- Chemical structure of medication determines where excretion occurs The nurse could be charged with: 14. shiny or dry Injectibles Which of the following nursing interventions would be appropriate? Feeding himself is a long-range expected outcome. 28. (2) Sustained Release - a longer time to dissolve, What factors Influence Medication Distribution, Circulation Elevate the head of the bed Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. 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. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: 24. -Have the prescriber call in all prescriptions to the patient's preferred pharmacy instead of providing written prescriptions to the patient. In the lateral position, the patient lies on his side. Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . Pull out clear insulin Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. All of the above Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. support client head with non-dominant hand - Administer medication correctly You scored %%SCORE%% out of %%TOTAL%%. Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.Question 23A patient about to undergo abdominal inspection is best placed in which of the following positions?ATrendelenburgBSide-lying CSupineDProneQuestion 23 Explanation: 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. Disorders of Bones, Joints, & Muscles Use technology Time used BCheck to see that the patient is wearing his identification bandCAsses the patients ability to ambulate and transfer from a bed to a chairDDemonstrate the signal system to the patientQuestion 11 Explanation: 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. Regulates movement and posture, proprioception and balance with the precentral gyrus (motor strip) in the cerebral cortex. Question 7The most common injury among elderly persons is:AHip fracture BAtheroscleotic changes in the blood vesselsCIncreased incidence of gallbladder diseaseDUrinary Tract InfectionQuestion 7 Explanation: Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. - CDC: Annual influenza vaccines for those 6 months and those over 50 years of age incorrect no answer. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. calibrated to 1/100 mL Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. intradermal Cuts In Maslows hierarchy of physiologic needs, the human need of greatest priority is: Lipid solubility of the medication (fat-soluble/water-soluble), (1) Enteric Coated - won't dissolve right away. A patient is kept off food and fluids for 10 hours before surgery. Choose the letter of the correct answer. The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be, Administer oxygen by Venturi mask at 24%, as needed, Maintain the patient on strict bed rest at all times, Allow a 1 hour rest period between activities, Maintain the patient in an orthopneic position as needed. smallest gauge Simple Face Mask - Airway patency (stridor), Diagnostic Test that may indicate poor oxygenation, ECG - what is heart doing? 9. RN, BSN, PHN. 7. List ..I didnt get to the bad news yet would be inappropriate at any time. hand hygiene before handling equipment. Once you are finished, click the button below. what does the state nurse practice act define? Changes in vital signs may be cause by factors other than blood loss. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. Amyotrophic lateral sclerosis (Lou Gerhigs disease). This information is documented and reported to the physician and the nursing supervisor. 48. -Complete the institution's incident or occurrence report. disposable, prefilled, sterile, cartridge units, glass container with a constricted, pre-scored neck 10. Base line vital signs include pulse rate, temperature, respiratory rate, and blood pressure. Abdominal girth is unrelated to blood loss. A patient demonstrating symptoms of drugs or alcohol withdrawal O2 is a drug and must have doctor's orders Know signs and symptoms of respiratory distress Circulatory overload and respiratory excitement have no relevance to the question. CBC - infection? These include:ABeetsBCaffeine-containing drinks, such as coffee and cola.CKaolin with pectin (Kaopectate) DUrinary analgesicsQuestion 7 Explanation: Fluids containing caffeine have a diuretic effect. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. An appropriate nursing diagnosis would be: Battery is the unlawful touching of another person or the carrying out of threatened physical harm. Respondent superior A. What should the nurse do?ADiscourage them from making a decision until their grief has easedBTell them the body will not be available for a wake or funeral CListen to their concerns and answer their questions honestlyDEncourage them to sign the consent form right awayQuestion 13 Explanation: The brain-dead patients family needs support and reassurance in making a decision about organ donation. Location of ET tube in airway (nose or mouth) hold syringe steady while needle is in tissue 12. Attempted Questions Correct Establishing outcomes, Nursing Process in Med Admin: Age is also a factor. 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. The most common injury among elderly persons is: 45. The nurse contacts the prescriber and receives a STAT telephone order for a medication. Partial-Credit 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. ABG Administer oxygen by Venturi mask at 24%, as needed 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. always draw up medication with a filter needle, plastic or glass container with rubber seal, insert 5-15 degrees Route of administration (fastest I.V.) Question 8A 38-year old patients vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. 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. Risk for impaired skin integrity, Nursing process: Planning for a patient that is immobile, Goals and outcomes Tachypnea adapter (tip) designed to fit the hub of a needle or needless device Toxic Effects Mrs. Lim begins to cry as the nurse discusses hair loss. Time allowed C. A patient with dysphagia (difficulty swallowing) requires assistance with feeding. behavioral- anxiety, agitation, consiousness Nausea Diabetes Nclex Questions And Rationale Rnspeak. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. Accompanying him will offer moral support, enabling him to face the rest of the world. ..I didnt get to the bad news yet would be inappropriate at any time. Questions Not Attempted The nurse is legally responsible for labeling the corpse when death occurs in the hospital. Question Details Written communication that does the same is considered libel. 11. Horizontal recumbent Why is this patient getting the med? All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. D. The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. SIMS 20. Tachypnea is rapid respiration characterized by quick, shallow breaths. Correct Maintain an erect trunk, Fowler/semi-Fowler - acid-base imbalance, Oxygen carrying Capability The nurse discusses the foods allowed on a 500-mg low sodium diet. St.Johns Wart is the worst. Circulatory overload due to hypervolemia B. Maintain the patient on strict bed rest at all times 1. represents increasing amounts of new blood vessels Two pronged approach to assess the environment and the patient It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. Accompanying him will offer moral support, enabling him to face the rest of the world. Question 19A patient is kept off food and fluids for 10 hours before surgery. UNSTAGEABLE UNTIL SLOUGH/ESCHAR IS REMOVED Text Mode taken into the body or administered in a manner other than through the digestive tract- intradermal, subcutaneous, intramuscular, intravenous. The nurse administers the wrong medication to a patient and the patient vomits. Reporting any changes in patient's status after medication administration, Which task would be most appropriate for the nurse to delegate to the nursing assistive personnel (NAP)? Also, this page requires javascript. Question 35A 38-year old patients vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Do not apply to hairy surfaces or scar tissue Hyperventilation All of the following can cause tachycardia except: Parasympathetic nervous system stimulation. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. Seizures, Procedure Related Risks in the Health Care Agency, Equipment Related Risks in the Health Care Agency, The nursing process in regards to Safety Awareness, Assessment Bend knees Pumps only use buffered short-acting or rapid-acting insulin (not long- or intermediate-acting insulin). 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. 17-20% patients have to come back related to initial hospitalization. Malpractice Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. 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. Encourage the patient to walk in the hall alone, Consult a physical therapist before allowing the patient to ambulate, Discourage the patient from walking in the hall for a few more days. Inability to maintain oxygenation/ ventilation Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. CThe nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.DThe nurse administers penicillin to a patient with a documented history of allergy to the drug. D. Malpractice is defined as injurious or unprofessional actions that harm another. - nervous system disease, gangrenous lesions Question 15A patient is kept off food and fluids for 10 hours before surgery. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams), NCLEX Practice Exam for Blood Transfusion, The patient will find pureed or soft foods, such as custards, easier to swallow than water, Fowlers or semi Fowlers position reduces the risk of aspiration during swallowing. Are drugs interacting, does patient know why taking the drug? depth varies by location, full thickness tissue loss The most common injury among elderly persons is: Atheroscleotic changes in the blood vessels, Increased incidence of gallbladder disease. right patient 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. 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. Infection - can be determined by having a person stand and just look to see if a person is wobbly. Errors include Certain substances increase the amount of urine produced. sustained release. Perform chest physiotheraphy on a regular schedule The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. Mitchell has been given a copy of her diet. Urinary analgesics Some type II diabetes Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. 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. death of subcutaneous fat tissue and muscle degeneration Effects of medications - 2 t to milliliters Which of the following nursing interventions has the greatest potential for improving this situation? Fundamentals Of Nursing Chapter 2 Review Questions Nursing diagnosis However, the familys concerns must be addressed before members are asked to sign a consent form. aqueous solution 4. Ability of the medication to dissolve Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? Question 34For a rectal examination, the patient can be directed to assume which of the following positions?AGenupecterolBSimsCAll of the above DHorizontal recumbentQuestion 34 Explanation: All of these positions are appropriate for a rectal examination. Nurse safety - 2nd priority You got 50 minutes to finish the exam .Good luck! The family of an accident victim who has been declared brain-dead seems amenable to organ donation. 1 mL capacity The correct sequence for assessing the abdomen is: Assessment for distention, tenderness, and discoloration around the umbilicus. 34. Implementation Which of the following nursing interventions would be appropriate?AEncourage the patient to walk in the hall aloneBAccompany the patient for his walk.CConsult a physical therapist before allowing the patient to ambulate DDiscourage the patient from walking in the hall for a few more daysQuestion 4 Explanation: A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Don't give them Any items you have not completed will be marked incorrect. A negative nitrogen balance is present when catabolic states exist. Assessment for distention, tenderness, and discoloration around the umbilicus. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Discuss the problem with her supervisor Allowing for rest periods decreases the possibility of hypoxia. 49. keep needle inserted 10 seconds after injection of medications hold position for 5 minutes Fundamentals of Nursing Practice Exam 2 (PM) An 88-year old incontinent patient with gastric cancer who is confined to his bed at home, An alert, chronic arthritic patient treated with steroids and aspirin. Demonstrate the signal system to the patient, Asses the patients ability to ambulate and transfer from a bed to a chair, Check to see that the patient is wearing his identification band. 35. The infant falls off the scale, suffering a skull fracture. 3 yrs CH 02 HW - Chapter 2 physics homework for Mastering Auditing Overview Newest Theology - yea Leadership class , week 3 executive summary The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. 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. All patients 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. Oxygen 32. Inhibition of the respiratory hypoxic stimulus The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. 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. - Antipyretic (fever) Exercise 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. - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use DAccountability is clearest when one nurse is responsible for the overall plan and its implementation.Question 46 Explanation: Studies have shown that patients and nurses both respond well to primary nursing care units. 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. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Examples of patients suffering from impaired awareness include all of the following except: A patient who cannot care for himself at home, A patient demonstrating symptoms of drugs or alcohol withdrawal. What is a nurses responsibility concerning Nutrition? Correct Answer Question 2The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?AFemoral BApicalCRadialDPedalQuestion 2 Explanation: Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. APerson, environment, health, nursing BPerson, health, psychology, nursingCPerson, nursing, environment, medicineDPerson, health, nursing, support systemsQuestion 46 Explanation: The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. Allowing for rest periods decreases the possibility of hypoxia. 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. Parasympathetic nervous system stimulation Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. Disturbed body image To reduce the risk of polypharmacy, how should the nurse advise the older patient regarding medications? - Make sure outcomes are measurable Don't require refrigeration 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. 30. - Cupping your hand and pat the back creating a vibration to move fluids along In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. What should the nurse do? Right: Click the card to flip Flashcards Learn Test Match Created by cleanse site using circular stroke starting with area immediately next to drain and moving away Setting goals The best response would be: to have the correct drug route and dose dispensed 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