1. A nurse notes a client who has Parkinson disease shows signs of dyskinesia. Which of the following physical manifestations should the nurse expect? A. Difficulty swallowing Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving, not swallowing. B. Difficulty speaking Rationale: The nurse should expect to find with signs of dyskinesia difficulty moving, not speaking. C. Difficulty moving Rationale: The nurse should expect to find with signs of dyskine...

ATI Peds NCLEX Practice Detailed Answer Key Graded A

Describe the relationship of Maslow's Hierarchy to nursing practice. • Maslow's hierarchy is useful for understanding relationships among basic human needs and for establishing priorities of care. It provides a framework for nursing assessment and for understanding the needs of patients at all levels, so that interventions to meet priority needs become a part of the plan of care. Maslow's Hierarchy Level #1 (highest Priority) PHYSICAL DIMENSION • Level 1: Physiologic needs a...

When caring for the client with urinary catheter, how can the nurse prevent the transmission of infectious diseases? a. Ensure the urine bag is placed at client level. b. Disinfect tubes and ports when collecting specimen. c. Wear a protective gown when caring for the client. d. Avoid changing the client's position. e. Always apply moisturizers to client's skin. b. Disinfect tubes and ports when collecting specimen. The nurse should ensure that urine collection bags are positioned low...

Nursing process-ADPIE A-Assessment D-Diagnosis P-Planning I-Implementation E- Evaluation Purpose of assessment identify wellness, strengths, problems, evaluate plan of care and interventions Gordon's functional health patterns holistic focus on patients-assessment *health perception/management *nutrition-metabolism *elimination *activity-exercise *sleep-rest *cognitive-perceptual *self perception-self concept *role-relationship *sexuality-reproduction *coping-stress...

Four components to nursing practice (no matter what the setting) Client, environmental, health, and nurse The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which care...

Vital signs (VS) include... temperature, pulse, respiration, blood pressure, oxygen saturation, pain nurse's responsibility.... -take vitals correctly -understand values and interpret them -communicate findings -intervene as needed the difference between the amount of heat produced in the body and the amount of heat ____ in the environment, measured in degrees refers to lost, heat when do you perform hand hygiene? before and after each pt or pt care items The nurse ma...

A client is complaining because their provider didn't prescribe an antibiotic for their flu-like illness. What is the best response by the nurse? Your insurance won't cover an antibiotic in this case Antibiotics won't help, and may cause harm when used for a viral illness This is a fungal illness; you need an anti-fungal. I will call the doctor and advocate for you. Antibiotics won't help, and may cause harm when used for a viral illness Pathogens (organisms which can cause disea...

The nurse is caring for a client who requires extensive wound care. The client has consented to participate in a nursing research study regarding the wound care. Which client statement indicates understanding of the research goal? A) "This research will not influence my care." B) "Nursing care is based solely on research." C) "I will be paid to participate in the research project." D) "I will be helping to validate nursing care." D ("I will be helping to validate nursing ca...

A local health system implemented a number of health promotion policies and plans to prioritize health problems. The system must now evaluate the effectiveness of the interventions. Which groups are stakeholders in this initiative and would be involved in the evaluation process? A) Only consumers who were directly affected by the services provided B) Consumers, community leaders, and politicians C) Only hospital and clinic personnel who administered healthcare needs D) Healthcare providers...