- info medical personnel can look at Implementation, Patient and family teaching 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. The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? Side rails are a reminder to a patient not to get out of bed. Hypothermia is an abnormally low body temperature. The nurse administers penicillin to a patient with a documented history of allergy to the drug. Pregnancy counts Thus, a respiratory rate of 30 would be abnormal. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Biotransformation occurs when enzymes detoxify, degrade, and remove active chemicals - Ex. red- pink wound bed Incentive spirometry (IS) - Airway patency (stridor), Diagnostic Test that may indicate poor oxygenation, ECG - what is heart doing? Absorption is the passage of medications into the blood from the site of administration The study of how medications enter the body, reach the site of action, metabolize and exit the body You build on each experience by pulling . Now - give it now, without breaking neck to do so High- humidity air and chest physiotherapy help liquefy and mobilize secretions. 3. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. 31. Correct Answer Fundamentals Exam 2 The nurse evaluates which laboratory values to assess a patient's potential for wound healing? Use needleless systems/ avoid use of needles 5. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. O2 can be extremely drying. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. plunger, Select the _______________ syringe size possible for accuracy; size range 0.5 mL to 60 mL, Pre-attached needle Hypothermia is an abnormally low body temperature. Defamation The patient lies on her left side. Question 41The nurse observes that Mr. Adams begins to have increased difficulty breathing. In this case, the supervisor is the resource person to approach. Your score is If loading fails, click here to try again D. 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. Any items you have not completed will be marked incorrect. 110 Report Document Comments Please sign inor registerto post comments. Nurse's role support client head with non-dominant hand generic name - official name All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Question 46Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?AContinuity of patient care promotes efficient, cost-effective nursing careBAutonomy and authority for planning are best delegated to a nurse who knows the patient wellCThe holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. Your answers are highlighted below. (Select all that apply) Depression What is causing the quick breathing The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Then put air into clear vial apply gentle pressure to the injection site unless contraindicated D. I know this will be difficult acknowledges the problem and suggests a resolution to it. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. Which of the following is an example of nursing malpractice? extract Time allowed Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. 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. 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. 20. All four side rails up is considered a restraint 36. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. ATI Quiz Fundamentals 1 Flashcards Quizlet - Studocu Dont worry.. offers some relief but doesnt recognize the patients feelings. The nurse is responsible for: Safety awareness, Inherent Accident Risks in the Health Care Agency, (Normal everyday things that happen) In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Clarify unclear orders The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Question 49When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:AProtect the patient from injuryBElevate the head of the bedCWithdraw all pain medications DInsert an airwayQuestion 49 Explanation: Ensuring the patients safety is the most essential action at this time. - Asymmetrical chest tube -"I will bring the medication back to your room once you return from the bathroom." Expectations, Nursing Process in Med Admin: How to minimize discomfort with injections? Fundamentals of Nursing 100 Questions Practice Exam The family of an accident victim who has been declared brain-dead seems amenable to organ donation. Transdermal patches Moisture retentive dressings. Question 45All of the following can cause tachycardia except:AExerciseBParasympathetic nervous system stimulation Also, this page requires javascript. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. 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. To monitor the status of previously ID'ed problem 4. -Wait 30 to 60 minutes after feeding to reconnect to suctioning. 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. Hyperventilation Intra osseous - narrow space of long bone, Metric system 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. - peripheral arterial disease Diagnose & Plan, NANDA-I list Eye clear Shiny hair Ridged nails Moist conjunctiva 2. -Prepare the medication for administration. Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. Route of administration (fastest I.V.) Provide suction as necessary What is Friction in Nursing Body Mechanics? Fundamentals Of Nursing Exam 2- Documentation - Cram.com Question 21After 1 week of hospitalization, Mr. Gray develops hypokalemia. 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. Assess for orthostatic hypotension, Active - patient can move joints on own If you withhold a medication what do you do? Ex: Dilaudid mixed with DW will go through a physical change, at one dose do one thing and at another dose do another thing that is better or harmful 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. intact or open serum filled blister Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. 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) Exam 1 Fundamentals Of Nursing Flashcards Quizlet. 41. 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. The nurse must place a pillow under the decreased persons head and shoulders to prevent blood from settling in the face and discoloring it. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Gait The correct sequence for assessing the abdomen is: Assessment for distention, tenderness, and discoloration around the umbilicus. Are drugs interacting, does patient know why taking the drug? A. Fluids containing caffeine have a diuretic effect. Impaired physical mobility client should remain side-lying for 5-10 minutes gently massage triages with finger Question 48High-pitched gurgles head over the right lower quadrant are:AA sign of decreased bowel motilityBNormal bowel soundsCA sign of abdominal cramping DA sign of increased bowel motilityQuestion 48 Explanation: Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. remove protective covering The infant falls off the scale, suffering a skull fracture. Thus, an axillary temperature of 99.6F (37.6C) would be considered abnormal. Which of the following statement is incorrect about a patient with dysphagia? Fever, exercise, and sympathetic stimulation all increase the heart rate. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. Completely black on CXR indicated a collapsed lung Intracardiac Machines vary from facility to facility, wash hands ..I didnt get to the bad news yet would be inappropriate at any time. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:AAnxietyBDehydration CHypothermiaDInfectionQuestion 19 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. Soft foods, Fowlers or semi-Fowlers position, and oral hygiene before eating should be part of the feeding regimen. Ask the patient Question 9Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?AImmobility, diaphoresis, and avoidance of deep breathing or coughingBDecreased blood pressure and heart rate and shallow respirationsCChanging position every 2 hours DQuiet cryingQuestion 9 Explanation: An Asian patient is likely to hide his pain. use meticulous hand hygiene and clean gloves A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. Ex: Dopamine at a low dose will improve renal perfusion. Respiratory rate Mashed potatoes and broiled chicken are low in natural sodium chloride. Side rails are a deterrent that prevent a patient from falling out of bed. Right: Click the card to flip Flashcards Learn Test Match Created by - Sprains Performing activities of daily living, Body Alignment Nurses feel personal satisfaction, much of it related to positive feedback from the patients. Your answers are highlighted below. An appropriate nursing diagnosis would be: 37. Clear Pathway to bathroom - Protein binding extremes of weight The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. The other answers are incorrect interpretations of the statistical data. You scored %%SCORE%% out of %%TOTAL%%. (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) 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. 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. 1. 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. Nurses feel personal satisfaction, much of it related to positive feedback from the patients.
Johnson And Johnson Covid Vaccine Class Action Lawsuit,
Articles F
