact negatively with prescribed meds. Question Details - Move from side to side allows for secretions and expansion Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.Question 18 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). Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. hold it displaced until after needle is removed. Choose the letter of the correct answer. A patient asks you what vitamin is best for eye sight. Alterations compared to surrounding tissue, softer or firmer, warmer or cooler, partial thickness loss 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. proper skin prep Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. What are the 5 steps in the nursing process? Accountability is clearest when one nurse is responsible for the overall plan and its implementation. Allowing for rest periods decreases the possibility of hypoxia. do not massage, used to deposit medication into the loose connective tissue underlying the dermis All of the above Environmental modifications Clarify unclear orders Allowing for rest periods decreases the possibility of hypoxia. Changes in vital signs may be cause by factors other than blood loss. Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions? Know delegation last/ regarding medication administration Verify calculations NERVOUS SYSTEM. must be derided to allow for healing Goals and outcomes Eupnea is normal respiration quiet, rhythmic, and without effort. Which of the following is the most significant symptom of his disorder?AMuscle irritability BLethargyCIncreased pulse rate and blood pressureDMuscle weaknessQuestion 21 Explanation: Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. 33. 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. - Musculoskeletal abnormality,- paralysis may take away respiratory drive Ensuring the patients safety is the most essential action at this time.

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