LPN Fundamentals Of Nursing Exam 1-6 FINAL EXAM Comprehensive Question And Answers 100%.

Define Sinus Tachycardia - correct answer Regular Rhythm, rate 100-180 beats/min (higher in infants) When is the best time of the month to perform a self-breast examination? - correct answer 4th to 7th day during menstrual cycle or days after cycle has ended. Define total Patient Care - correct answer Rn is responsible for all aspects of care for one or more pts during a shift of care. Care is usually consistent, comprehensive, and holistic, care can be delegated. RN works directly with pt, family and health care team members. Define Primary nursing - correct answer 1 primary RN assumes responsibility for a caseload of patients, provides care for the same pts during their stay in health care facility. RN assesses pt, develops plan of care and delivers appropriate nursing intervention. Communication is lateral from nurse to nurse and caregiver to caregiver. Define major surgery - correct answer Involves extensive reconstruction or alteration in body parts, poses great risks to well being. Describe a stage II pressure ulcer - correct answer Partial thickness loss of dermis presenting a shallow ulcer red- pink wound bed without slough. May present an intact or open. ruptured serum filled blister. Shiny dry shallow ulcer without slough or bruising. Define Presbyscusis - correct answer Hearing loss associated with aging. Usually involves both a loss of hearing sensitivity and a reduction in the clarity of speech. Define Ventilation - correct answer movement of air in and out of the lungs. Afterload ejection of blood from left ventricle define contact precaution - correct answer Safeguards designed to reduce the risk of transmission of epidemiologically important microorganisms by direct or indirect contact. what sound do rhonchi make - correct answer sonorous wheeze-coarse, low pitched: may clear with cough. describe head lice - correct answer attach their eggs to hair, eggs look like oval particles of dandruff. Lice are difficult to see, observe for bites or pustule eruptions in the follicles and area where skin surfaces meet behind the ears in the ears and in the groin. describe diffusion - correct answer movement of gases between air spaces and blood stream what is the final step in a complete assessment? - correct answer documentation S/S of hypostatic pneumonia - correct answer 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 - correct answer increased PaCo2 and increased hydrogen ion concentration below 7.35. This reflects the excess carbonic acid in the blood (hypoventilation produces R. acidosis) what is the primary advantage of hydrogel dressing ? - correct answer contains a high percentage of water for wounds that require moisture. Maintaining a moist wound environment needed for healing. Hydrogel facilitates debridement by softening dead tissue. A pt complains of chills, dizziness and feeling hot during a blood transfusion. What are the nurses most appropriate actions? - correct answer Stop transfusion immediately. Remove blood component and tubing containing and tubing contacting blood products replace with new primed tubing with 0.9% sodium chloride Maintain patent IV line with normal saline Stay with patient observe signs and symptoms and monitor every 5 min. Notify health care ream or response team notify bank prepare to do cpr and give emergency drugs save blood container, tube, labels and transfusion record get blood and 1st urine document transfusion reaction, description, treatment and outcomes The nurse is providing preoperative teaching for a patient regarding pain control after surgery. Which of the following statements is/are true regarding the use of postoperative analgesia? - correct answer -inform nurse as soon as pain becomes a persistent discomfort. -takes time for a drug to act -drugs rarely eliminates all discomfort. -don't be fearful of dependency - USE of PCA pump which leadership skills should a nursing student use when caring for patients? - correct answer clinical decisions making priority setting organizational skills use of resources time management evaluation team communication delegation a nurse wants to follow the American nurses association's social media policy. Which actions should the nurse take? - correct answer never name a patient never describe a patient never post an image of pt never disparage a fellow employee or employer report breaches of confidentiality and privacy. visual changes in older adults is caused by what? - correct answer glaucoma, Age Related MUACLAR DEGENERATION Good Samaritan Law - correct answer provides immunity to nurse who does what's reasonable to save life. follow through with care, hand off to emt or emergency personnel. Able to treat a minor without parental consent.