PROCTORED FUNDAMENTALS REMEDIATION
QUESTIONS WITH COMPLETE SOLUTIONS.
Legal,Responsibilities:,Completing,an,Informed,Consent,Document,,ANS,-
,The,client,must,give,it,voluntarily,(no,coercion),,be,competent,and,of,legal,age,or,be,an,emancipated,min
or,,and,receive,enough,information,to,make,a,decision,based,on,an,understanding,of,what,to,expect.
Legal,Responsibilities:,Application,of,Restraints,,ANS,-
,A,nurse,must,have,a,physician,order,to,apply,restraints,to,a,patient.,Failure,to,have,an,order,before,applyi
ng,restraints,is,considered,false,imprisonment.
Information,Technology:,Action,When,a,Visitor,Reports,a,Fall,,ANS,-
,When,a,visitors,reports,a,fall,,the,nurse,should,first,complete,an,incident,report.
Hygiene:,Bathing,a,Client,Who,Has,Dementia,,ANS,-,-Perform,bath,only,if,tolerated,
-Give,pt,a,simple,task,to,do
-Turn,down,lights,and,play,soft,music,to,promote,a,calm,environment
Fluid,Imbalances:,Hyperosmolar,Imbalance,,ANS,-
,Expected,findings:,tachycardia,,bounding,pulse,,HTN,,tachypnea,,increased,central,venous,pressure,,conf
usion,,muscle,weakness,,weight,gain,,ascites,,dyspnea,,orthopnea,,crackles,,edema,,distended,neck,veins.
Nasogastric,Intubation,and,Enteral,Feedings:,Unexpected,Findings,,ANS,-
,Gastric,residual,exceeding,250,mL,for,each,of,two,consecutive,assessments,,diarrhea,,nausea,and,vomitin
g,,aspiration,of,formula,,and,skin,irritation,around,the,tubing,site.
Nutrition,and,Oral,Hydration:,Calculating,Intake,,ANS,-
,When,adding,up,oral,fluid,intake,,know,that,1,oz,is,equal,to,30mL
Rest,and,Sleep:,Interventions,to,Promote,Sleep,,ANS,-,-Establish,bedtime,routine,
-Exercise,regularly,two,hours,before,bedtime,
-Limit,,alcohol,,caffeine,,and,nicotine,4,hours,before,bedtime,
QUESTIONS WITH COMPLETE SOLUTIONS.
Legal,Responsibilities:,Completing,an,Informed,Consent,Document,,ANS,-
,The,client,must,give,it,voluntarily,(no,coercion),,be,competent,and,of,legal,age,or,be,an,emancipated,min
or,,and,receive,enough,information,to,make,a,decision,based,on,an,understanding,of,what,to,expect.
Legal,Responsibilities:,Application,of,Restraints,,ANS,-
,A,nurse,must,have,a,physician,order,to,apply,restraints,to,a,patient.,Failure,to,have,an,order,before,applyi
ng,restraints,is,considered,false,imprisonment.
Information,Technology:,Action,When,a,Visitor,Reports,a,Fall,,ANS,-
,When,a,visitors,reports,a,fall,,the,nurse,should,first,complete,an,incident,report.
Hygiene:,Bathing,a,Client,Who,Has,Dementia,,ANS,-,-Perform,bath,only,if,tolerated,
-Give,pt,a,simple,task,to,do
-Turn,down,lights,and,play,soft,music,to,promote,a,calm,environment
Fluid,Imbalances:,Hyperosmolar,Imbalance,,ANS,-
,Expected,findings:,tachycardia,,bounding,pulse,,HTN,,tachypnea,,increased,central,venous,pressure,,conf
usion,,muscle,weakness,,weight,gain,,ascites,,dyspnea,,orthopnea,,crackles,,edema,,distended,neck,veins.
Nasogastric,Intubation,and,Enteral,Feedings:,Unexpected,Findings,,ANS,-
,Gastric,residual,exceeding,250,mL,for,each,of,two,consecutive,assessments,,diarrhea,,nausea,and,vomitin
g,,aspiration,of,formula,,and,skin,irritation,around,the,tubing,site.
Nutrition,and,Oral,Hydration:,Calculating,Intake,,ANS,-
,When,adding,up,oral,fluid,intake,,know,that,1,oz,is,equal,to,30mL
Rest,and,Sleep:,Interventions,to,Promote,Sleep,,ANS,-,-Establish,bedtime,routine,
-Exercise,regularly,two,hours,before,bedtime,
-Limit,,alcohol,,caffeine,,and,nicotine,4,hours,before,bedtime,
