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The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the primary health care provider, and completes an occurrence report. Which statement should the nurse document on the occurrence report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became rest...

Kidneys - Answer Remove waste from blood to form urine Ureters - Answer transport urine to bladder Bladder - Answer reservoir Urethra - Answer urine travels from bladder and exits nephron - Answer is the functional unit and forms the urine erythropoietin - Answer -works within bone marrow -maintains normal RBC volume renin - Answer cause water retention, increasing blood volume Nocturia - Answer frequent urinating at night p...

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Therapeutic Communication - Answer Active Listening, Using Silence, Clarifying techniques, Open end questions, touch Non-Therapeutic Communication - Answer Close ended questions Giving advice Why or how question False assurance Probing questions Excessive Questioning What is under the category communication? - Answer Active listening Therapeutic Communication Non-therapeutic Communication Closed ended questions Open ended questions Linguistic Paralingui...

A 28-year-old musician comes to your clinic, complaining of a "spot" on his penis. He states his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no burning with urination and no pain during intercourse. He has had several partners in the last year and uses condoms occasionally. His past medical history consists of nongonococcal urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of cigarettes a day, drinks...

Organs in RUQ - Answer - Liver - Gallbladder - Duodenum - Head of pancreas - Right kidney and adrenal - Hepatic flexure of colon - Part of ascending and transverse colon Organs in LUQ - Answer - Stomach - Spleen - Left lobe of liver - Body of pancreas - Left kidney and adrenal - Splenic flexure of colon - Part of transverse and descending colon Organs of RLQ - Answer - Cecum - Appendix - Right ovary and tube (females) - Right ureter - Right spermatic cord ...

Define focused database? - Answer this is used for a limited or short-term problem, concerns one problem or body system Define holistic health? - Answer the view that the mind, body, and spirit are interdependent and function as a whole within the environment. What's the difference between a medical diagnosis and a nursing diagnosis? - Answer a medical diagnosis is focused on the malfunctioning of a organ caused by disease while a nursing diagnosis is the evaluation of...

Where is the point of maximal impulse (PMI) normally located? - Answer In the left 5th intercostal space 7 to 9 cm lateral to the sternum A patient presents with claudication symptoms and diminished pulses. Which of the following is consistent with peripheral arteriole disease? - Answer Red shiny skin and hair loss on the lower extremities Displacement of the PMI lateral to the midclavicular line or greater than 10cm lateral to the midsternal line suggests what? - Answer ...

- The collection of data about the individual's health state - An ongoing process of gathering, analyzing, and reflecting on evidence - The point of entry to health care; the gathering of data about one's health state - Answer Assessment What is the point of assessment? - Answer To make a judgement or diagnosis What do you do with the assessment data that appears to be causal or associated? - Answer Cluster/group it together Different types of assessment? - An...

amplitude - Answer intensity (loud or soft) pitch - Answer frequency (high pitch or low pitch) quality - Answer timbre (subjective difference) duration - Answer length of time the note lingers louder, deeper, and longer sound; vibrates freely - Answer a structure with relatively more air such as the lungs and why produces a softer, higher, shorter sound; does not vibrate as easily - Answer a structure that is more dense and solid (such as the li...

from 2 ICS to 5 ICS; right sternal border to left mid-clavicular line - Answer heart extends? precordium - Answer anterior chest area overlying the heart and great vessels mediastinum - Answer area between the lungs in the middle of the thoracic cage angle of louis; rib 2 - Answer where manubrium articulates with the body of the sternum - __; landmark for __ tricuspid - Answer valve in between right atrium and right ventricle pulmonic semilunar valve ...

For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of "I sprained my ankle" B) An established patient with the chief complaint of "I have an upper respiratory infection" C) A new patient with the chief complaint of "I am here to establish care" D) A new patient with the chief complaint of "I cut my hand" - Answer C The components of the health history include all of the following ...

A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy (gall bladder removal). What is the overall purpose of assessment for this client? - Answer Making clinical judgments A client has presented to the emergency department (ED) with complaints of abdominal pain. Which member of the care team would most likely be responsible for collecting the subjective data on the client during the initial comprehensive assessment? - Answer ED nurse The...

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On initial assessment, a patient complains of pain. The nurse noticed that before this assessment, the patient was laughing and talking with family. What must the nurse remember during a pain assessment? - Answer Patients are the best judges of their pain. Mary Claire is an elderly 95 years old living alone in a retirement home. As an RPN, you know that older adults at risk for malnutrition will exhibit which of the following? - Answer Experience age-related gastrointestinal chang...

Illness - Answer subjective experience of loss of health Disease - Answer objective state of ill health Wellness - Answer quality of life-subjective Health - Answer State of mental physical and emotional well-being (objective). Involves person and environment. Clarification of health conceptualization - Answer Health as stability Health as actualization Health as stability & actualization Health as resource Health as unity Approaches to health car...

Asthma is defined as? - Answer Inflammation disorder of the airways What characterizes asthma? - Answer - mucus production - inflammation & hyper-responsiveness of airways - bronchoconstriction What medications can be a trigger for asthma & why? - Answer - Beta blockers & ASA (Broncho constricting properties) What is featured during the early response phase of asthma? - Answer Bronchospasm - trigger attaches to IgE receptor w/in basement membrane of bronchi...

what are the behaviors that you would expect to find in a client with COPD? - Answer typically present with a combination or S&S of chronic bronchitis, emphysema, and reactive airway disease. symptoms include: - productive cough or acute chest illness - breathlessness - wheezing - progressive exercise intolerance - alteration in mental status Systemic manifestations (decreased fat-free mass, impaired systemic muscle function, osteoporosis, anemia, depression, pulmonary hyper...

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Theory - Answer some basic understanding of things that helps us simplify and explain complex relationships Operationalization - Answer how to turn abstract concepts into something tangible/ meaningful observation - Answer how to measure analysis - Answer how to demonstrate causality or pattern, ex. when trying to solve different policy problems dependent variable - Answer a factor, event, or outcome that we want to explain independent variable - Answ...