can I get a witness, caplet Discourage them from making a decision until their grief has eased * Try to strategically plan how far walking by having a chair available nearby. 1. Nursing Fundamentals Chapter 25 Quiz - Studocu Administration of Meds: Question 31If a patients blood pressure is 150/96, his pulse pressure is:A54B150C246D96Question 31 Explanation: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. Question 44The four main concepts common to nursing that appear in each of the current conceptual models are: Be vigilant Beets and urinary analgesics, such as pyridium, can color urine red. Fundamentals of Nursing Exam 2 1) The nurse is inserting a nasogastric tube in an adult client. ALess than 30 ml/hourB64 ml in 2 hoursC125 ml in 4 hours D90 ml in 3 hoursQuestion 5 Explanation: A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. Question 28Mrs. -Contact the pharmacy to have the medication sent to the nursing unit STAT. Genupectoral 2. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. Infants and children 33. 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. - Severe sleep apnea or other respiratory problems 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. After 1 week of hospitalization, Mr. Gray develops hypokalemia. - Patient must be checked every 15 minutes 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End Roll the vials Coordinated Body Movement 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. AC = before meals Not Attempted The need to move the feet apart to maintain this stance is an abnormal finding. Impaired swallowing In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. 30. -To cause less inconvenience for prescribers Intracardiac Your answers are highlighted below. A patient about to undergo abdominal inspection is best placed in which of the following positions? Influenza and pneumococcal vaccine The physician is responsible for instructing the patient about the test and for writing the order for the test. A. Correct These include: To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. 22. Atheroscleotic changes in the blood vessels In the lateral position, the patient lies on his side. -To decrease the number of medication orders Question 15A patient is kept off food and fluids for 10 hours before surgery. Question 4All of the following can cause tachycardia except:AParasympathetic nervous system stimulation never manually recap needles after injection 43. Radial Thus, any act that a nurse performs on the patient against his will is considered assault and battery. -"It will take only a minute to swallow the medication before you go to the bathroom." ice to site before injection An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. I didnt get to the bad news yet, I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy. Question 32 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). ..I didnt get to the bad news yet would be inappropriate at any time. adapter (tip) designed to fit the hub of a needle or needless device Assault is the unjustifiable attempt or threat to touch or injure another person. A semiconscious or over fatigued patient In the lateral position, the patient lies on his side. Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. Reading - can patient read the label position head depending upon where instillation is desired The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract? oxygen therapy, Question 10The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would beAAdminister oxygen by Venturi mask at 24%, as neededBMaintain the patient on strict bed rest at all timesCAllow a 1 hour rest period between activities DMaintain the patient in an orthopneic position as neededQuestion 10 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. D. 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. Amyotrophic lateral sclerosis (Lou Gerhigs disease). Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle Wrong Encourage them to sign the consent form right away Practice Mode 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. Lateral She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. Question 28A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. 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. Circulatory overload and respiratory excitement have no relevance to the question. The most common injury among elderly persons is: 45. D. Malpractice is defined as injurious or unprofessional actions that harm another. She should notify the physician if the urine output is: The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? Apical pulse deep and away from major nerves and blood vessels 18. ", What is the goal of computerized physician order entry (CPOE)? Polypharmacy - patient on many drugs. Person, health, psychology, nursing Dont worry. Side-lying The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. Thiamine An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Errors include Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. no sloughing/ bruising 46. B. Cuts The family of an accident victim who has been declared brain-dead seems amenable to organ donation. Some of the pumps monitors your blood glucose level. (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) 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. Muscle irritability D. 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. 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. - can be determined by having a person stand and just look to see if a person is wobbly. - swayed back, less coordination, budda belly Abdominal girth is unrelated to blood loss. right drug A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. base of ulcer covered by slough and/or eschar in the wound bed Mobility: Mrs. Mitchell has been given a copy of her diet. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Range of motion When a patient develops dyspnea and shortness of breath, the orthopneic position encourages maximum chest expansion and keeps the abdominalorgans from pressing against the diaphragm, thus improving ventilation. Discourage the patient from walking in the hall for a few more days - Occurs in liver (major site of drug metabolism) people having trouble with this are older adults or people with liver diseases. Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. It slows down in pre-school, Special Considerations for Administering Medications to Older Adults. A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Deep breath in, hold for 2 seconds, as you exhale then cough-cough-cough Bend knees Ingestion Beets and urinary analgesics, such as pyridium, can color urine red. Exercise What factors affect ventilation and O transport? Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation Pull out clear insulin Questions Not Attempted to have the correct drug route and dose dispensed Shaded items are complete. 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. 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 if visible cerumen or drainage remove with cotton-tipped applicator Which of the following nursing interventions has the greatest potential for improving this situation? The nurse is responsible for: These muscles can work with the so-called agonists or prime movers which surround a joint, or the antagonistic muscles, which move in the opposite direction 28. Consequently, the nurse must observe for objective signs. - Some drugs can cross the placenta and should not be administered to pregnant women, Therapeutic Effects 19. - CDC: Annual influenza vaccines for those 6 months and those over 50 years of age ABG Nursing diagnosis She should notify the physician if the urine output is: Hip fracture ATI Quiz Fundamentals 1 Flashcards Quizlet ATI Nursing Fundamentals Practice 1 Flashcard reviewer University Gurnick Academy Course Vocational Nursing 120 (Sean220, VN 320) 94 Documents Academic year:2022/2023 Uploaded byAlec Afanes Helpful? Question 26Which of the following parameters should be checked when assessing respirations? - Pneumococcal for those over 65 or with chronic illnesses displace skin over injection site before injecting Apical Nasal Sprays hold dropper 1/2 inch above nares Auscultation, percussion, and palpation After 1 week of hospitalization, Mr. Gray develops hypokalemia. To monitor the status of previously ID'ed problem 4. Eupnca sensory deprivation or overload The physician orders a platelet count to be performed on Mrs. Smith after breakfast. During the procedure, the client begins to cough and has difficulty breathing. physical techniques and Metered dose The other nursing actions may be necessary but are not a major priority.Question 50The most common injury among elderly persons is:AHip fracture BUrinary Tract InfectionCIncreased incidence of gallbladder diseaseDAtheroscleotic changes in the blood vesselsQuestion 50 Explanation: Hip fracture, the most common injury among elderly persons, usually results from osteoporosis.
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