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When the nurse assesses a 78-year-old patient with pneumonia, what is the priority assessment? A. Breath sounds B. Airway patency C. Respiratory rate D. Percussion sounds - Answer b (ABC'S) A 45-year-old man has been admitted to the hospital with suspicion of PE. Which of the following symptoms should the nurse report to the primary health practitioner immediately? A. Chest pain B. Shortness of breath C. Respirations 20 breaths/min D. Productive cough - Answer a - chest pain is a...

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Sexuality: - Answer is how people experience and express themselves as sexual beings. Sexuality is unique to the individual, is core to who we are, and is dynamic throughout our lifetime What is the most important thing for women to do rather than a regular breast examination? - Answer Be familiar with their own breasts, regardless of risk factors. Know the whole area of their breast tissue well enough to notice changes (includes the entire breast area up to the collarbone and un...

Menopause - Answer the cessation of menses for at least 12 months usually taking place between the ages of 41-59 What causes menopause? - Answer age related hormonal changes such as decrease in estrogen S/S of menopause - Answer Hot flashes Atrophic vaginitis (thinning, drying and inflammation of vaginal walls) shrinking of labia dyspareunia (painful intercourse) increased vaginal pH (decreased vaginal secretions and dryness) incontinence Mood swings changes in sle...

The school health nurse is educating a female student with questions regarding puberty and pubic hair. The student asks "What is the top part where the hair is?" Which response is most helpful? a. "The mons pubis is the rounded mound of tissue where pubic hair will be visible." b. "The female genitals have hair on the outer surface, known as the labia majora." c. "You don't have to worry about puberty yet. I'm sure your mom will talk to you." d. "The vulva is...

thorax or thoracic cavity - Answer closed cavity of the body, containing structures needed for respirations. Surrounded by the ribs and muscles and extends from the base of the neck to the diaphragm. Three section of the thorax - Answer Mediastinum and the right and left pleural cavities mediastinum - Answer contains the heart, trachea, esophagus, and major blood vessels of the body. pleural cavity - Answer contains lungs. lower respiratory - Answer includes ...

An RN is evaluating a patient who is experiencing erectile dysfunction. Which information is of primary importance to the RN's evaluation? - Answer The patient was recently diagnosed with hypertension and is taking metoprolol (Lopressor). Erectile dysfunction is a side effect of... which kind of drug? - Answer anti-hypertensive agents like; metoprolol. An RN is discussing barrier methods of contraception with a patient. The RN explains that one of the barrier methods may remai...

Nurse Toni is reviewing the handout about IV pain medications during labor with Claire. Which of the following statements should Nurse Toni make? - Answer "You can receive meperidine up until 4 hours prior to birth." Nurse Toni is reviewing the benefits of skin-to-skin contact for a newborn with Claire and Kyle. Which of the following information should Nurse Toni include? - Answer -Helps with thermoregulation -Assists in stabilization of the heart rate -Promotes early breas...

obesity - Answer excessively high amount of body fat Obesity is a major risk factor for - Answer leading causes of death including DM2, heart disease, and certain cancers what factors led to your obesity - Answer genetic and biologic factors, socioeconomic factors, ethnic factors Fluid/food for starting clear liquids after gi issue - Answer gelatin Avoid what before bed with GERD - Answer eating C-diff precautions and signs - Answer watery diarrhea wi...

How do you ensure your patient's safety at home? Out in public? In the acute care setting? - Answer Home: fire alarms, accessibility Acute care setting: Wear an ID badge visible to pt. Always ID patient Orient patient to surroundings Keep your working environment and the patient area in good order Be knowledgeable of all policies and procedures Be an excellent communicator What considerations are required for any patient in restraints? - Answer Current standard for long-te...

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Assessment is a "doing" process. The four techniques of physical assessment are: - Answer 1. Inspection, looking 2. Percussion, tapping different areas of the body to assess underlying structures. 3. Palpation, using your hands to feel surface characteristics 4. Auscultation, listening for sounds Critical Thinking - Answer Essential during the assessment process. Performing an assessment requires the nurse to be able to think, recall knowledge, and recognize the differe...

An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased man arrives at the hospital and asks, " Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy? A. "You are just to late for that. Where were you when he needed you?" B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?" C. "I'll close the...

Tb signs and symptoms - Answer Chest x ray could show calcification (latent) but could be asymptomatic/ not contagious Sputum is bloody/rust color Wt loss Night sweats Fatigue Fever Tell provider if you develop - Answer Orthopnea/ Dyspnea for new onset symptoms Tb precautions - Answer Airborne precautions but transmitted through droplet Tb risk factors - Answer Homelessness Incarcerated Immunocompromised (HIV/AIDS) Low SES at risk Does a pt with tb ne...

Concepts of Professional Identity - Answer - Sense of oneself influenced by characteristics, norms, and values of the nursing discipline, resulting in an individual thinking, acting and feeling like a nurse. - 5 subcategories doing, being, acting ethically, flourishing, changing identities LCC end of program Learning Outcomes - Answer - Patient centered care - nursing judgement and evidence-based care - professional identity - safety and quality - teamwork and collaboration sk...

facture - Answer Break in the continuity of a bone Fracture is Most Common in : - Answer Patients who have experienced trauma and older adults Long Bone Early Complications - Answer Fat Embolus DVT Compartment Syndrome Compartment syndrome - Answer occurs when swelling causes increased pressure leading to decreased blood flow and potential muscle and nerve damage... EMERGENT For long bone fracture you should monitor - Answer Pulses and Temp. Closed Fract...

Explain the correct way to palpate the breast. p. 359-361 - Answer Pt supine with arm over head - There are several different techniques to assess for lumps. It is important that the nurse has a systematic search pattern to thoroughly assess each breast, the tail of Spence, and axillary lymph nodes. Circular pattern for palpation - Answer starts by palpating the areola first and moving in a circular motion from the areola to the outer perimeter of the breast Radial spoke pattern...

What is a health assessment? - Answer Skill to identify normal from abnormal findings; nurses need to identify normal variants How does a nurse identify normal findings? - Answer By collecting, validating, and clustering data to assess the whole patient What is the nursing process? - Answer Assessment, diagnosis, planning, implementation, evaluation What is the "assessment" portion of the nursing process? - Answer Requires nurse to collect and analyze info abou...

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cde - Answer The nurse meets with a patient who was a victim of sexual assault. Which statements made by the patient indicate recovery? Select all that apply. a. "I try not to think about the night that I was raped." b. "I realize that I am hopeless about trusting others." c. "I feel comfortable hanging out with my male friends." d. "I manage the really dark days by going to a gym class." e. "All of my bruises have healed, and I can wear tank tops again....