Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. 30. -Constipation. - Must be told what they need to do in order to have restraints removed D. All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. 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. Infection Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. Ability to absorb, metabolize, and excrete The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? 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. Clear insulin is the short acting insulin, Remove cap A disoriented or confused patient Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Nursing Fundamentals Exam 2. aqueous solution Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? hand hygiene before handling equipment. You have completed - muscle-skeletal changes occur -Flush with 30 mL of water before and after feedings. With that being said, critical thinking is the backbone of the nursing world. - Exposure to second hand smoke In the event that a medication error occurs, the nurse should do the following first: A patient demonstrating symptoms of drugs or alcohol withdrawal All of the following can cause tachycardia except: Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Impaired physical mobility for tuberculin and allergy skin testing Body alignment: 6. ..I didnt get to the bad news yet would be inappropriate at any time. Beets and urinary analgesics, such as pyridium, can color urine red. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. 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 In Maslows hierarchy of physiologic needs, the human need of greatest priority is: 8. The nurse could be charged with: 14. Temperature only Which of the following is an example of nursing malpractice? What factors affect ventilation and O transport? - Nurse needs to know # of mLs and what to expect Wrong Trendelenburg Fundamentals of Nursing Quiz Question with Answer 1. Elixirs -Change the feeding pump bag and tubing every 24 hours. Fall Risk, Impaired sensory perception Your score is Regulated by TJC & CMS (centers for medicare/medicaid services) -Administering oral medications - peripheral arterial disease 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. Once you are finished, click the button below. (1) Assessment (2) Nursing Diagnosis (3) Planning (4) Implementation (5) Evaluation *** All of the above require critical thinking! Fundamentals of Nursing University Keiser University Fundamentals of Nursing Add to My Courses Documents (326) Questions Students (625) Book related documents Kozier and Erb's Fundamentals of Nursing Volume 1-3 Barbara Kozier; Glenora Erb; Audrey Berman; Shirlee Snyder; Tracy Levett-jones Lecture notes Date Rating year Ratings Show 8 more documents However, the familys concerns must be addressed before members are asked to sign a consent form. client should remain side-lying for 5-10 minutes gently massage triages with finger use proper injection angle After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. 41. The physician orders a platelet count to be performed on Mrs. Smith after breakfast. C. Orthopnea is difficulty of breathing except in the upright position. improper use. Its only temporary Body Balance However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. The only abbreviation we can use for subcutaneous is what? 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. Feeding himself is a long-range expected outcome. - The gov't must also regulate off-label use of medications. Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? Question 49A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Adverse reactions - Some drugs can cross the placenta and should not be administered to pregnant women, Therapeutic Effects and exocrine glands The four main concepts common to nursing that appear in each of the current conceptual models are: Right route Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. After 1 week of hospitalization, Mr. Gray develops hypokalemia. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. If nurse administers an injection to a patient who refuses that injection, she has committed: The patient lies on her left side. A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. 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. Labeling the corpse appropriately The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? Correct Answer Pain related to immobilization of affected leg. Flush with 30 mL of water before and after feedings. - may need assistance to cross the blood brain barrier Question 18Which of the following is an example of nursing malpractice?AThe nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.BThe nurse administers the wrong medication to a patient and the patient vomits. C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. - Air entrapment & is more precise The force that occurs in a direction to oppose movement. Respiration should be between 16-20 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? Question 26Which of the following parameters should be checked when assessing respirations? Anticipate the health provider's needs Nurses feel personal satisfaction, much of it related to positive feedback from the patients. - Harder time fighting off infection, Lifestyle Factors that Affect Oxygenation, Nutrition/Hydration In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Orthopnea Your hair is really pretty offers no consolation or alternatives to the patient. The most common injury among elderly persons is: 45. Incentive spirometry (IS) anterieor aspects of thighs Return Fundamentals Exam 2 The nurse evaluates which laboratory values to assess a patient's potential for wound healing? Question 36A patient about to undergo abdominal inspection is best placed in which of the following positions?AProneBTrendelenburgCSide-lying DSupineQuestion 36 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. A sign of increased bowel motility 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. You got 50 minutes to finish the exam .Good luck! - Sublingual: under the tongue Listen to their concerns and answer their questions honestly She should notify the physician if the urine output is: 2. communicate with patient/ family Abdominal girth is unrelated to blood loss. Collaborative care, Place object close to center of gravity O transport Right dose If you leave this page, your progress will be lost. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. underuse, Assault Friction. School-aged children and adolescents The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Don't press directly on eyeball Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Thiamine Higher level on inspiration and lower level on expiration troche Circulatory overload due to hypervolemia Reported to provider at time of test use middle third of muscle, easily accessible Cuts 1. verify rights A complete blood count does not provide immediate results and does not always immediately reflect blood loss. NO BONE, TENDON OR MUSCLE EXPOSED Your hair is really pretty offers no consolation or alternatives to the patient. Any items you have not completed will be marked incorrect. Accompanying him will offer moral support, enabling him to face the rest of the world. Eyedrops/eardrops SKELETAL MUSCLE, Movement of bone and joints involves active processes that are carefully integrated to achieve coordination. 1. Notifying the coroner or medical examiner Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? I will be back to check on you." Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Draw out cloudy insulin Which findings should be reported?ATemperature onlyBRespiratory rate onlyCPulse rate and temperatureDTemperature and respiratory rate Question 35 Explanation: Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. The nurse is responsible for giving the patient breakfast at the scheduled time. Question 20The nurses most important legal responsibility after a patients death in a hospital is:ANotifying the coroner or medical examinerBObtaining a consent of an autopsyCLabeling the corpse appropriatelyDEnsuring that the attending physician issues the death certification Question 20 Explanation: The nurse is legally responsible for labeling the corpse when death occurs in the hospital. C. The nurse is legally responsible for labeling the corpse when death occurs in the hospital. open plug or cap on drainage device injection sites for local effects ** acid--base regulation, O motivates Answers and Rationales Standing The best response would be:ADont worry. Which of the following parameters should be checked when assessing respirations? Which findings should be reported? 5. However, the familys concerns must be addressed before members are asked to sign a consent form. The greater the surface area of the object that is moved, the greater the friction. The nurse is responsible for: use one pharmacy to coordinate all medications. Tachypnea is rapid respiration characterized by quick, shallow breaths. Attempted Questions Correct -Read back the telephone order to the prescriber. Use the formation of water from hydrogen and oxygen to explain the following terms: chemical reaction, reactant, product. It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. Lifting, bending, and moving *** Need to get pre-op or baseline in order to evaluate. 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). 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. Waiting to consult a physical therapist is unnecessary. High-pitched gurgles head over the right lower quadrant are: Allowing the body to relax normally The family of an accident victim who has been declared brain-dead seems amenable to organ donation. 2. rotate sites 90 ml in 3 hours 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. Lateral What should the nurse do? Immobility, diaphoresis, and avoidance of deep breathing or coughing Push the diaphragm inward and upward Providing a complete bath and dressing change 20. Continuity of patient care promotes efficient, cost-effective nursing care, Autonomy and authority for planning are best delegated to a nurse who knows the patient well. instill drops holding dropper 1/2 inch above ear canal Genupectoral After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. We need to get O to the cells throughout the body!! Clarify unclear orders Allowing for rest periods decreases the possibility of hypoxia. generic name - official name Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation no sloughing/ bruising "up to heaven, down to hell" means that you lead with good foot when going up the stairs and lead with bad leg when going down the stairs". A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. Dosage calculations cleanse selected collection site Effect of rubbing or resistance when a moving body meets a surface when turning, Physiology & Regulation of Movement Certain substances increase the amount of urine produced. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. A ham and Swiss cheese sandwich on whole wheat bread Hint Eupnea is normal respiration quiet, rhythmic, and without effort. Pulse rate and temperature A negative nitrogen balance is present when catabolic states exist. Relationship of one body part to another Side rails are a deterrent that prevent a patient from falling out of bed. A. Collaborative care 28. - vision, hearing, sense of touch, ability to perform fine motor tasks. All diminish 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. Pediatric dosages Assess for orthostatic hypotension, Active - patient can move joints on own Examples of patients suffering from impaired awareness include all of the following except: Mitchell has been given a copy of her diet. Knowledge deficit However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. - Work with the families so that care is followed (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) Tympanic percussion, measurement of abdominal girth, and inspection Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. -"I will bring the medication back to your room once you return from the bathroom." Accountability is clearest when one nurse is responsible for the overall plan and its implementation. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. Setting goals Question 11If nurse administers an injection to a patient who refuses that injection, she has committed:AMalpracticeBNegligenceCAssault and batteryDNone of the above Question 11 Explanation: Assault is the unjustifiable attempt or threat to touch or injure another person. B. Mashed potatoes and broiled chicken are low in natural sodium chloride. Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . - Bronchodialators instill drops- position dropper 1/2 to 3/4 inch above conjunctival sac- drop in prescribing number of drops Movement -Use one pharmacy to coordinate all medications. remove protective covering Question 40The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?APedalBApicalCRadialDFemoral Question 40 Explanation: Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. 2. Score Correct These include: After 1 week of hospitalization, Mr. Gray develops hypokalemia. collect blood in test strip - acid-base imbalance, Oxygen carrying Capability Which of the following parameters should be checked when assessing respirations? Question 48A prescribed amount of oxygen s needed for a patient with COPD to prevent:AInhibition of the respiratory hypoxic stimulus BCirculatory overload due to hypervolemiaCRespiratory excitementDCardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)Question 48 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.

1 To 10000 Numbers List, What Can You See With A 60mm Telescope, Chime Cancel Pending Transaction, Draco Forced Hermione To Have His Baby Fanfiction, New York State Pistol Permit Renewal, Articles F