Reusability Multiple sclerosis, a progressive, degenerative disease involving demyelination of the nerve fibers, usually begins in young adulthood and is marked by periods of remission and exacerbation. - Move from side to side allows for secretions and expansion Eupnca -Keep head of bed elevated above 30 degrees for at least 30 to 60 minutes after feeding. Question 29The physician orders a platelet count to be performed on Mrs. Smith after breakfast. While exhaling, open the epiglottis by saying the word huff question epidural Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. outer aspect of upper arms ice to site before injection Question 47During a Romberg test, the nurse asks the patient to assume which position? All four side rails up is considered a restraint for tuberculin and allergy skin testing Disturbed body image Which of the following is the most significant symptom of his disorder? Absorption is the passage of medications into the blood from the site of administration Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. incorrect no answer. Elimination Place a humidifier in the patients room. Dehydration 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. -Rectal bleeding All of the above Encourage the patient to walk in the hall alone - may need assistance to cross the blood brain barrier Administration of Meds: Toddlers have a much higher metabolic rate. Circulatory overload and respiratory excitement have no relevance to the question. A. client should remain side-lying for 5-10 minutes gently massage triages with finger Negligence Person, health, psychology, nursing 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. Rub injection site w/ alcohol swab Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Eupnea is normal respiration quiet, rhythmic, and without effort. Question 5To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Kaolin with pectin (Kaopectate) Musculoskeletal Trauma What is causing the quick breathing topical wound care must clean the devitalized tissue. These include: 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. Biotransformation occurs when enzymes detoxify, degrade, and remove active chemicals If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for: 13. Follow the medication administration rights Question 7Certain substances increase the amount of urine produced. Respondent superior 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. a. Insert the tube quickly. Why are you crying? Please visit using a browser with javascript enabled. If not, container tends to be left off and pets or children can get into it. An insulin pump is a small battery-operated device about the size of a small cell phone. apply gentle pressure to the injection site unless contraindicated Which findings should be reported? Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Which of the following patients is at greatest risk for developing pressure ulcers? Pain related to immobilization of affected leg. abuse of alcohol, nicotine, or street durgs St.Johns Wart is the worst. Which of the following is an example of nursing malpractice? physical techniques and Beets The body of an organ donor is available for burial. The nurse must place a pillow under the decreased persons head and shoulders to prevent blood from settling in the face and discoloring it. - Chest wall movement - Protein binding The patient will find pureed or soft foods, such as custards, easier to swallow than water Which of the following nursing interventions promotes patient safety? The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. Beets and urinary analgesics, such as pyridium, can color urine red. All of the above 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. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Dont worry.. offers some relief but doesnt recognize the patients feelings. Knowledge and understanding of medication use Patient releases the restraint and falls and injures him/herself, Smoke detectors Autolytic debridement, protective, prevents wound dehydration, absorbs small to moderate drainage, Localized skin intact, non-blanchable and reddened. Question 20The nurses most important legal responsibility after a patients death in a hospital is:ANotifying the coroner or medical examinerBObtaining a consent of an autopsyCLabeling the corpse appropriatelyDEnsuring that the attending physician issues the death certification Question 20 Explanation: The nurse is legally responsible for labeling the corpse when death occurs in the hospital. In order for meds to be useful they have to get to the area that needs to be treated. Final Score on Quiz enteric coated C. Orthopnea is difficulty of breathing except in the upright position. Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery? However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Impaired gas exchange Pediatric dosages Risk for injury disposable, prefilled, sterile, cartridge units, glass container with a constricted, pre-scored neck A. liver, keep needle inserted 10 seconds after injection of medications - Pneumothorax Avoid twisting Which of the following is the most significant symptom of his disorder? Pulmonary function Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors. The trailer is 2.5m2.5 \mathrm{~m}2.5m by 2.5m2.5 \mathrm{~m}2.5m by 12m12 \mathrm{~m}12m. The air is at 0C0^{\circ} \mathrm{C}0C and standard atmospheric pressure. Insert needle at 90 angle 50. Mrs. Mitchell has been given a copy of her diet. A. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Question 31Which of the following nursing interventions promotes patient safety?ADemonstrate the signal system to the patientBAsses the patients ability to ambulate and transfer from a bed to a chairCCheck to see that the patient is wearing his identification bandD All of the above 47. Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. medications absorbed more slowly this route than IM Environmental factors - Pollutants (ask where person lives, know your region an it's risk factors), Nursing history: Signs that may indicate poor oxygenation Supine The absence of which pulse may not be a significant finding when a patient is admitted to the hospital? ..I didnt get to the bad news yet would be inappropriate at any time. Accidents 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. Elevate the head of the bed Which of the following parameters should be checked when assessing respirations? reduces leakage of medication into subcutaneous tissue The study of how medications enter the body, reach the site of action, metabolize and exit the body Which of the following vascular system changes results from aging? seconds In the lateral position, the patient lies on his side. Anna Curran. Fundamentals of Nursing Exam 2 Term 1 / 79 What are the 4 purposes of a physical exam? *** Need to get pre-op or baseline in order to evaluate. Questions Not Attempted Two forms of identification: name and birthdate C. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. 5. 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. Home or health care facility, Coordinated efforts of the musculoskeletal and nervous systems 4. shallow open Things they like doing but can't Your response is Vitamin C The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. intact or open serum filled blister 90 ml in 3 hours Body alignment: Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. Due to ability to contract and relax are the working elements of movement. 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. For a rectal examination, the patient can be directed to assume which of the following positions? Risk for aspiration The nurse discusses the foods allowed on a 500-mg low sodium diet. Ts To Know For Nclex Flashcards Quizlet. The best response would be:AWhy are you crying? apply to skin firmly The most common injury among elderly persons is: D. Hip fracture, the most common injury among elderly persons, usually results from osteoporosis.
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