Fundamentals Of Nursing Ch 1-40 Updated| 907 questions| with complete solutions| 161 pages

(1)Which action by the nurse demonstrates implementation of Florence Nightingale's original theories about nursing care? a. The patient is gently bathed and given fresh linens after giving birth. b. The nurse forms a close therapeutic relationship with the patient. c. The nurse helps the patient conserve energy for healing processes. d. The nurse views the patient as a unique, ever-changing energy field. correct answer: a A college student who is working in northern Alaska during the summer reports that he or she has an increase in difficulty sleeping since moving north. During a pre-employment physical, the patient asks the health care provider what could be causing this. The health care provider suspects the sleep disturbance is most likely because of which factor? correct answer: Increased daylight hours in Northern Alaska 1.Which of the following actions are effective in reducing friction when repositioning a patient in bed? (Select all that apply.) a. Lifting rather than pushing b. Pushing the patient up in bed c. Asking the patient to bend his or her knees and lift the hips when moving up in bed d. Asking the patient to lie still as you reposition him or her; even when the patient offers to help e. The use of a draw sheet f. The use of a transfer board correct answer: ANS: A, C, E, F You reduce friction by lifting rather than pushing a patient. Lifting has an upward component and decreases the pressure between the patient and the bed or chair. The use of a draw sheet reduces friction because you are able to move the patient more easily along the bed's surface. However, there are several commercially available products to assist in the task of positioning and moving patients in bed such as transfer boards and Maxi Slides. Pushing the patient up in bed is incorrect because pushing increases the friction between the patient and the bed. Asking the patient to lie still is incorrect because a passive or immobilized patient produces greater friction to movement. PTS:1DIF:Cognitive Level: Applying (Application) REF:679 OBJ escribe the interventions for maintaining proper alignment, assisting a patient in moving up in bed, repositioning a patient needing assistance, and transferring a patient from a bed to a chair.TOP:Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment An elderly patient was admitted to the hospital after falling in the nursing home. The patient has a fractured right femur and is awaiting surgery. The surgeon orders bed rest. The patient asks the nurse what this means. What is the nurse's best explanation? correct answer: you have to remain in bed The patient has recently moved into a newly renovated home in the inner city. The patient is being seen in the clinic for complaints of ongoing headaches, nausea, dizziness and fatigue. The symptoms started shortly after moving into the new home. As the nurse gathers information, which of the following questions would be most appropriate to ask the patient correct answer: what type of furnace do you have 1.When is it appropriate to ask a surgeon to clarify information for a patient who is undergoing surgery? (Select all that apply.) a. Before the informed consent has been signed b. When a patient is confused about the reason for the procedure c. When a patient understands the risks involved in a procedure d. If there is confusion about the procedure after the informed consent is signed e. After the surgery has been performed correct answer: ANS: A, B, D Patients need to sign all consent forms before you administer any preoperative medications that alter the patient's consciousness. The primary responsibility for informing the patient rests with the surgeon and anesthesia care personnel. However, if the patient is confused or uncertain about a procedure, you are ethically obligated to contact the surgeon and/or anesthesia care provider so that further discussion and clarification are provided to meet the patient's needs. The patient always has the right to refuse surgery or treatment even after giving written consent. PTS:1DIF:Cognitive Level: Applying (Application) REF:1142 | 1144OBJ repare a patient for surgery. TOP:Nursing Process: Implementation MSC: Client Needs: Safe and Effective Care Environment Interventions a nurse can use to establish presence with a patient include which of the following? (Select all that apply.) a. Giving attention b. Answering questions c. Listening d. Administering medication e. Speaking with the family correct answer: A. giving attention B. answering questions C. listening A patient who was injured in a motor vehicle accident is taken via ambulance to the emergency department. The nurse performing the physical assessment knows that, according to the general adaptation syndrome, the patient should be expected to exhibit: a. increased blood flow to the intestines. b. increased heart rate. c. decreased blood pressure. d. decreased blood glucose levels. correct answer: b. Increased heart rate A 63-year-old welder who has gone to the clinic for an annual checkup. T