Before wrapping the body in a shroud, the nurse places a clean gown on the body and closes the eyes and mouth. Depression typically begins before the onset of old age and usually is caused by psychosocial, genetic, or biochemical factors Question 4A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. Pathological influences on body alignment, exercise, & activity, Congenital Defects shiny or dry 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. Nclex Practice Questions 1 Free Test Bank 2022 Nurseslabs. Position the patient A. Which of the following parameters should be checked when assessing respirations? All of these positions are appropriate for a rectal examination. 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. - can be determined by having a person stand and just look to see if a person is wobbly. The nurse administers the wrong medication to a patient and the patient vomits. Patients feel less anxious and isolated and more secure because they are allowed to participate in planning their own care. What position should patient be in for rectal suppositories? However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. C. Hyperactive sounds indicate increased bowel motility; two or three sounds per minute indicate decreased bowel motility. Question 27Which of the following vascular system changes results from aging?ADecreased blood flowBIncreased peripheral resistance of the blood vesselsCIncreased work load of the left ventricleDAll of the above Question 27 Explanation: Aging decreases elasticity of the blood vessels, which leads to increased peripheral resistance and decreased blood flow. counts Side rails are a reminder to a patient not to get out of bed. D. 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. Prone An apathetic 63-year old COPD patient receiving nasal oxygen via cannula. - low O motivates COPD patient to breathe Blood pressure is typically assessed at the antecubital fossa, and respiratory rate is assessed best by observing chest movement with each inspiration and expiration. D. 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. Medications administered These include: 35. 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. Immobility, diaphoresis, and avoidance of deep breathing or coughing, Decreased blood pressure and heart rate and shallow respirations. Question 21If nurse administers an injection to a patient who refuses that injection, she has committed:AAssault and batteryBNone of the above CMalpracticeDNegligenceQuestion 21 Explanation: Assault is the unjustifiable attempt or threat to touch or injure another person. You got 50 minutes to finish the exam .Good luck! 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. Rhythm "activity intolerance related to COPD as evidence by dyspenia when walking to car" Tympanic percussion, measurement of abdominal girth, and inspection are methods of assessing the abdomen. Assisting a patient out of bed with the bed locked in position is the correct nursing practice; therefore, the fracture was not the result of malpractice. Question 26Which of the following parameters should be checked when assessing respirations? ALess than 30 ml/hourB64 ml in 2 hoursC125 ml in 4 hours D90 ml in 3 hoursQuestion 5 Explanation: A urine output of less than 30ml/hour indicates hypovolemia or oliguria, which is related to kidney function and inadequate fluid intake. The study of how medications enter the body, reach the site of action, metabolize and exit the body Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse? 30. b. Question 19To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. Written report within 24 hours of occurrence, Comparison of medications taken at home and prescribed when in the health care setting, Change in patient's condition Assessing for distention, tenderness and discoloration around the umbilicus can indicate various bowel-related conditions, such as cholecystitis, appendicitis and peritonitis. Fundamentals of Nursing Quiz Question with Answer 1. The other answers are incorrect interpretations of the statistical data. Question 6Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?ADecreased blood pressure and heart rate and shallow respirationsBImmobility, diaphoresis, and avoidance of deep breathing or coughingCQuiet cryingDChanging position every 2 hours Question 6 Explanation: An Asian patient is likely to hide his pain. Question 31 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. A sign of increased bowel motility Parkinsons disease is a neurologic disorder caused by lesions in the extrapyramidial system and manifested by tremors, muscle rigidity, hypokinesis, dysphagia, and dysphonia. 1. verify rights 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. They also seem to gain a greater sense of achievement and esprit de corps. In Sims position, the patient lies on his left side with the left arm behind the body and his right leg flexed. Safety check to protect you waiting to see if you change your name Symmetry Such a patient is unlikely to display emotion, such as crying.
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