- acid-base imbalance, Oxygen carrying Capability The other answers are diseases that can occur in the elderly from physiologic changes. A patient about to undergo abdominal inspection is best placed in which of the following positions? They also seem to gain a greater sense of achievement and esprit de corps. Congratulations - you have completed Fundamentals of Nursing Practice Exam 2 (EM). Ineffective airway clearance related to dry, hacking cough is incorrect because the cough is not the reason for the ineffective airway clearance. Femoral Exit alarms/pads when patient gets out of bed, When a patient is a danger to themselves or tp stop them from pulling out catheters and other medical devices Defines the scope of nurses' professional functions and responsibilities. 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. The four main concepts common to nursing that appear in each of the current conceptual models are: 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. Regulated by TJC & CMS (centers for medicare/medicaid services) - Chest percussion Systolic blood pressure - Pain CThe nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.DThe nurse administers penicillin to a patient with a documented history of allergy to the drug. 45. However, the presence or absence of the pedal pulse should be documented upon admission so that changes can be identified during the hospital stay. If you leave this page, your progress will be lost. 25. instill drops- position dropper 1/2 to 3/4 inch above conjunctival sac- drop in prescribing number of drops Fundamentals of Nursing Exam 2 1) The nurse is inserting a nasogastric tube in an adult client. If a patients blood pressure is 150/96, his pulse pressure is: The pulse pressure is the difference between the systolic and diastolic blood pressure readings in this case, 54. A patient is kept off food and fluids for 10 hours before surgery. Medication Dose Responses, expected effects that don't contribute to helping the patient 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. The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Decreased appetite Protect the patient from injury Home or health care facility, Coordinated efforts of the musculoskeletal and nervous systems minutes The nurses most important legal responsibility after a patients death in a hospital is: 49. Has a reservoir that is filled with insulin and a microcomputer that allows you to adjust how much insulin is to be delivered. Time used Evaluation, Place call light within reach The nurse is responsible for giving the patient breakfast at the scheduled time. Body alignment: Question 35A 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. -Must be allowed to toilet, eat. do not rub or massage into skin Obtain baseline data (serves as baseline for comparison as the pt.'s health status changes) 2. Increased pulse rate and blood pressure sensory deprivation or overload This is for parapalegics Administration of Meds: Thus, a respiratory rate of 30 would be abnormal. minimizes pain and irritation
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