Fundamentals of Nursing NCLEX Study guides, Class notes & Summaries

How does managed care affect the economics of health care delivery? - Decreases duplicate processes and redundant facilities rationale: The corporatization of health care amalgamates the smaller health care operations into the larger organizations to decrease duplicate and redundant health care provisions. For example, one hospital would provide a high level of cardiac care, while another hospital would focus on oncology. What is meant by the term integrated health care delivery system (IH...

A nurse is preparing to insert an IV catheter into a client's arm prior to initiating IV fluid therapy. Which of the following interventions should the nurse implement to prevent infection? a) Thread the IV catheter so that the hub rests at the insertion site b) Shave excess hair from around the insertion site c) Cleanse the site with hydrogen peroxide before IV catheter insertion d) Palpate the site carefully just before inserting the IV catheter - A

When you ask in an experienced nurse why it is necessary to change the patient's bed every day, the nurse says, "I guess we have just always done it that way." The answer is an example of what type of knowledge? - traditional knowledge which nursing actions reflect the use of philosophy as a knowledge base when delivering evidence-based care to patients? Select all that apply - a nurse draws from personal experiences of being a patient to establish a therapeutic relationship with a patie...

Which of the following signs or symptoms in an opioid-naïve patient is of greatest concern to the nurse when assessing the patient 1 hour after administering an opioid? A. Oxygen saturation of 95% B. Difficulty arousing the patient C. Respiratory rate of 10 breaths/min D. Pain intensity rating of 5 on a scale of 0 to 10 - B

NCLEX Fundamentals of Nursing Exam Guide | Questions with Verified Answers Body Mechanics - the proper use of the body to facilitate lifting and moving and prevent injury The nurse should move close to the object and use the large muscles of the arms and legs to lift the object Advance Directive Requirements - It is signed by the client There are 2 signatures on the form There is a durable POA on the form

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 - b. Bathing practices and cleansing habits and rituals vary widely. The patient's preferences should always be taken into considerat...

A 73-year-old patient who sustained a right hip fracture in a fall requests pain medication from the nurse. Based on his injury, which type of pain is this patient most likely experiencing? 1) Phantom 2) Visceral 3) Deep somatic 4) Referred - Answer: 3) Deep somatic Rationale: Deep somatic pain originates in ligaments, tendons, nerves, blood vessels, and bones. Therefore, a hip fracture causes deep somatic pain. Phantom pain is pain that is perceived to originate from a part that was r...

A staff nurse who is promoted to assistant nurse manager may feel uncomfortable initially when supervising her former peers. She can best decrease this discomfort by: - Making changes after evaluating the situation and having discussions with the staff. A patient is characterized with a #16 indwelling urinary (Foley) catheter to determine if: - His 24-hour output is adequate A patient has just received 30 mg of codeine by mouth for pain. Five minutes later he vomits. What should the nurse ...

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