minutes Question 31If a patients blood pressure is 150/96, his pulse pressure is:A54B150C246D96Question 31 Explanation: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. Strict aseptic technique 5. tablet Partial-Credit Management: maintain clean and moist wound environment and minimize damage to healing tissue, removed drainage from the wound with slight vacuum Respiratory rate In order for meds to be useful they have to get to the area that needs to be treated. This information is documented and reported to the physician and the nursing supervisor. The nurse discusses the foods allowed on a 500-mg low sodium diet. 28. - Anti-anxiety drugs 20. Minimize patient discomfort, shortest length - the body requires insulin in order to convert sugar into energy. Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. She should notify the physician if the urine output is: - Fractures. Gently press downward with thumb or forefinger against bony orbit. These include: These include: A ham and Swiss cheese sandwich on whole wheat bread, A tossed salad with oil and vinegar and olives. The other answers are incorrect interpretations of the statistical data. Maintain the patient in an orthopneic position as needed Planning Stress test Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. -Administering oral medications Start Environmental factors - Pollutants (ask where person lives, know your region an it's risk factors), Nursing history: Signs that may indicate poor oxygenation Capsules cleanse site using circular stroke starting with area immediately next to drain and moving away After 1 week of hospitalization, Mr. Gray develops hypokalemia. 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 and it increases 4% every liter, Continuous positive airway pressure After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Burns They also seem to gain a greater sense of achievement and esprit de corps. The nurse documents this breathing as: 3. Checking the patients identification band verifies the patients identity and prevents identification mistakes in drug administration. Which finding contraindicates the use of a rectal suppository? Apical pulse Define Assessment Collects comprehensive data pertinent to the patient's health and/or situation. Thus, any act that a nurse performs on the patient against his will is considered assault and battery. Why is this patient getting the med? Results Adequate hydration thins and loosens pulmonary secretions and also helps to replace fluids lost from elevated temperature, diaphoresis, dehydration and dyspnea. Question 29The family of an accident victim who has been declared brain-dead seems amenable to organ donation. shiny or dry NO BONE, TENDON OR MUSCLE EXPOSED - Antipyretic (fever) Setting priorities Know signs and symptoms of respiratory distress Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. Please wait while the activity loads. She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Use __________ mL of ________________ to deliver medications that have been crushed, dissolved, or powder removed from capsules- in Nasogastric tube. - Chemical structure of medication determines where excretion occurs Use of hand rails or wall nearby. - Each hospital has its own policy tubing mgt, know it Choose the letter of the correct answer. - Air entrapment & is more precise She is required to bathe only soiled areas of the body since the mortician will wash the entire body. Notifying the coroner or medical examiner Return 11. Which of the following nursing interventions promotes patient safety? Ex: Dilaudid mixed with DW will go through a physical change, at one dose do one thing and at another dose do another thing that is better or harmful Synergistic - A synergist muscle is a muscle which works in concert with another muscle to generate movement. Insert an airway Your answers are highlighted below. CNS Damage All of the above Side rails are a reminder to a patient not to get out of bed. - don't twist History -To increase the number of medication orders - Seizures The attending physician may need information from the nurse to complete the death certificate, but he is responsible for issuing it. The resting pulse rate in an adult ranges from 60 to 100 beats/minute, so a rate of 88 is normal. Your performance has been rated as %%RATING%% -trauma, Developmental Factors that impair oxygenation, Premature infants An appropriate nursing diagnosis would be:AIneffective individual coping to COPD.B Ineffective airway clearance related to thick, tenacious secretions.CPain related to immobilization of affected leg. If a patients blood pressure is 150/96, his pulse pressure is: C. Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. C. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. High- humidity air and chest physiotherapy help liquefy and mobilize secretions. This information is documented and reported to the physician and the nursing supervisor. 54 A 38-year old patients vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. A. Hypothermia is an abnormally low body temperature. A patient who cannot care for himself at home does not necessarily have impaired awareness; he may simply have some degree of immobility. Question 19To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Now - give it now, without breaking neck to do so Fundamentals Of Nursing Chapter 2 Review Questions Regulated by TJC & CMS (centers for medicare/medicaid services) Because the pedal pulse cannot be detected in 10% to 20% of the population, its absence is not necessarily a significant finding. After 1 week of hospitalization, Mr. Gray develops hypokalemia. Stress An increased partial pressure of carbon dioxide in arterial blood (PACO2) would not initially result in cardiac arrest. Antibiotics, healthy tissue -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. Setting priorities Which of the following is the most common cause of dementia among elderly persons? 150 A patient about to undergo abdominal inspection is best placed in which of the following positions? 2. If you leave this page, your progress will be lost. Abdominal cramping with hyperactive, high pitched tinkling bowel sounds can indicate a bowel obstruction. A complete blood count does not provide immediate results and does not always immediately reflect blood loss. Score However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. 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. Protect your own body Person, health, psychology, nursing Fundamentals of Nursing Ch. 1,2, and 3 Flashcards _ Quizlet.pdf 12. - Specific prescribed amt. Apical Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. Knowledge deficit Parasympathetic nervous system stimulation to administer medications safely and identify problems with the system Trendelenburg 13. 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. PRN - as needed / per requested The greater the surface area of the object that is moved, the greater the friction. Decreased blood pressure and heart rate and shallow respirations A. Fluids containing caffeine have a diuretic effect. Intra osseous - narrow space of long bone, Metric system - Wrong medication, route, and time Total Questions on Quiz All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! 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.
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