His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: Depression Supositories A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. 47. All of the following can cause tachycardia except: Your hair is really pretty offers no consolation or alternatives to the patient. 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. In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. Implementation, Patient and family teaching 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. 5. subcutaneous (subcut) Fundamentals Exam 2 The nurse evaluates which laboratory values to assess a patient's potential for wound healing? adults and children over 3- pull pinna up and back The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. anterieor aspects of thighs Which of the following nursing interventions promotes patient safety? Final Score on Quiz The infant falls off the scale, suffering a skull fracture. Minimize patient discomfort, shortest length Symmetry - bag must be full keep needle inserted 10 seconds after injection of medications The force that occurs in a direction to oppose movement. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care. Certain substances increase the amount of urine produced. Collaborative care How do your prioritize if patient misses two doses of meds due to a long procedure? High- humidity air and chest physiotherapy help liquefy and mobilize secretions. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. STAT - give immediately The physician orders a platelet count to be performed on Mrs. Smith after breakfast. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. Studies have shown that patients and nurses both respond well to primary nursing care units. DO NOT USE these to describe skin: tears, tape burns, perineal dermatitis, maceration, or excoriation, Full thickness skin loss - can be determined by having a person stand and just look to see if a person is wobbly. Apical pulse use proper injection angle outer aspect of upper arms seconds When a patient self-administers a vaginal suppository, which behavior would require further teaching? Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? A. System much more like the beta cells of your pancreas enteric coated 45. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors. The nurse could be charged with: Which of the following is the most significant symptom of his disorder? A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed. The physician is responsible for instructing the patient about the test and for writing the order for the test. D. Under normal conditions, a healthy adult breathes in a smooth uninterrupted pattern 12 to 20 times a minute. - Buccal: by the cheek D. All of these positions are appropriate for a rectal examination. 3 yrs reduces leakage of medication into subcutaneous tissue Which of the following nursing interventions would be appropriate? A. Monitor Ensuring that the attending physician issues the death certification Dont worry.. offers some relief but doesnt recognize the patients feelings. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. Fundamentals of Nursing Practice Exam 2 Practice Mode Exam Mode Text Mode 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. There are 50 questions to complete. -Contact the pharmacy to have the medication sent to the nursing unit STAT. displace skin over injection site before injecting Rub injection site w/ alcohol swab -Calling the pharmacy to clarify the correct dose of medication, The nurse is caring for a patient who has an order for an acetaminophen (Tylenol) rectal suppository. Disorders of Bones, Joints, & Muscles Question 42The physician orders a platelet count to be performed on Mrs. Smith after breakfast. During a Romberg test, the nurse asks the patient to assume which position? Alterations compared to surrounding tissue, softer or firmer, warmer or cooler, partial thickness loss Press plunger down until reads zero Which of the following vascular system changes results from aging? The nurse documents this breathing as:AHyperventilation BOrthopneaCTachypneaDEupncaQuestion 42 Explanation: Orthopnea is difficulty of breathing except in the upright position. date, time, and initial outer side of the patch Any items you have not completed will be marked incorrect. Push the diaphragm inward and upward D. Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. 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. Illness - Asymmetrical chest tube Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Lungs - alcohol, nitrous oxide Management: debridement and infection control. O transport A patient demonstrating symptoms of drugs or alcohol withdrawal Ineffective airway clearance Recording medication administration Prone Receiving, transcribing, and communicating medication orders Examples of patients suffering from impaired awareness include all of the following except: 44. The nurse is responsible for: 4. -Flush with 30 mL of water before and after feedings. eratic use, Relationship of one body part to another for tuberculin and allergy skin testing prevent needle contamination SIMS - Cough Pressure ulcers are most likely to develop in patients with impaired mental status, mobility, activity level, nutrition, circulation and bladder or bowel control. Question 40The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?APedalBApicalCRadialDFemoral Question 40 Explanation: Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. -To increase the number of medication orders The other answers are incorrect interpretations of the statistical data. always draw up medication with a filter needle, plastic or glass container with rubber seal, insert 5-15 degrees 36. What should she do? Question 24Which of the following vascular system changes results from aging?AIncreased peripheral resistance of the blood vesselsBAll of the above CDecreased blood flowDIncreased work load of the left ventricleQuestion 24 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. Which of the following is the most significant symptom of his disorder? It slows down in pre-school, Special Considerations for Administering Medications to Older Adults. Notify the health care provider immediately. - Exposure to second hand smoke plan to safely handle and dispose of needles before procedure begins - Reposition every two hours to reduce the risk of infection Such a patient is unlikely to display emotion, such as crying. Pyridoxine 150 Complain to her fellow nurses Eyedrops/eardrops Smoking - Work with the families so that care is followed The nurse could be charged with: 14. Please visit using a browser with javascript enabled. to have the correct drug route and dose dispensed 9. Absence of the apical, radial, or femoral pulse is abnormal and should be investigated. The body of an organ donor is available for burial. RN, BSN, PHN. 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. Question 13Before rigor mortis occurs, the nurse is responsible for:APlacing one pillow under the bodys head and shouldersBRemoving the bodys clothing and wrapping the body in a shroudCAllowing the body to relax normally DProviding a complete bath and dressing changeQuestion 13 Explanation: The nurse must place a pillow under the decreased persons head and shoulders to prevent blood from settling in the face and discoloring it. Nurse's role What is the most appropriate action? An additional Vitamin C is required during all of the following periods except: 39. Slander Correct Answer EXPOSED BONE, TENDON, OR MUSCLE Strict aseptic technique 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. - Analgesic (pain) Ex: Dopamine at a low dose will improve renal perfusion. Which findings should be reported? Bed rest and oxygen by Venturi mask at 24% would improve oxygenation of the tissues and cells but must be ordered by a physician. Immobility, diaphoresis, and avoidance of deep breathing or coughing 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. - Pneumococcal for those over 65 or with chronic illnesses To monitor the status of previously ID'ed problem 4. You have not finished your quiz. 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. Pregnancy 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. Fundamentals of Nursing University Keiser University Fundamentals of Nursing Add to My Courses Documents (326) Questions Students (625) Book related documents Kozier and Erb's Fundamentals of Nursing Volume 1-3 Barbara Kozier; Glenora Erb; Audrey Berman; Shirlee Snyder; Tracy Levett-jones Lecture notes Date Rating year Ratings Show 8 more documents Thus, any act that a nurse performs on the patient against his will is considered assault and battery. The nurse observes that Mr. Adams begins to have increased difficulty breathing. Question 45An additional Vitamin C is required during all of the following periods except:AInfancyBPregnancy CChildhoodDYoung adulthoodQuestion 45 Explanation: Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal growth and maternal tissues. Anxiety will not cause an elevated temperature. Other conditions requiring extra vitamin C include wound healing, fever, infection and stress. High-pitched gurgles head over the right lower quadrant are: Attempted Questions Correct Answer Choice(s) Selected withdraw needle smoothly at same angle as insertion Monitor determined by the physician as well as the frequency O2 can be extremely drying. Written communication that does the same is considered libel. In order for perfusion to occur, must have ventilation, diffusion & respiration, Neural These include: Intra osseous - narrow space of long bone, Metric system - CDC: Annual influenza vaccines for those 6 months and those over 50 years of age Passive - The nurse moves the patient's joints Fundamentals Of Nursing Exam 2- Documentation by Roxy0214049 , Sep. 2008 Subjects: 2 documentation exam fundamentals Click to Rate "Hated It" Click to Rate "Didn't Like It" Click to Rate "Liked It" Click to Rate "Really Liked It" Click to Rate "Loved It" Favorite Add to folder Flag Flashcards Memorize Test Games Tweet Related Essays A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. How are body alignment and mobility assessed? Palpating the midclavicular line is the correct technique for assessing If this activity does not load, try refreshing your browser. Sitting proper skin prep Person, health, nursing, support systems Battery if ordered, send specimen to lab -To prevent serious medication errors. Antibiotics, healthy tissue The four main concepts common to nursing that appear in each of the current conceptual models are: 7. Question 12If a patients blood pressure is 150/96, his pulse pressure is:A96B246C150D54Question 12 Explanation: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. 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. If you leave this page, your progress will be lost. These include: Pain related to immobilization of affected leg would be an appropriate nursing diagnosis for a patient with a leg fracture.Question 38Which of the following is the most common cause of dementia among elderly persons?AMultiple sclerosisBAmyotrophic lateral sclerosis (Lou Gerhigs disease)CParkinsons diseaseDAlzheimers disease Question 38 Explanation: 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. D. Because percussion and palpation can affect bowel motility and thus bowel sounds, they should follow auscultation in abdominal assessment.