The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be Must be used for insulin and nothing else, 3/8-3 inches in length, gauge indicates diameter, part that fits onto the tip of the syringe, reusable plastic syringe holders hold position for 5 minutes You Selected The nurse could be charged with: Malpractice is defined as injurious or unprofessional actions that harm another. Which of the following is an example of nursing malpractice? After 1 week of hospitalization, Mr. Gray develops hypokalemia. Most are U-100 and must be matched up with U-100 insulin 25. 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. The other answers are incorrect interpretations of the statistical data. Question 12The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would beAMaintain the patient on strict bed rest at all timesBMaintain the patient in an orthopneic position as neededCAdminister oxygen by Venturi mask at 24%, as neededDAllow a 1 hour rest period between activities Question 12 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. 3 yrs She should notify the physician if the urine output is: A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. ", What is the goal of computerized physician order entry (CPOE)? 31. Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. proper skin prep The other nursing actions may be necessary but are not a major priority. abdomen from costal margins to the iliac crests - Pneumococcal for those over 65 or with chronic illnesses Which of the following parameters should be checked when assessing respirations? -To increase the number of medication orders Muscle irritability A patient asks you what vitamin is best for eye sight. 64 ml in 2 hours The nurse is responsible for giving the patient breakfast at the scheduled time. 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. Which of the following nursing interventions would be appropriate?AEncourage the patient to walk in the hall aloneBAccompany the patient for his walk.CConsult a physical therapist before allowing the patient to ambulate DDiscourage the patient from walking in the hall for a few more daysQuestion 17 Explanation: A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Disturbed body image Bones, joints, ligaments, tendons, cartilage, Physiology & Regulation of Movement - Cardiopulmonary status 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. Establishing outcomes, Nursing Process in Med Admin: Simple Face Mask If you're administering more than one medication into the NG tube, what do you do? Instructing the patient about this diagnostic test Oral communication that injures an individuals reputation is considered slander. B. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:AHypothermiaBInfectionCAnxietyDDehydration Question 15 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. Abdominal girth is unrelated to blood loss. Correct Answer Notifying the coroner or medical examiner If this activity does not load, try refreshing your browser. Lateral The body of an organ donor is available for burial. In the prone position, the patient lies on his abdomen with his face turned to the side. Follow the medication administration rights An appropriate nursing diagnosis would be: 37. Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. The family of an accident victim who has been declared brain-dead seems amenable to organ donation. Hourly The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowlers position. Thus, the 88-year old incontinent patient who has impaired nutrition (from gastric cancer) and is confined to bed is at greater risk. Push the diaphragm inward and upward The most common deficiency seen in alcoholics is: outer aspect of upper arms Quad Patients should begin ambulation as soon as possible after surgery to decrease complications and to regain strength and confidence. Age is also a factor. 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. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Burns Immobility, diaphoresis, and avoidance of deep breathing or coughing, Decreased blood pressure and heart rate and shallow respirations. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Standing - give once a day for the rest of life Defamation not well developed in many adults The best response would be:ADont worry. Mrs. Lim begins to cry as the nurse discusses hair loss. What are the factors that influence absorption? What are the oral options for medications? Record administration of medication on the MAR before leaving the client room, Expected outcomes The nurse discusses the foods allowed on a 500-mg low sodium diet. Recumbent Stress Amyotrophic lateral sclerosis, a disease marked by progressive degeneration of the neurons, eventually results in atrophy of all the muscles; including those necessary for respiration. Apical What should she do? Mrs. Mitchell has been given a copy of her diet. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Decreased blood pressure and heart rate and shallow respirations Because transplants are done within hours of death, decisions about organ donation must be made as soon as possible. BSympathetic nervous system stimulationCFeverDExerciseQuestion 4 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. Has a reservoir that is filled with insulin and a microcomputer that allows you to adjust how much insulin is to be delivered. sustained release. For a rectal examination, the patient can be directed to assume which of the following positions? Changes in laboratory values. Eye clear Shiny hair Ridged nails Moist conjunctiva 2. The normal activated partial thromboplastin time is 16 to 25 seconds and the normal prothrombin time is 12 to 15 seconds; these levels must remain within two to two and one half the normal levels. use only for small volumes, toxic effects, idiosyncratic reactions, allergic reactions, tolerance and dependence, and interactions, wound dressing type- ulcer can be visualized, wound dressing that maintains moist environment, promotes healing and protects would by absorption, wound dressing: sheet or tube, keeps wound moist to aid in healing. Your hair is really pretty offers no consolation or alternatives to the patient. D. Since about 40% of patients fall out of bed despite the use of side rails, side rails cannot be said to prevent falls; however, they do serve as a reminder that the patient should not get out of bed. - Lying on back, support with pillows, trochanter rolls, or splints - Asthma The only abbreviation we can use for subcutaneous is what? Nausea Which of the following nursing interventions has the greatest potential for improving this situation? Set your dose Roll in hand right patient C. Presenting symptoms of hypokalemia ( a serum potassium level below 3.5 mEq/liter) include muscle weakness, chronic fatigue, and cardiac dysrhythmias. . A prescribed amount of oxygen s needed for a patient with COPD to prevent: 40. Return Mobility: With that being said, critical thinking is the backbone of the nursing world. A patient about to undergo abdominal inspection is best placed in which of the following positions? ice to site before injection 7. Polypharmacy - patient on many drugs. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! In order for perfusion to occur, must have ventilation, diffusion & respiration, Neural administer pain meds 30-40 minutes before scheduled dressing change C. A patient with dysphagia (difficulty swallowing) requires assistance with feeding. hand hygiene before handling equipment. Clear Pathway to bathroom - Mental confusion Conversions between systems disposable, prefilled, sterile, cartridge units, glass container with a constricted, pre-scored neck Body surface area Document in a timely fashion, Person on the blunt end of the needle is responsible for the sharp end of the needle During a Romberg test, which evaluates for sensory or cerebellar ataxia, the patient must stand with feet together and arms resting at the sidesfirst with eyes open, then with eyes closed. Final Score on Quiz Inform the staff that they must volunteer to rotate. The other answers are incorrect interpretations of the statistical data. Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. DAccountability is clearest when one nurse is responsible for the overall plan and its implementation.Question 46 Explanation: Studies have shown that patients and nurses both respond well to primary nursing care units. C. A hospitalized surgical patient leaving his room for the first time fears rejection and others staring at him, so he should not walk alone. Pain related to immobilization of affected leg. make sure enough insulin 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End 2. - A single dose to be given at a specific time Allow a 1 hour rest period between activities Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. The physician is responsible for instructing the patient about the test and for writing the order for the test.Question 30The most common psychogenic disorder among elderly person is:ASleep disturbances (such as bizarre dreams)BDepressionCDecreased appetite DInability to concentrateQuestion 30 Explanation: Sleep disturbances, inability to concentrate and decreased appetite are symptoms of depression, the most common psychogenic disorder among elderly persons. NO BONE, TENDON OR MUSCLE EXPOSED 28. Get Results APerson, nursing, environment, medicineBPerson, environment, health, nursing CPerson, health, nursing, support systemsDPerson, health, psychology, nursingQuestion 44 Explanation: The focus concepts that have been accepted by all theorists as the focus of nursing practice from the time of Florence Nightingale include the person receiving nursing care, his environment, his health on the health illness continuum, and the nursing actions necessary to meet his needs. Consequently, the nurse must observe for objective signs. Encourage the patient to walk in the hall alone Documented on patient medical record, Movement of gases between air spaces and blood stream, Movement of blood into and out of the lungs to organs and tissues Consuit a physical therapist before allowing the patient to ambulate. 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.
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