4. C. Capillary refill greater than 3 seconds and buccal cyanosis, What is the order of the nursing process? Save. D. none of the above. B. Apex of the heart Preview; Seller; Reviews; Written for; Document information; Connected book US NURS 200 NURS 200; Exam (elaborations) Fundamentals of Nursing Final Exam Test Bank new exam practice question and answers . Which patients would be considered vulnerable populations? f) nurses should not let their values influence patient care, Five-year-old Bobby has dietary modifications related to his diabetes. Failure to seek guidance y = 5; The patient states, "Well, I haven't seen you before. C. Doctor and family 2. Ask the manager to talk with the father and keep him out of the unit. 4. A. 1. The third stage is acknowledgement in which the patient moves through a period of grieving to the next stage of accepting the impairment. A. Praying with family P - problems with eating or feeding Predication. Lillian Wald founded the Henry Street Settlement in New York City and is considered the founder of community, or public health, nursing. The average daily amount of urine excreted by an adult is: What does the P in the acronym PES stand for? The nurse's knowledge about this patient would result in which type of assessment approach at this time? Place the feeding 20 inches above the point of insertion of NGT Select all that apply. Identifying risk factors 4 2 Which role is the nurse playing for the patient? Deep breathing exercises and chest physiotherapy are performed to prevent respiratory complications. This is an example of a nurse's role as a/an: Nurse Cathy on the other hand, knows the case immediately even before a diagnosis is done. b) a patient shows off a new outfit that she is wearing after losing 20 pounds Which statements apply to the immunity theory of aging? However, a rectal temperature is contraindicated in patients having rectal disease, rectal surgery or diarrhea), The usual sequence for assessing the bowel is: The nurse's relationship with the patient an aprn has Skip to document Ask an Expert Sign inRegister Sign inRegister Home b) autonomy C. Gurgles 1. Fundamentals of Nursing Safety First: A Nurse's Guide to Promoting Safety Measures Throughout the Lifespan Genomics Relaxation therapy The patient should be positioned with the head of the bed completely flattened to perform an abdominal examination. ", D - request specific information regarding complications, During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after she communicates the plan of care. What are the 5 steps in the nursing process? 5. d) fidelity A. There are 600+ NCLEX-style practice questions partitioned into four sets in this nursing test bank. 1. Select all that apply. 90 degrees A patient complains of pain when swallowing solid food. 1. e) fractured hip 4 c) values are ranked on a continuum of importance The tertiary preventive measures in this case would include implantation of a prosthetic foot, referring the patient for vocational retraining, and referring the patient to social support groups. Determine effect of pain intensity on client function. Contributions from research build on the evidence for use of nursing diagnoses in identification of patients' health care problems. Select all that apply. f) effective advocacy may entail becoming politically active, A nurse assesses patients in a physician's office who are experiencing different levels of health and illness. D. Inguinal site. Implementation, 4 c) only the physician is responsible, because the physician actually ordered the drug 5. Information is organized into units covering the NCLEX major client needs categories: Safe and Effective Care Environment, Health Promotion, Psychosocial Integrity and Physiological Integrity. 1. Chest x-ray film "How often do you visit your healthcare setting?" C. Respiratory rate greater than 20 breaths per minute Which nursing standards of practice should the nurse adopt while caring for this patient? 2. Three criteria must be met to establish malpractice: a nursing error, a patient injury, and a connection between the two. Which are legal sources of standards of care the nurse uses to deliver safe healthcare? The standards of practice are planning, diagnosis, and assessment. Inaccurate understanding of cues. D. Professional. A. 2. Fundamentals of Nursing exam 1 - Fundamentals of Nursing Chapter 1 - Introduction of Nursing EXAM - Studocu chapters for exam 1 and exam 2in foundations fundamentals of nursing chapter introduction of nursing exam review from box pg.12 health people 2020 guidelines: Skip to document Ask an Expert Sign inRegister Sign inRegister Home c) behaviors to promote health Ati ene fundamentals physiologic concepts for nursing practice nutrition flashcards quizlet nclex rn practice . Defining characteristic. B. 2. Expansion of the current taxonomy of nursing diagnosis 1. It attempts to create conditions for optimal health. 4. b) private law During the application of medication it is inappropriate to instill the medication directly into the tympanic membrane. f) filing of an incident report should be documented in the patient record, A nursing student asks the charge nurse about legal liability when performing clinical practice. Quality Improvement ", A nurse administers the wrong medication to a patient and the patient is harmed. f) illness is the response of a person to a disease, The student nurse learns that illnesses are classified as either acute or chronic. The nurse has initiated these exercises to improve the patient's lung capacity. 4. Before meals The patient follows poor hygiene measures. The patient was diagnosed with diabetic ketoacidosis (DKA). b) assuming the sick role f) a white baby born with cerebral palsy, A nurse has volunteered to give influenza immunizations at a local clinic. 500 to 600 ml The nurse needs to understand how the Greek culture impacts the father's health beliefs and communication with health care providers. C. Making of individualized patient care 3. d) board approval, If a review of a patient's record revealed that she never consented to a surgery, of which intentional tort might the surgeon have been guilty? Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant d) Nancy, whose family encourages regular physical examinations, Health promotion activities may occur on a primary, secondary, or tertiary level. Validate with findings from a physical examination. Continue with existing guidelines. Safety. c) by never exposing others to any type of illness d) nurse advocates make good health care decisions for patients and residents c) an incident report is used for quality control Select all that apply. c) a nurse provides range-of-motion exercises for a paralyzed patient Flashcard Maker: Kayla Seay. The nurse documents this as: Unit 2 EAQ Health & Wellness, Ethics Cultural, Development. The registered nurse coordinates care delivery and uses strategies to promote health and a safe environment. d) there is much interest in the role of vitamin supplementation Family practice associated with the emotional aspects of seeing a health care provider. A registered nurse should adopt an environmentally healthy and safe approach. C. Love Critical thinking is a vital part of assessment. D. Macule. In a casual conversation, responds to patient questions regarding the need for an IV infusion Instead, this question gives information regarding the patient's knowledge about the medications. Which nursing assessments would be best for the nurse to use to confirm a lung problem? B. Use of open-ended questions Pulse greater than 100 beats per minute is tachycardia. Which tertiary preventive measures should be advised for this patient? Catalyst _____. If you want to check your ability to succeed as a nurse, try to excel in these trivia questions and answers. She assesses that the lighting in the home is poor and there are throw rugs throughout the home and a low footstool in the living room. Fundamentals Of Nursing Questions Part 1 Exam Quiz . B. Health promotion nursing diagnosis. b) cover the nose and mouth with gloved hands if a sneeze is imminent Case manager. Vesicle is a circumscribed circulation containing serous fluid or blood and less than 1 cm (ex. Location of the hospital 2. C. Marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea 3. 3. C. Promoting a positive self-image 3. a) Jane, whose best friend had a benign breast lump removed A 50-year-old patient is admitted with acute exacerbation of asthma. 4 Pia's serum sodium level is 150 mEq/L. Patient education is a major role of the nurse educator. Selecting the correct nursing diagnosis is based on proper assessment of the patient and proper analysis of the health problem. 3. The patient's question allows for what type of communication? His arm in a cast NANDA-I defines risk nursing diagnoses as a clinical judgment concerning the vulnerability of an individual, family, group, or community for developing an undesirable human response to health conditions. Prescription of narcotics for pain relief is a secondary prevention, which is done after diagnosis. Existing guidelines would be considered old and redundant under health care reform, and adopting new measures to suit the changes will help. Acknowledgement The nurse suspects a pulmonary pathology and asks for a chest x-ray to confirm the findings. 3. d) stages of illness, When providing health promotion classes, a nurse uses concepts from models of health. Error, injury and proximal cause Prolonged Vitamin B9 deficiency will lead to megaloblastic anemia while pernicious anemia results in deficiency in Vitamin B12. Errors in the interpretation and analysis of data occur when the nurse is unable to validate data, which can lead to a mismatch between clinical cues and the nursing diagnosis. d) ethical residue, A student nurse begins a clinical rotation in a long-term care facility and quickly realizes that certain residents have unmet needs. Broccoli, cabbage and tomatoes are good source of Vitamin C. When assessing a patient's level of consciousness, which type of nursing intervention is the nurse performing? Guarantees safe nursing care for all patients Which of the following is the most important purpose of planning care with a patient? 5. ", B - nurse should ask permission to assist the patient with a bath, A nurse is providing instruction to a patient regarding the procedure to change his colostomy bag. 1. Planning is prescribing strategies and alternatives to attain expected outcome. 3. while (!queue.isEmptyQueue()) 4. Patient and relatives b) beneficence c) "Most complications of diabetes are related to neuropathy." What educational setting would be most appropriate for this process? B. Rigor mortis b) defendants The nurse is having difficulty communicating with the father. c) rheumatoid arthritis 5. Collaboration and environmental health are care standards of professional performance. Use sterile gloves when obtaining urine The patient wants to go home on oxygen and be comfortable. 3. NCLEX Connections Safety When entering the room, what is the nurse's best response? c) decrease in size and function of the thymus causes infections Select all that apply. Which of Gordon's model of 11 functional health patterns should the nurse address in her assessment? Care for the boy using hand gestures as if he were from the local community. 3. 2 Opening a closed drainage system increase the risk of urinary tract infection. Considering the patient's age, screening tests for colon cancer are performed, and the patient is advised to begin a high-fiber diet. d) the nurse cleans the most soiled items in the patient's bathroom first and follows with the cleaner items, C - nurse should move equipment away from body when cleaning to prevent contaminated particles from settling, A school nurse is performing an assessment of a student who states: "I'm too tired to keep my head up in class." A. In this case the patient's language, age, and gender are internal variables. c) cardiac output increases Errors in the diagnostic statement During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents? Associate degree program in nursing This inability to validate leads to errors in interpretation and analysis of data. 1. 5. The current health care provider's diagnosis will decide will the final diagnosis based on examinations and diagnostic tests. S1 is heard best at the: a) fatty tissue is redistributed Founded public health nursing in New York City Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 1 4.9 (22 reviews) Flashcards Learn Test Match Term 1 / 49 During a physical assessment, the nurse closes and door and provides drape to promote privacy. Which QSEN competency is the nurse referring to? The nasal cannula is the most comfortable method of delivering oxygen because it allows the patient to talk, eat and drink. When a change in body image results from an event such as a leg amputation, the patient generally adjusts in the following phases: shock, withdrawal, acknowledgment, acceptance, and rehabilitation.