inject med slowly and smoothly Standing Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. Text Mode 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 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 37The correct sequence for assessing the abdomen is:APercussions, palpation, and auscultationBAuscultation, percussion, and palpation CTympanic percussion, measurement of abdominal girth, and inspectionDAssessment for distention, tenderness, and discoloration around the umbilicus.Question 37 Explanation: Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment. Calibrated in units not mL 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. Kaolin with pectin (Kaopectate) The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. - The gov't must also regulate off-label use of medications. Impaired physical mobility and exocrine glands Maintaining patient's rights, History Question 38The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Question 16If 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:ASlanderBLibelCAssaultDRespondent superior Question 16 Explanation: Oral communication that injures an individuals reputation is considered slander. Impaired swallowing 28. The other answers are incorrect interpretations of the statistical data. Age is also a factor. Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. 20. Passive - The nurse moves the patient's joints However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. abuse, The nurse could be charged with:ADefamationBMalpractice CAssaultDBatteryQuestion 40 Explanation: Malpractice is defined as injurious or unprofessional actions that harm another. Location of ET tube in airway (nose or mouth) - the body requires insulin in order to convert sugar into energy. Question 23A prescribed amount of oxygen s needed for a patient with COPD to prevent:ACardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)BInhibition of the respiratory hypoxic stimulus CCirculatory overload due to hypervolemiaDRespiratory excitementQuestion 23 Explanation: 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. Ineffective airway clearance related to dry, hacking cough. Which of the following nursing interventions promotes patient safety? suspension subcutaneous (subcut) - Antipyretic (fever) Check vitals in response to the medication - Patient must be checked every 15 minutes Which of the following nursing interventions promotes patient safety? (adult- a handbreadth above knee to a handbreadth below the greater trochanter of the femur) - Pneumococcal for those over 65 or with chronic illnesses Apical pulse The nurse administers the wrong medication to a patient and the patient vomits. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. ..I didnt get to the bad news yet would be inappropriate at any time. If this activity does not load, try refreshing your browser. Hourly "up to heaven, down to hell" means that you lead with good foot when going up the stairs and lead with bad leg when going down the stairs". These include: 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. School-aged children and adolescents right patient 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. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Other symptoms include diminished memory, apathy, disinterest in appearance, withdrawal, and irritability. collect blood in test strip Teach patient and family about drug reactions and schedule CFeverDSympathetic nervous system stimulationQuestion 45 Explanation: Parasympathetic nervous system stimulation of the heart decreases the heart rate as well as the force of contraction, rate of impulse conduction and blood flow through the coronary vessels. Your score is Depression List The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. Absorption is the passage of medications into the blood from the site of administration Non-rebreather Mask Tracheal There are 50 questions to complete. Eupnca If heart is not working properly then we don't get perfusion A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. 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. - nervous system disease, Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus. Question 28Mrs. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Circulatory overload and respiratory excitement have no relevance to the question. Battery is the unlawful touching of another person or the carrying out of threatened physical harm. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Your hair is really pretty as drainage is being emptied out of reservoir, compress the device until bottom and top are in contact, quickly cleanse opening 110 Report Document Comments Please sign inor registerto post comments. Injectibles to administer medications safely and identify problems with the system Assault Question 18During a Romberg test, the nurse asks the patient to assume which position? Your hair is really pretty offers no consolation or alternatives to the patient. The most common injury among elderly persons is: Atheroscleotic changes in the blood vessels, Increased incidence of gallbladder disease. Exercise Ham, olives, and chicken bouillon contain large amounts of sodium and are contraindicated on a low sodium diet. The combined effects of inadequate food intake and prolonged diarrhea can deplete the potassium stores of a patient with GI problems. - spine is flexed, lacks curves that adult has In Maslows hierarchy of physiologic needs, the human need of greatest priority is: 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. The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Less than 2 mL total volume minutes Avoid twisting 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. Nurses feel personal satisfaction, much of it related to positive feedback from the patients. 5. Administer oxygen by Venturi mask at 24%, as needed The quality and efficiency of the respiratory process can be determined by appraising the rate, rhythm, depth, ease, sound, and symmetry of respirations. 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. - Mucolytics Assessment for distention, tenderness, and discoloration around the umbilicus. Which of the following vascular system changes results from aging? The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.BThe nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.CThe nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.DThe nurse administers the wrong medication to a patient and the patient vomits. Correct Answer use diversion After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. A patient is kept off food and fluids for 10 hours before surgery. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Urinary Tract Infection In the event that a medication error occurs, the nurse should do the following first: Prone Respiration should be between 16-20 All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! A. 8. Less than 30 ml/hour The nurse must place a pillow under the decreased persons head and shoulders to prevent blood from settling in the face and discoloring it. O2 can be extremely drying. Mandatory for Allergic Reactions Increased work load of the left ventricle You scored %%SCORE%% out of %%TOTAL%%. Which of the following is the most significant symptom of his disorder? Posture Hypercapnia, hypoxemia, fever, pregnancy, wound healing Question 41Certain substances increase the amount of urine produced. Side rails are a reminder to a patient not to get out of bed Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. Changes in vital signs may be cause by factors other than blood loss. You can program different amounts of insulin for different times of the day and night. Huff Advantages of insulin pen: instill drops holding dropper 1/2 inch above ear canal 18. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. -Administering oral medications - This is sterile A prescribed amount of oxygen s needed for a patient with COPD to prevent: Circulatory overload and respiratory excitement have no relevance to the question. - Fatigue Abdominal girth is unrelated to blood loss. displace skin over injection site before injecting If you leave this page, your progress will be lost. 33. Stress It involves professional misconduct, such as omission or commission of an act that a reasonable and prudent nurse would or would not do. A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. The patient lies on her left side. Place a humidifier in the patients room. Conversions between systems - Anti-anxiety drugs She is required to bathe only soiled areas of the body since the mortician will wash the entire body. 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. liver, Pull out clear insulin Use of hand rails or wall nearby. Most people get insulin from endogenous means. 45. An insulin pump is a small battery-operated device about the size of a small cell phone. Don't give them Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? (1) Assessment (2) Nursing Diagnosis (3) Planning (4) Implementation (5) Evaluation *** All of the above require critical thinking!