D. The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. Defines the scope of nurses' professional functions and responsibilities. Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. AA ham and Swiss cheese sandwich on whole wheat breadBChicken bouillon CA tossed salad with oil and vinegar and olivesDMashed potatoes and broiled chickenQuestion 6 Explanation: Mashed potatoes and broiled chicken are low in natural sodium chloride. minimize muscle tension Correct body alignment reduces strain on musculoskeletal structures, maintains muscle tone, and contributes to balance. Maintain the patient on strict bed rest at all times Bones, joints, ligaments, tendons, cartilage, Physiology & Regulation of Movement Which of the following nursing interventions has the greatest potential for improving this situation?AContinue administering oxygen by high humidity face maskBPerform chest physiotheraphy on a regular schedule CEncourage the patient to increase her fluid intake to 200 ml every 2 hoursDPlace a humidifier in the patients room.Question 39 Explanation: Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. 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. 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. Everyone! A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. 11. These include: 35. What should she do? Which of the following nursing interventions has the greatest potential for improving this situation? Fundamentals Exam 2 Flashcards | Quizlet 45-90 degrees, do not expel air bubble from prefilled syringe; inject into anteriolateral or posteriolateral abdominal wall at least 2 inches away from the umbilicus only, deposits medications into deep muscle tissue 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. Increased work load of the left ventricle A complete blood count does not provide immediate results and does not always immediately reflect blood loss. - Should be kept below the patient for the effect of gravity Injection is given subcut, CLOUDY These include:AKaolin with pectin (Kaopectate) BCaffeine-containing drinks, such as coffee and cola.CBeetsDUrinary analgesicsQuestion 41 Explanation: Fluids containing caffeine have a diuretic effect. The nurse is responsible for giving the patient breakfast at the scheduled time. report descrepencies Choose the letter of the correct answer. The nurses most important legal responsibility after a patients death in a hospital is: 49. Fundamentals of Nursing Exam 2 Flashcards | Quizlet The most common psychogenic disorder among elderly person is: Alzheimer;s disease, sometimes known as senile dementia of the Alzheimers type or primary degenerative dementia, is an insidious; progressive, irreversible, and degenerative disease of the brain whose etiology is still unknown. 1. verify rights CNS Damage hold position for 5 minutes Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. 2. Impaired gas exchange EX: Sometimes post surgery a patient can be put on a insulin drip as a therapy to control the cortisol release from the stress-response syndrome as surgery, anesthesia, and issues that brought patient to hospital can cause a great deal of stress. This information is documented and reported to the physician and the nursing supervisor. Accompanying him will offer moral support, enabling him to face the rest of the world. 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. Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. 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. -Documenting patient's response to medication Pregnancy Multiple sclerosis Text Mode Before rigor mortis occurs, the nurse is responsible for: Once you are finished, click the button below. Nursing responsibilities for Mrs. Mitchell now include: Reporting an APTT above 45 seconds to the physician, Assessing the patient for signs and symptoms of frank and occult bleeding. Abdominal girth is unrelated to blood loss. - Cardiac arrest Which of the following parameters should be checked when assessing respirations? (can be as low as 12) Increased pulse rate and blood pressure Reported to provider at time of test 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. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. slough or eschar present in parts of the wound bed Discourage the patient from walking in the hall for a few more days 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 nursing interventions would be appropriate? Tracheal 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. 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. Notify the health care provider immediately. - Postural drainage 28. - info medical personnel can look at The nurse administers penicillin to a patient with a documented history of allergy to the drug. Topical: anything you can put on the skin, to include patches - Pneumothorax Fundamentals of Nursing Chapter 1 - Fundamentals of Nursing - Studocu Gently press downward with thumb or forefinger against bony orbit. These include: Correct administration - Do not strip the tubing, need to milk it instead. Prone inventory record Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. instill prescribed number of drops C. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. 19. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. 4. - Smoking - If too premature, it can be born before surfactant develops Please wait while the activity loads. Synergistic - A synergist muscle is a muscle which works in concert with another muscle to generate movement. Inform the staff that they must volunteer to rotate 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 17 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. Venturi Mask Proper positioning of client The most common psychogenic disorder among elderly person is: Sleep disturbances (such as bizarre dreams), Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. 90 ml in 3 hours Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. Right medication 6. Question 49A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. What should she do?ADiscuss the problem with her supervisorBComplain to her fellow nursesCInform the staff that they must volunteer to rotate DWait until she knows more about the unitQuestion 28 Explanation: Although a new head nurse should initially spend time observing the unit for its strengths and weakness, she should take action if a problem threatens patient safety. - Hemothorax Written communication that does the same is considered libel. Illness If nurse administers an injection to a patient who refuses that injection, she has committed: Teach patient and family about drug reactions and schedule Questions Not Attempted 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. 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. Are drugs interacting, does patient know why taking the drug? to stop, think and be vigilant when administering medications, metric system Sleep disturbances (such as bizarre dreams) Airway protection Beets and urinary analgesics, such as pyridium, can color urine red. Collaborative care Writing the order for this test - Air entrapment & is more precise In the prone position, the patient lies on his abdomen with his face turned to the side. 25. What are they? Safety light The family of an accident victim who has been declared brain-dead seems amenable to organ donation. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. -Contact the manager or supervisor of the area where the error occurred. 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. which muscle should you not use for IM injections? Biotransformation occurs when enzymes detoxify, degrade, and remove active chemicals Most people get insulin from endogenous means. - protects against aspiration, Nurse's Role in an Endotracheal Intubation, Know the proper equipment and its use You have not finished your quiz. bowel, A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Such a patient is unlikely to display emotion, such as crying. Question 33Which of the following patients is at greatest risk for developing pressure ulcers?AAn 88-year old incontinent patient with gastric cancer who is confined to his bed at homeBAn alert, chronic arthritic patient treated with steroids and aspirinCAn apathetic 63-year old COPD patient receiving nasal oxygen via cannulaDA confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. Avoid the big thump - Mucolytics full tissue destruction (Choose all that apply) Increased incidence of gallbladder disease Alterations compared to surrounding tissue, softer or firmer, warmer or cooler, partial thickness loss Roll the vials ID nursing dx, collaborative problems, and wellness dx 3. Perform chest physiotheraphy on a regular schedule Which of the following parameters should be checked when assessing respirations? - Make sure outcomes are measurable The infant falls off the scale, suffering a skull fracture. Applying a hot water bottle or heating pad to a patient without a physicians order does not include the three required components. A negative nitrogen balance is present when catabolic states exist. Gait usually accompanied by purulent drainage For a rectal examination, the patient can be directed to assume which of the following positions?
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