Medication reconciliation: whenever a patient transfers to a new hospital, or new floor, or is discharged Use the formation of water from hydrogen and oxygen to explain the following terms: chemical reaction, reactant, product. 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. You have completed Right: Click the card to flip Flashcards Learn Test Match Created by - Antipyretic (fever) The best response would be: 38. Chapter 01 - Fundamentals of Nursing 9th edition - test bank 463505443 - Lecture notes 3 Logica proposicional ejercicios resueltos 1-2 Problem Set Module One - Income Statement Copy of Growing Plants SE answer key. SIMS The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Must be used for insulin and nothing else, 3/8-3 inches in length, gauge indicates diameter, part that fits onto the tip of the syringe, reusable plastic syringe holders Written communication that does the same is considered libel. Cognitive impairments Capsules 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. Client fluid preference Infection Set your dose - Osteogenesis imperfecta must be derided to allow for healing The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Your hair is really pretty offers no consolation or alternatives to the patient. 4. They also seem to gain a greater sense of achievement and esprit de corps. b. A patient demonstrating symptoms of drugs or alcohol withdrawal Fundamentals Exam 2 Practice Test Flashcards | Quizlet Which of the following is an example of nursing malpractice? Ineffective individual coping to COPD. What are the factors that influence absorption? 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. 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. - Buccal: by the cheek to stop, think and be vigilant when administering medications, metric system Ineffective breathing patterns Fowlers or semi Fowlers position reduces the risk of aspiration during swallowing C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. The physician orders a platelet count to be performed on Mrs. Smith after breakfast. CNS Damage - Must be told what they need to do in order to have restraints removed If heart is not working properly then we don't get perfusion The other answers are incorrect interpretations of the statistical data. Allowing for rest periods decreases the possibility of hypoxia. Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. The nurse documents this breathing as: 3. 44. Risk for impaired skin integrity, Nursing process: Planning for a patient that is immobile, Goals and outcomes St.Johns Wart is the worst. Conversions between systems The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Knowledge deficit DO NOT USE these to describe skin: tears, tape burns, perineal dermatitis, maceration, or excoriation, Full thickness skin loss rotate sites 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. A. Transdermal patches use lancet to perform stick Demonstrate the signal system to the patient What are they? How to minimize discomfort with injections? Explain the procedure to the client- allow them as much control and involvement as possible. Question 10High-pitched gurgles head over the right lower quadrant are:AA sign of increased bowel motilityBA sign of abdominal cramping CA sign of decreased bowel motilityDNormal bowel soundsQuestion 10 Explanation: Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. Defamation - bag must be full The need to move the feet apart to maintain this stance is an abnormal finding. Provide information and reassurance, How to Document for Endotracheal Intubation, Size of ET tube (width & length) An apathetic 63-year old COPD patient receiving nasal oxygen via cannula. fundamentals of nursing exam 1 flashcards quizlet web what are the 5 steps in the nursing process 1 assessment 2 nursing diagnosis 3 planning 4 as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening If a patients blood pressure is 150/96, his pulse pressure is: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. - flow sheet must be completed on every patient in retraint Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. - Specific prescribed amt. Anna Curran. 46. Fundamentals of Nursing Ch. 1,2, and 3 Flashcards _ Quizlet.pdf 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. 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. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. STAT - give immediately Which of the following patients is at greatest risk for developing pressure ulcers? Dehydration 5. CAutonomy and authority for planning are best delegated to a nurse who knows the patient wellDAccountability is clearest when one nurse is responsible for the overall plan and its implementation.Question 36 Explanation: Studies have shown that patients and nurses both respond well to primary nursing care units. Anxiety will not cause an elevated temperature. Fundamentals of Nursing EXAM 2 Term 1 / 142 What do nurses need to be aware of regarding patient safety Click the card to flip Definition 1 / 142 A safe environment reduces the risk for accidents Vulnerable groups require help to achieve a safe environment 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. 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. Question 8In Maslows hierarchy of physiologic needs, the human need of greatest priority is:ANutritionBEliminationCLoveDOxygen Question 8 Explanation: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. These include: 5. 48. Impaired physical mobility seconds You have not finished your quiz. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.BThe nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.CThe nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.DThe nurse administers the wrong medication to a patient and the patient vomits. Mrs. Lim begins to cry as the nurse discusses hair loss. Fundamentals of Nursing Practice Exam 2 (EM) Kidneys, - Make sure outcomes are measurable Examples of patients suffering from impaired awareness include all of the following except: 44. Allow a 1 hour rest period between activities The nurse discusses the foods allowed on a 500-mg low sodium diet. Applying a hot water bottle orheating pad to a patient without a physicians order does not include the three required components. ____________ _____________ between sides and sites, _____________ removing articles from extremities without consent. The patient uses her dominant hand to insert the suppository along the posterior wall of the vaginal canal. Fill prescription, Unit dose Tachypnea is rapid respiration characterized by quick, shallow breaths. Nursing responsibilities for Mrs. Mitchell now include: 6. Inform the staff that they must volunteer to rotate. Feeding himself is a long-range expected outcome. The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Physical Exam - The gov't must also regulate off-label use of medications. a. Fluid status b. Potassium c. Lipids d. Nitrogen balance Click the card to flip Nitrogen Balance Nitrogen balance is important to determining serum protein status. Nursing Fundamentals Chapter 25 Quiz - Studocu The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Wait until she knows more about the unit The infant falls off the scale, suffering a skull fracture. outer aspect of upper arms In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. You have not finished your quiz. 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. Consequently, the nurse must observe for objective signs. 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. allowed an hour window of time Sympathetic nervous system stimulation Inform the staff that they must volunteer to rotate 13. Check with the dyspnea scale Side rails are a reminder to a patient not to get out of bed Be vigilant We need to get O to the cells throughout the body!! Right to refuse (try to educate patient, document and notify provider) Explain in detailed medical terms 3. Activity tolerance. Correct The body of an organ donor is available for burial. Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. The nurses most important legal responsibility after a patients death in a hospital is: Defines the scope of nurses' professional functions and responsibilities. 4. The other answers are incorrect interpretations of the statistical data. Acute pain, Nursing Process: Planning for patients with low oxygenation. Fundamentals of Nursing Quiz Question with Answer 1. Age is also a factor. question Alzheimers disease Question Text Documentation, Expected vs. actual response When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: Ensuring the patients safety is the most essential action at this time. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? 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. - Hemothorax * prevent contamination of short-acting insulin with long acting, prevent contamination of short-acting insulin with long acting. Auscultation, percussion, and palpation Your answers are highlighted below. - lying on side with proper spine alignment what does the state nurse practice act define? Notify the health care provider immediately. Radial Quad Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. -Change the feeding pump bag and tubing every 24 hours. -Read back the telephone order to the prescriber. physical techniques and 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. Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following nursing interventions promotes patient safety? 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. 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. Rate Also, this page requires javascript. Question 37The correct sequence for assessing the abdomen is:APercussions, palpation, and auscultationBAuscultation, percussion, and palpation CTympanic percussion, measurement of abdominal girth, and inspectionDAssessment for distention, tenderness, and discoloration around the umbilicus.Question 37 Explanation: Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Nasal Sprays The best response would be:AWhy are you crying? If loading fails, click here to try again 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. 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. 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. Basal insulin is delivered continuously over 24 hours to keep blood sugar levels in range between meals and overnight. This paper will focus on how one will use critical thinking in nursing practice. Circulatory overload and respiratory excitement have no relevance to the question. - Fatigue - may need assistance to cross the blood brain barrier Body alignment: A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The need to move the feet apart to maintain this stance is an abnormal finding. Not Attempted Love RN, BSN, PHN. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. What is comfort level (any pain?) Circulatory overload and respiratory excitement have no relevance to the question. - Asthma 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. Which findings should be reported? 1,2, and 3 Dosage calculations Question 14Mrs. Which findings should be reported? Nursing responsibilities for Mrs. Mitchell now include: 1. These include: AC = before meals Which of the following is the most common cause of dementia among elderly persons? Elimination An insulin pump is a small battery-operated device about the size of a small cell phone. instill prescribed number of drops - Medication use (drug interaction) Assault and battery Increased work load of the left ventricle Prime insulin pen Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. The nurses most important legal responsibility after a patients death in a hospital is: 49. Are drugs interacting, does patient know why taking the drug? When your patient eats, you use buttons on the pump to give additional or "bolus" insulin to cover the carbohydrates in the meal. slough 26. Atheroscleotic changes in the blood vessels not well developed in many adults management: debridement. - Protein binding 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. capsule The force that occurs in a direction to oppose movement. Wrong Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Gently press downward with thumb or forefinger against bony orbit. Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. Systolic blood pressure cleanse area Please visit using a browser with javascript enabled. Text Mode Text version of the exam apply to skin firmly A tossed salad with oil and vinegar and olives Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time. 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. Don't give them 2. These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. - Death, Inadequate ventilation to meet the body's demand Encourage the patient to walk in the hall alone Inadequate tissue oxygenation at the cellular level Arthritis - can patient get lid off container? Partial-Credit Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? Trendelenburg Is patient better or worse? Verify calculations Results What are the 3 muscle signs for IM injections? 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. 47. The family of an accident victim who has been declared brain-dead seems amenable to organ donation. These changes, in turn, increase the work load of the left ventricle. may increase undermining and or tunneling Supine Side rails are a deterrent that prevent a patient from falling out of bed. Blood flow from the area of absorption (poor blood flow leads to decreased effectiveness) 18. D. All of the identified nursing responsibilities are pertinent when a patient is receiving heparin. In Maslows hierarchy of physiologic needs, the human need of greatest priority is: Maslow, who defined a need as a satisfaction whose absence causes illness, considered oxygen to be the most important physiologic need; without it, human life could not exist. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. and it increases 4% every liter, Continuous positive airway pressure use meticulous hand hygiene and clean gloves - Assess ability for patient self medication Question 27Which of the following vascular system changes results from aging?ADecreased blood flowBIncreased peripheral resistance of the blood vesselsCIncreased work load of the left ventricleDAll of the above Question 27 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. 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. Riboflavin Question 19A patient is kept off food and fluids for 10 hours before surgery. D. Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. Post a sign at the house. 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. A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. Your score is extremes of weight