Fundamentals of Nursing (Nursing)

A nurse is interviewing a patient who just received news that he has pancreatic cancer. The patient tells the nurse that getting cancer could never happen to him. Which defense mechanism is this patient demonstrating? A. Projection B. Denial C. Displacement D. Repression (Ans- B A patient's health history of breast cancer that runs in the family is what type of risk factor? (Ans- Non-modifiable risk factor Laws affecting nursing practice (Think PHMPG) (Ans- -Right of Privacy ...

A patient who has had spinal surgery is not permitted to bend at the waist or sit in a chair. To position the patient safely in bed, the nurse: a. uses logrolling to accomplish position changes from side to side b. keeps her in a prone position to keep pressure off her back c. moves the top half of her body first, then the middle, and finally legs d. places her in low or semi-fowlers position only (Ans- a. uses logrolling to accomplish position changes from side to side (logrolling,...

A resident continues to ask you the same question over and over again each time you come into the room. You should: a. Tell the person you are tired of answering the same question b. Yell at the resident c. Report the behavior d. Be patient (Ans- D Before leaving on for lunch, you need to: a. Use the bathroom and wash your hands b. Turn off the computer c. Call home and check on your children d. Tell the nurse (Ans- D The most common cause of COPD/emphysema is: a. Pollutio...

A nurse is scheduling hygiene for patients on the unit. What is the priority consideration when planning a patient's personal hygiene? a. When the patient had his or her most recent bath b. The patient's usual hygiene practices and preferences c. Where the bathing fits in the nurse's schedule d. The time that is convenient for the patient care assistant (Ans- b A nurse caring for patients in a critical care unit knows that providing good oral hygiene is an essential part of nursing c...

A client is scheduled for hydrotherapy for a burn dressing change. Which action should the nurse take to ensure that the client is comfortable during the procedure? 1. Ensure that the client is appropriately dressed 2. Administer an opioid analgesic 30 to 60 minutes before therapy 3. Schedule the therapy at a time when the client generally takes a nap 4. Assign an assistive personnel (AP) to stay with the client during the procedure (Ans- 2 Rationale: The client should receive pain medica...

The nurse is inserting a nasogastric tube in an adult client. During the procedure, the client begins to cough and has difficulty breathing. What is the most appropriate action? a. Insert the tube quickly. b. Notify the health care provider immediately. c. Remove the tube and reinsert it when the respiratory distress subsides. d. Pull back on the tube and wait until the respiratory distress subsides. (Ans- d Rationale: During the insertion of the nasogastric tube, if the client experiences ...

pulse is regulated by what? (Ans- autonomic nervous system through cardiac sinoatrial node parasympathetic stimulation on pulse (Ans- decreases heart rate sympathetic stimulation on pulse (Ans- increases heart rate pulse rate (Ans- the number of contractions over a peripheral artery in 1 minute places you can record a pulse (Ans- temporal, carotid, brachial, radial, femoral, popliteal, posterior tibial, dorsalis pedis pulmonary ventilation (Ans- movement of air in and ...

What are body mechanics? (Ans- Coordinated efforts of the musculoskeletal and nervous systems Maintain balance, posture, and body alignment Mandatory for Lifting, bending, and moving Performing activities of daily living Four characteristics of Body Mechanics (Ans- Body Alignment Body Balance Coordinated Body Movement Friction What is Good Nursing Body Alignment (Ans- Relationship of one body part to another - don't twist Correct body alignment reduces strain on musculos...

what is the final step in a complete assessment? (Ans- documentation S/S of hypostatic pneumonia (Ans- decreased lung expansion, generalized respiratory muscle weakness and secretions occur without immobility. (comes from inflammation of the lung from stasis or pooling of secretions. ) s/s of respiratory acidosis (Ans- increased PaCo2 and increased hydrogen ion concentration below 7.35. This reflects the excess carbonic acid in the blood (hypoventilation produces R. acidosis) what...

What are direct interventions? (Ans- Anything that you do while physically with the patient e.g. administering medications, performing dressing changes What are indirect interventions? (Ans- Anything that you do outside of being with the patient on the patients behalf. e.g. restocking supplies, patient conferences, scheduling tests and treatments What are independent interventions? (Ans- They are nurse driven. Health promotion, teaching, basic comfort care, ADLs. The nurse doesn...