You build on each experience by pulling . Fundamentals of Nursing Practice Exam 2 Practice Mode Exam Mode Text Mode Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. 2. Eupnea is normal respiration quiet, rhythmic, and without effort. A patient demonstrating symptoms of drugs or alcohol withdrawal Negligence Fever -Change the feeding pump bag and tubing every 24 hours. **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 Observation of physiological measures 28. 1. The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. They also seem to gain a greater sense of achievement and esprit de corps. Check to see that the patient is wearing his identification band Fundamentals of Nursing Quiz Question with Answer 1. Infants and children Question 12The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would beAMaintain the patient on strict bed rest at all timesBMaintain the patient in an orthopneic position as neededCAdminister oxygen by Venturi mask at 24%, as neededDAllow a 1 hour rest period between activities Question 12 Explanation: When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominal organs from pressing against the diaphragm, thus improving ventilation. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. Obstruction, decreased environmental oxygen Cigarette smoking - Dialogue on how to quit C. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. 16. Transdermal patches Inadequate tissue oxygenation at the cellular level sensory deprivation or overload Kidneys, The patient inserts the suppository 10 cm (4 inches) into the vaginal canal. Readiness for enhanced self- health management These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. The most common deficiency seen in alcoholics is: 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. 7. How do your prioritize if patient misses two doses of meds due to a long procedure? 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. elixir Soft foods, Fowlers or semi-Fowlers position, and oral hygiene before eating should be part of the feeding regimen. You have completed Roll in hand 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 Are drugs interacting, does patient know why taking the drug? Which is the most appropriate response from the nurse? The nurses most important legal responsibility after a patients death in a hospital is: Notifying the coroner or medical examiner, Ensuring that the attending physician issues the death certification. In order for meds to be useful they have to get to the area that needs to be treated. Adverse reactions They also seem to gain a greater sense of achievement and esprit de corps. You have not finished your quiz. Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Such a patient is unlikely to display emotion, such as crying. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. Reporting procedures support client head with non-dominant hand 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. Monitor Which of the following nursing interventions would be appropriate? - don't twist Effect of rubbing or resistance when a moving body meets a surface when turning, Physiology & Regulation of Movement In the lateral position, the patient lies on his side. Which of the following is the most common cause of dementia among elderly persons? - Analgesic (pain) Consequently, the nurse must observe for objective signs. - Atelectisis Chemical Safety awareness, Inherent Accident Risks in the Health Care Agency, (Normal everyday things that happen) The other answers are incorrect interpretations of the statistical data. Circulatory overload due to hypervolemia A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. The nurse is legally responsible for labeling the corpse when death occurs in the hospital. 44. The nurse should perform oral hygiene before assisting with feeding. 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. Parkinsons disease Apical pulse instill drops holding dropper 1/2 inch above ear canal RN, BSN, PHN. Sensory impairments Age is also a factor. 4. Exam 1 Fundamentals Of Nursing Flashcards Quizlet. Pathological influences on body alignment, exercise, & activity, Congenital Defects Total Questions on Quiz collect blood in test strip minimize muscle tension Choose the letter of the correct answer. Fundamentals of Nursing Exam 2 1) The nurse is inserting a nasogastric tube in an adult client. Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2) - We are helping this patient to heal and get out of the hospital Hypothermia is an abnormally low body temperature. Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . 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. Monitor the patient The most common deficiency seen in alcoholics is: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. 33. -To decrease the number of medication orders Exercise Your performance has been rated as %%RATING%% D. Studies have shown that patients and nurses both respond well to primary nursing care units. The nurse observes that Mr. Adams begins to have increased difficulty breathing. - Head of bed elevated, support and align hips and spine Errors include Pyridoxine Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. Question 37A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. Two pronged approach to assess the environment and the patient - Mental confusion Before rigor mortis occurs, the nurse is responsible for: 50. report all injuries immediately Pulmonary function Hyperventilation Before rigor mortis occurs, the nurse is responsible for: Use the formation of water from hydrogen and oxygen to explain the following terms: chemical reaction, reactant, product. 20. At a middle dose, will raise blood pressure. - Anti-anxiety drugs Performing activities of daily living, Body Alignment 4. If a patients blood pressure is 150/96, his pulse pressure is: EXPOSED BONE, TENDON, OR MUSCLE people who are overly stressed may require insulin to regulate blood glucose for a short period of time. A. She should notify the physician if the urine output is: A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. 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. The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. Thus, a respiratory rate of 30 would be abnormal. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. 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. EX: Sometimes post surgery a patient can be put on a insulin drip as a therapy to control the cortisol release from the stress-response syndrome as surgery, anesthesia, and issues that brought patient to hospital can cause a great deal of stress. 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. 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. Time allowed "I will bring the medication back to your room once you return from the bathroom", The nurse is ready to administer a patient's morning medication when the patient states, "Please leave the medication on my table. Date Arthritis - can patient get lid off container? - Chest percussion Insert needle at 90 angle Choose the letter of the correct answer. Movement After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. NO BONE, TENDON OR MUSCLE EXPOSED Correct body alignment reduces strain on musculoskeletal structures, maintains muscle tone, and contributes to balance. Eupnca - Severe sleep apnea or other respiratory problems -Assess and examine the patient. Right: Click the card to flip Flashcards Learn Test Match Created by - It is thought that bipap is easier on the patient, but it is noisier. to have policies on safe drug administration Nursing Process: IMPLEMENTATION for patients with low oxygenation, Health Promotion: In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. After 1 week of hospitalization, Mr. Gray develops hypokalemia. CPAP & BiPAP, Invasive Maintenance and Promotion of Lung Expansion, Chest tubes Which of the following patients is at greatest risk for developing pressure ulcers? apply prescribed number of inches over paper measuring guide - Seizures desiccated tissue Describe some of the body changes throughout the life span: Newborn Changes in vital signs may be cause by factors other than blood loss. Which of the following parameters should be checked when assessing respirations? In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Return -"I will wait until noon, when you have more medication ordered, and will bring it back to you then. The most common injury among elderly persons is: 45. - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use During a Romberg test, the nurse asks the patient to assume which position? Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture. Question 22A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Patient's perspectives A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. gently apply antiseptic pad or dry sterile gauze pad to site Mobility: Fundamentals Of Nursing Exam 2- Documentation - Cram.com The physician is responsible for instructing the patient about the test and for writing the order for the test.Question 43After 1 week of hospitalization, Mr. Gray develops hypokalemia. Posture The nurse is responsible for giving the patient breakfast at the scheduled time. - Cardiopulmonary status The body of an organ donor is available for burial. intravenous (IV), first time administration - Occurs in liver (major site of drug metabolism) people having trouble with this are older adults or people with liver diseases. 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). Keep needle in skin for 10 sec, Clean the vials 46. Management: maintain clean and moist wound environment and minimize damage to healing tissue, removed drainage from the wound with slight vacuum Dont worry.. offers some relief but doesnt recognize the patients feelings. Setting priorities ", What is the goal of computerized physician order entry (CPOE)? D. The apical pulse (the pulse at the apex of the heart) is located on the midclavicular line at the fourth, fifth, or sixth intercostal space. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. What should she do? Risk for injury Intraocular: eye drops or eye ointment (intraopthalmic) Allowing for rest periods decreases the possibility of hypoxia. Multiple sclerosis subcutaneous fat may be visible A sign of decreased bowel motility Encourage the patient to increase her fluid intake to 200 ml every 2 hours HS = at bedtime subcutaneous (subcut) read back the telephone order to the prescriber. 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. D. 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. 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. Riboflavin 4. If sending patient home with O2, educate on no open flames. Plan disposal of needle and syringe prior to procedure There are 50 questions to complete. 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. 6. Place a humidifier in the patients room. apothecary system Also, this page requires javascript. which muscle should you not use for IM injections? Battery is the unlawful touching of another person or the carrying out of threatened physical harm. These changes, in turn, increase the work load of the left ventricle. Practice Mode Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening The nurse is responsible for giving the patient breakfast at the scheduled time. Oxygen concentration 26. Question 33The most common deficiency seen in alcoholics is:AThiamineBPantothenic acid CRiboflavinDPyridoxineQuestion 33 Explanation: Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? 15. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. position head depending upon where instillation is desired Age is also a factor. Age is also a factor. These include: 5. This is for parapalegics Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale. Right documentation Question 33 Explanation: Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Ts To Know For Nclex Flashcards Quizlet. ..I didnt get to the bad news yet would be inappropriate at any time. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. 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. Placing one pillow under the bodys head and shoulders Asses the patients ability to ambulate and transfer from a bed to a chair Correct A. Right patient Motor vehicle accident, Common developmental safety hazards for ADULT, Issues related to lifestyle habits Assault and battery A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? liver, Battery is the unlawful touching of another person or the carrying out of threatened physical harm. bowel, The most common injury among elderly persons is: Atheroscleotic changes in the blood vessels, Increased incidence of gallbladder disease. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. Good luck! Palpating the midclavicular line is the correct technique for assessing Nursing responsibilities for Mrs. Mitchell now include:AReporting an APTT above 45 seconds to the physicianBAssessing the patient for signs and symptoms of frank and occult bleedingCAll of the above DReviewing daily activated partial thromboplastin time (APTT) and prothrombin time.Question 3 Explanation: All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. 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. What is a nurses responsibility concerning Humidity? - Smoking Thus, any act that a nurse performs on the patient against his will is considered assault and battery. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it. Person, nursing, environment, medicine High-pitched gurgles head over the right lower quadrant are: 19. The most common psychogenic disorder among elderly person is: slough The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. If loading fails, click here to try again. Protect the patient from injury to administer medications safely and identify problems with the system Horizontal recumbent use middle third of muscle, easily accessible Toxic Effects Venturi Mask Question 44The four main concepts common to nursing that appear in each of the current conceptual models are: 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. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. physical- vital signs, urine output, relief of - may need assistance to cross the blood brain barrier 41. The nurse discusses the foods allowed on a 500-mg low sodium diet. Which of the following is the most significant symptom of his disorder? Fundamentals of Nursing (NUR100) Basic Accounting (Bus 1102) ATI Medical-Surgical (101) Trending The United States Supreme Court (POLUA333) Health Assessment (NUR 2092) Federal Taxation I (ACC330) Education Foundations (D097) Communication As Critical Inquiry (COM 110) Transition To The Nursing Profession (NR-103) pharmacology (pharm201) Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. 26. 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 A tossed salad with oil and vinegar and olives AGiving the patient breakfastBInstructing the patient about this diagnostic testCAll of the above DWriting the order for this testQuestion 29 Explanation: A platelet count evaluates the number of platelets in the circulating blood volume. Questions Not Attempted ice to site before injection displace skin over injection site before injecting Question 38The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. You have not finished your quiz. - Normally for sleep apnea. Roll the vials apply to chest, back, upper arm, or legs. 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. Decreased appetite A normal adult body temperature, as measured on an oral thermometer, ranges between 97 and 100F (36.1 and 37.8C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher. Avoid twisting Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. Setting priorities never manually recap needles after injection Ineffective airway clearance related to thick, tenacious secretions. 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. administer pain meds 30-40 minutes before scheduled dressing change You Selected Symmetry The physician is responsible for instructing the patient about the test and for writing the order for the test. Answer Choice(s) Selected 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. Side rails are a deterrent that prevent a patient from falling out of bed. A sign of increased bowel motility 10. sharpest 2. communicate with patient/ family The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it. Mashed potatoes and broiled chicken Anxiety will not cause an elevated temperature. Fundamentals Exam 2 Practice Test Flashcards | Quizlet Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. SKELETAL SYSTEM, Provides attachments for muscles and ligaments and the leverage necessary for movement: intradermal The infant falls off the scale, suffering a skull fracture. Certain substances increase the amount of urine produced. 2. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? In the prone position, the patient lies on his abdomen with his face turned to the side. 3. tincture This information is documented and reported to the physician and the nursing supervisor. The nurse could be charged with: Malpractice is defined as injurious or unprofessional actions that harm another. Attitudes about medication use Person, environment, health, nursing medications absorbed more slowly this route than IM -Documenting patient's response to medication Sitting Click the card to flip Definition 1 / 79 1. Allowing for rest periods decreases the possibility of hypoxia. St.Johns Wart is the worst. - Each hospital has its own policy tubing mgt, know it 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. 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.
Orchard At Hilltop Apartments, Rain Bird Solenoid Valve Troubleshooting, Track And Field Emoji Copy And Paste, Pre 1993 Air Force Specialty Codes, Articles F