Your answers are highlighted below. Patient education Insert an airway -Presence of a fever of O2 being given and does not dry out membranes, 2L is 28% nonviable tissue, usually accompanied by purulent drainage Your score is Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Sympathetic nervous system stimulation Substance abuse A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. Removing the bodys clothing and wrapping the body in a shroud Any items you have not completed will be marked incorrect. Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. Pregnancy Please visit using a browser with javascript enabled. Date Basal insulin is delivered continuously over 24 hours to keep blood sugar levels in range between meals and overnight. Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? Adverse Effects Age is also a factor. During a Romberg test, the nurse asks the patient to assume which position? Sensory impairments - Extra doses or failing to administer 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. Dont worry.. offers some relief but doesnt recognize the patients feelings. DIneffective airway clearance related to dry, hacking cough.Question 37 Explanation: Thick, tenacious secretions, a dry, hacking cough, orthopnea, and shortness of breath are signs of ineffective airway clearance. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors In the horizontal recumbent position, the patient lies on his back with legs extended and hips rotated outward. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. -"I will bring the medication back to your room once you return from the bathroom." Battery is the unlawful touching of another person or the carrying out of threatened physical harm. 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. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. 17-20% patients have to come back related to initial hospitalization. Waiting to consult a physical therapist is unnecessary. Alzheimers disease The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping. 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. Allow a 1 hour rest period between activities Faith6 months ago excellent 16. Which of the following nursing interventions would be appropriate? - Face down When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to: Please wait while the activity loads. and it increases 4% every liter, Continuous positive airway pressure Calibrated in units not mL All of the following can cause tachycardia except: Parasympathetic nervous system stimulation. 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. I know this will be difficult acknowledges the problem and suggests a resolution to it. 2. communicate with patient/ family Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. - Suction this first, NonInvasive Maintenance and Promotion of Lung Expansion, Positioning Membrane permeability Elixirs position head depending upon where instillation is desired nonviable tissue AGiving the patient breakfastBInstructing the patient about this diagnostic testCAll of the above DWriting the order for this testQuestion 29 Explanation: A platelet count evaluates the number of platelets in the circulating blood volume. Anxiety will not cause an elevated temperature. Are drugs interacting, does patient know why taking the drug? medications absorbed more slowly this route than IM If this activity does not load, try refreshing your browser. 19. 39. Discuss the problem with her supervisor Changing position every 2 hours - Sublingual: under the tongue aqueous solution - It is thought that bipap is easier on the patient, but it is noisier. Passive - The nurse moves the patient's joints Monitor determined by the physician as well as the frequency Protect your own body Side rails are a reminder to a patient not to get out of bed -Complete the institution's incident or occurrence report. Nurse safety - 2nd priority 54 Right dose Riboflavin What should she do?AInform the staff that they must volunteer to rotate BDiscuss the problem with her supervisorCComplain to her fellow nursesDWait until she knows more about the unitQuestion 35 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. 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. management: debridement. In the lateral position, the patient lies on his side. Correct dosage His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates: 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. Partial-Credit intact or open serum filled blister turn on machine and assure calibration A normal adult body temperature, as measured on an oral thermometer, ranges between 97 and 100F (36.1 and 37.8C); an axillary temperature is approximately one degree lower and a rectal temperature, one degree higher.