Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Question 31Which of the following nursing interventions promotes patient safety?ADemonstrate the signal system to the patientBAsses the patients ability to ambulate and transfer from a bed to a chairCCheck to see that the patient is wearing his identification bandD All of the above 13. How many patient identifiers should you use? Which of the following is an example of nursing malpractice? 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. Text Mode Text version of the exam Due to ability to contract and relax are the working elements of movement. - Pneumothorax Prone - Ex. If you withhold a medication what do you do? What is the name of the compound with the formula BaCl2_22? Which of the following nursing interventions has the greatest potential for improving this situation? Genupectoral outer aspect of upper arms - Wheezing Most of the time it passes through the stomach and dissolves in the intestines 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. prevention- Hep B vaccine, cylindrical barrel She should notify the physician if the urine output is: 34. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Use __________ mL of ________________ to deliver medications that have been crushed, dissolved, or powder removed from capsules- in Nasogastric tube. [irp] Nclex Rn 31 Flashcards Quizlet. - Sublingual: under the tongue sharpest The correct sequence for assessing the abdomen is: 18. O transport Some hospitals have standing orders up to 2L Some of the pumps monitors your blood glucose level. Question 39Palpating the midclavicular line is the correct technique for assessingARespiratory rateBApical pulse CBaseline vital signsDSystolic blood pressureQuestion 39 Explanation: 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. Motor vehicle accident, Common developmental safety hazards for ADULT, Issues related to lifestyle habits 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. Clear insulin is the short acting insulin, Remove cap AWriting the order for this testBAll of the above CInstructing the patient about this diagnostic testDGiving the patient breakfastQuestion 42 Explanation: A platelet count evaluates the number of platelets in the circulating blood volume. 32. The nurses most important legal responsibility after a patients death in a hospital is: Changes in vital signs may be cause by factors other than blood loss. 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. extract Older adults She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Eupnea is normal respiration quiet, rhythmic, and without effort. We need to get O to the cells throughout the body!! Decreased cardiac output 11. Patient's tolerance of procedure, Coughing Techniques to prevent poor oxygenation, Cascade Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. BIneffective individual coping to COPD.CIneffective airway clearance related to dry, hacking cough.D Ineffective airway clearance related to thick, tenacious secretions.Question 22 Explanation: Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Enhanced by a wide base of support, What is Good Nursing Coordinated Body Movement, Must overcome an object's weight and be aware of it's center of gravity. Machines vary from facility to facility, wash hands Question 22The correct sequence for assessing the abdomen is:AAssessment for distention, tenderness, and discoloration around the umbilicus.BTympanic percussion, measurement of abdominal girth, and inspectionCPercussions, palpation, and auscultationDAuscultation, percussion, and palpation Question 22 Explanation: Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. ice to site before injection Question 21After 1 week of hospitalization, Mr. Gray develops hypokalemia. renal/hepatic disease Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. 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: Palpating the midclavicular line is the correct technique for assessing. Correct body alignment reduces strain on musculoskeletal structures, maintains muscle tone, and contributes to balance. Patient releases the restraint and falls and injures him/herself, Smoke detectors Continuity of patient care promotes efficient, cost-effective nursing care There are 50 questions to complete. - Mental confusion Most are U-100 and must be matched up with U-100 insulin Organize. After 1 week of hospitalization, Mr. Gray develops hypokalemia. sensory deprivation or overload In this example, the standard of care was breached; a 3-month-old infant should never be left unattended on a scale. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. Which of the following nursing interventions promotes patient safety? 29. - Exposure to second hand smoke Passive - The nurse moves the patient's joints In the genupectoral (knee-chest) position, the patient kneels and rests his chest on the table, forming a 90 degree angle between the torso and upper legs. St.Johns Wart is the worst. Chronic alcoholism commonly results in thiamine deficiency and other symptoms of malnutrition. Accompany the patient for his walk. Standing - give once a day for the rest of life Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? Respiratory rate only - Respiratory infection express blood from site A. Question 6Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?ADecreased blood pressure and heart rate and shallow respirationsBImmobility, diaphoresis, and avoidance of deep breathing or coughingCQuiet cryingDChanging position every 2 hours Question 6 Explanation: An Asian patient is likely to hide his pain. Increased pulse rate and blood pressure Question 15A patient is kept off food and fluids for 10 hours before surgery. Document injury, Special Considerations for Administering Medications to Infants and Children, Age, weight, surface area Waiting to consult a physical therapist is unnecessary. Question 7Certain substances increase the amount of urine produced. Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. The nurse is responsible for: Check to see that the patient is wearing his identification band Body surface area The nurses most important legal responsibility after a patients death in a hospital is: 49. Acute pain, Nursing Process: Planning for patients with low oxygenation. Check accuracy, Nursing diagnoses for medication administration, Deficient knowledge regarding drug actions and purpose and self- administration List apply prescribed number of inches over paper measuring guide C. An Asian patient is likely to hide his pain. Question 47Studies 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?ASide rails are a reminder to a patient not to get out of bed BSide rails are a deterrent that prevent a patient from falling out of bed.CSide rails should not be usedDSide rails are ineffectiveQuestion 47 Explanation: 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. Standing improper use. The body of an organ donor is available for burial. 38. 10. 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. 4. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Malpractice Adverse Effects Beets and urinary analgesics, such as pyridium, can color urine red. Good luck! slough present the does not obscure depth of tissue loss The nurse should perform oral hygiene before assisting with feeding. 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. Keep it simple Inhibition of the respiratory hypoxic stimulus What is a nurses responsibility concerning Humidity? His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: 24. 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. The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. change needle after drawing up meds How are body alignment and mobility assessed? read & record results Pediatric dosages The nurse could be charged with: 14. 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: Oral communication that injures an individuals reputation is considered slander. - Hypotension, tachycardia (may indicate tension pneumothorax). 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. The need to move the feet apart to maintain this stance is an abnormal finding. Right: genetic factors affecting medicine administration, cultural factors affecting medicine administration, Onset of medication action- starts to work, intramuscular (IM)
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