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Potter, Patricia A., RN, MSN, PhD, FAAN, Anne Perry, RN, EdD, FAAN, Patricia Stockert, RN, BS. Fundamentals of Nursing, 9th Edition. Mosby, 022016. VitalBook file. 2. Inspection 3. Auscultation 4. Palpation 1 Percussion 3. While auscultating the adult patient's lungs, the nurse hears loud, bubbly sounds during inspiration that did not disappear after the patient coughed. Which finding should the nurse document from the lung assessment? 1. Rhonchi 2. Coarse crackles 3. Sibilant wheeze...

One nurse expresses that the manager prepared the holiday work schedule unfairly. The manager states that it is the same type of schedule used in the past and other nurses have no problem with it. Which response indicates the nurse is displaying an attitude of critical thinking? A: Accepting the preferences of the other nurses since there are several of them B: Recognizing that the nurse must have reached a false conclusion C: Considering going to a higher authority than the manager for an...

ANS: A Electricity is needed for refrigeration of food, and lack of electricity could have contributed to the nausea, vomiting, and diarrhea due to food poisoning. This discussion about the patient's electrical needs can be referred to social services. Foods that are inadequately prepared or stored or subject to unsanitary conditions increase the patient's risk for infections and food poisoning, and an assessment should include storage practices. The water supply, the increased number of...

Rationale The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote health and prevent illness or injury in clients from 18 to 100 years of age or older. The most common practice setting is the acute care hospital. A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the student indicates a correct understanding of the RRT member's purpose? A. "I will be caring for clients in the hospital." B. "I will be...

ANS: C Risk factors for development of a pressure injury include lack of mobility, exposure of skin to excessive moisture (e.g., urinary or fecal incontinence), malnourishment, and aging skin. The client with hemiparesis and incontinence has two risk factors. The client with pneumonia has no identified risk factors. The other two are at lower risk if they are not very mobile, but having two risk factors is a higher risk. A nurse is caring for a client with an electrical burn. The client ha...

A preoperative nurse is reviewing morning laboratory values on four clients waiting for surgery. Which result warrants immediate communication with the surgical team? Potassium: 2.9 mEq/L (2.9 mmol/L) An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best? Do not have the client sign the consent and call the primary health care provider. A cl...

Which action by the nurse demonstrates respect for the client as an individual? A) The nurse is giving report to another nurse about "the gallbladder client." B) The nurse is providing care to an older adult client and calls her "Mom." C) The nurse asks the aide to provide a bath for "the motor vehicle accident (MVA) client." D) The nurse is administering medication to a client she addressed as "Mrs. Taylor." D) The nurse is administering medication to a client she addressed as "Mr...

Growth occurs in an orderly and predicable pattern and then progresses from the head downward. Proximodistal pattern Growth occurs from the center of the body outward. Biological and hereditary factors that influence growth and development Factors: Physical or mental impairments; illness. Environmental factors that influence growth and development Factors: Nutritional concerns, exposure to pollution. Social factors that influence growth and development Factors: Cultural expectations, vi...

When someone loves as though unwanted information doesn't exist. Ex. An alcoholic believing they don't have a drinking problem because they only drink after 5 p.m. Repression Blocking a memory from conscious expression. ex. Forgetting the name of someone who caused harm to you. Rationalization Unconsciously falsifying a situation by giving a socially acceptable explanation to justify behavior. Ex. A student that didn't study blames professor for failing a test. Mallows hierarchy of ne...

science of nursing the knowledge base for care that is provided art of nursing is the skilled application of that knowledge to help people reach maximum quality of life and health.. ie some people can never be healthy due to a terminal illness but a nurse can help them maximize quality of life. nursing process Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and...