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233 terms

fundamental chapter quizzes

STUDY
PLAY
a nursing program certified by a state agency is said to be
approved
the process to obtain a nursing license in another state when the person has passed the NCLEX examination in their own state is to
utilize the reciprocity agreement between states
to identify the needs of a patient and design care to meet those needs, the health care team requires
an individualized care plan
the patient care emphasis on wellness, rather than illness, began as a result of
increased education concerning causes of illness
the most effective process to ensure that the care plan is meeting the needs of the patient or, if not, which changes should be made is
communication
an interdisciplinary approach to patient treatment enhances care by
preventing the fragmentation of patient care
a newly licensed LPN/LVN may practice
under the supervision of a physician or RN
whose influence on nursing practice in the nineteenth century was related to improvement of patient environment as a method of health promotion?
Florence Nightingale
The document in which the role and responsibilities of the LPN/LVN are identified is the
Nurse Practice Act
A cost effective delivery of care being used by many hospitals that allow the LPN/LVN to work with the RN to meet the needs of patients is
focused nursing
the American Hospital Association's 1972 document that outlines the patient's expectations to be treated with dignity and compassion is
Patient's Bill of Rights
the relationships among nursing, patients, health, and environment are the basis for
nursing models
the system that reduces the number of employees but still provides quality care for patients is
cross training
the purpose of licensing laws of LPN/LVN is to
protect the public from unqualified people
Maslow's hierarchy of needs is based on the premise that
basic needs must be met before the next level of needs can be met
early training programs for LPN/LVNs differ from today's concept of preparing the LPN/LVN in regard to the increased focus on
organized education
when assessing environmental factors affecting health and illness, the nurse must realize these factors are both physical and social, and that they
affect one another
the role and responsibilities of the LPN/LVN as a responsible caregiver require that the LPN/LVN
participate in continuing education activities
the organization that was established during World War II to provide nursing education and training was the
Cadet Nurse Corps
when discussing the health care delivery system, the nurse must recognize that
the major goal is to achieve optimal levels of health care
admission
entry of a patient into the health care facility
against medical advice
when a patient leaves the health care facility without a physician's order for discharge
continuity of care
continuing of established patient care from one setting to another
discharge planning
systematic process of planning for patient care after discharge from the hospital
disorientation
mental confusion characterized by inadequate or incorrect perception of place, time, and identity
empathy
ability to recognize and to some extent share the emotion and state of mind of another
health care facility
any agency that provide health care
home health agency
an organization that provides health care in the home
separation anxiety
fear and apprehension caused by separation for familiar surroundings and significant people
third party payors
entities other than the giver or receiver of service responsible for payment
transfer
moving a patient from one unit to another
surgical asepsis
is known as a sterile technique
the nurse practices medical asepsis in performing daily care by
keeping bed linens off the floor
the nurse instructs a patient that when conditions for bacterial growth are not favorable, the bacteria can lie dormant as
spores
when a patient with a respiratory infection complains that he is not yet on an antibiotic, the nurse explains that the physician is waiting on the results of the culture and sensitivity because this test determines
which antibiotics stop bacterial growth
the bacterium responsible for more diseases than any other organism is
streptococcus
a disease caused by a virus has an additional complication compared to a disease caused by bacteria because a virus
is not killed by antibiotics
a patient with ringworm asks the nurse if she has worms. the nurse instructs the patient that ringworm is caused by
fungi
to provide a safe environment for the patient, the nurse should be diligent in
hand hygiene between patient contacts
when giving an example of a fomite vehicle, the nurse describes a(n):
contaminated stethoscopes
the nurse assess the need for further instruction in wound cleaning when observing the patient
cleaning the area from the outside in
the nurse is concerned when a patient admitted with a diagnosis of pneumonia suddenly develops a urinary tract infection (UTI) because the nurse recognizes the UTI as a:
health care associated infection
the nurse prioritizes the care of four patients. which patient has a systemic infection?
40 year old with AIDS
the nurse recognizes that a patient has an inflammatory response in a surgical wound on the leg when
rubor and edema appear around the wound
the infection control practitioner plans an in service on control of health care associated infections. the program should concentrate on
educating hospital personnel about aseptic practices
most hospitals require that all needlesticks to a staff member be reported to begin proper treatment against
hepatitis b
the nurse who observes standard precautions when disposing of linens contaminated with feces will
don gloves only
the nurse instructs the patient that the most important preventive technique for breaking the chain of infection is
hand hygiene
before beginning care of a patient, the nurse should perform hand hygienic for a period of
30 seconds
when wearing a mask, the nurse should change it every
20-30 minutes
a major threat to health care workers is blood contaminated sharps. as a safety precaution, the nurse should discard a used syringe in a
puncture proof container
what is the root word of pericardiocentesis?
cardi
what is the suffix of the word pleurocentesis?
centesis
monoplegia refers to the paralysis of
one side of the body
Roseola infantum is a viral infection in infants. What is the color of the skin that you would expect to see in these individuals?
pink
Melan/o stands for black pigments. What do you call the cell that produces this black pigment of the skin>
Melanocytes
Arthrocentesis is a procedure done in surgery. the suffix "centesis" is referred to as what in the procedure?
puncture
cyanosis is a result of poor blood circulation in a person especially to the skin. what color do you see manifesting on the individual?
bluish
a patient came in complaining of blood in his stool, what is the process of viewing the patients' large intestines known as?
gastroscopy
a diabetic patient walked into a doctor's office complaining of needing to urinate a lot more, the medical terminally used for the patient's condition is know as
polyuria
a patient seen in the emergency room (ER) with yellowish skin color. what is the terminology used to describe this patient's color?
xanthoderma
which of the following is the correct combination of root word and prefix>
cardiac - pericardium
electrocardiograph refers to the process of recording while electrocardiogram refers to a recording instrument
false
change to its pleural/singular form: ovum
ova
change to its pleural/singular form: appendix
appendices
change to its pleural/singular form: phalanx
phalanges
the nurse instructs a nursing assistant to use large muscle groups when lifting because
it distributes workload more evenly
to reduce the effort of moving a heavy object, the nurse should
widen the base of support in the direction of movement
when lifting or moving a patient, the nurse should protect his or her back by
bending knees and hips
when carrying heavy objects, the nurse should place the load
close to the body midline
the nurse informs the patient that to regain the ability to perform ADLs and maintain normal physiological activities requires:
mobility
the nurse counsels the immobilized patient that to prevent muscle atrophy and contractors, the patient must have:
some type of exercise
the nurse explained that when range of motion (ROM) is performed by the patient, it is called
active
the nurse performing passive range of motion (ROM) for the patient will move the joint through the ROM to
the point of pain
because moving or ambulation may be painful for the patient, to assist the patient with moving, the nurse should
administer medication before ambulation
the 125 pound nurse assesses the weight of a patient she will need to lift because she is aware the heaviest patient she may safely lift by herself would weigh no more than
168.75 pounds
Although many nurses file worker's compensation claims as a result of injury on the job, the most common injury is train of the
lumbar muscle group
an implementation the nurse may use to improve safety during a transfer is
using a transfer belt
the nurse explains that the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility is
2 hours
when performing passive range of motion (ROM) exercises, the number of times the nurse should move each joint through the ROM is
five
studies of workers' compensation claims show that the profession that has the highest claim rates of any occupation or industry is
nursing personnel
a nurse instructing a nursing assistant about moving older adult patients in bed should intervene after observing the nursing assistant
pulling the patient across bed linens
the most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ----- and ----- at the same time
twist, lift
to maintain a wide base of support, the nurse should stand with the feet separated by the distance of ---- times the length of the nurse's shoe
1.5
when a fall occurs, the nurse should document the incident and initiate a(n) ------ report
incident
place the nursing activities in priority order for the preparation of a patient to ambulate
1. dangle the patient at the side of the bed
2. apply a gait belt
3. assist the patient to stand
4. inform the patient of activity
5. roll up the head of the bed
4. inform the patient of activity
5. roll up the head of the bed
1. dangle the patient at the side of the bed
2. apply a gait belt
3. assist the patient to stand
the part of the body that maintains a balance between heat production and heat loss, regulating body temperature, is the
hypothalamus
the type of body temperature that remains relatively constant is the
rectal
the nurse uses cooling techniques to keep the body temperature of an unconscious patient who has been outside all night in below-freezing temperatures. the nurse is aware that death can occur if the temperature falls below
93.2 degrees F
a fever that rises and falls but does not return to normal until the patient is well is classified as
remittent
using the tympanic thermometer for a child, the nurse should pull the ear pinna
downward and back
to ensure optimum reception from a stethoscope, the nurse should place the earpieces pointing
toward the face
the nurse uses the diaphragm of the stethoscope to best assess
low-pitched sounds
the nurse explains that the pulse - the expansion and contraction of an artery - is produced by contraction of the
left ventricle
when assessing vital signs on a 40 year old male, the nurse identifies a pulse rate of 120. this pulse is
tachycardic
the patient's pulse is below 60. because the nurse is aware that the patient is not receiving digoxin, the nurse believes that the bradycardia might be caused by
unrelieved severe pain
if a peripheral pulse needs to be assessed quickly, the nurse should select the
carotid pulse
the exchange of carbon dioxide and oxygen that takes place at the alveolar level is termed:
internal respiration
because a cardiac arrhythmia is suspected, the nurse is concerned with the findings of an apical rate of 88 and a radial rate of 80. the difference between the two rates is termed
pulse deficit
the nurse is alarmed when a patient with a severe head injury of the occipital lobe has a respiratory rate of 10 breaths per minute because this may indicate an injury to the
medulla oblongata
the respirations of a patient who is demonstrating pursed-lip breathing, flared nostrils, and retractions are described as
dyspnea
a nurse assesses a neonate's temperature by using a temporal artery scanner. if the neonate's temperature is 96 degrees F, the nurse should
record the findings
a nurse assesses a neonate's temperature by using a temporal artery scanner. if the neonate's temperature is 99.5 degrees F, the nurse should
record the findings
a nurse assesses a patient's dorsalis pedis pulse. if the pulse s difficult to feel and not palpable when only slight pressure is applied, the nurse should document this finding as a
thready pulse
a nurse assesses a patient's dorsalis pedis pulse. if the pulse is not palpable when light pressure is applied, the nurse should document this finding as a
weak pulse
although the patient denies pain, the nurse observes the patient breathing reap idly with clenched fists and facial grimacing. the nurse's best response to these observations is
what you are saying and what i am observing don't seem to match
the nurse considers the feelings and needs of a patient by stating, "i know you are concerned about your surgery tomorrow. how can i help you?" this type of communication is
assertive
if the nurse aggressively says to a patient, "why couldn't you have asked me to give you your pain medication when i was in here earlier?" the patient is most likely to feel
humiliated and unworthy
therapeutic communication
facilitates the formation of a positive nurse patient relationship
if a nurse sits in a chair near the patient's bed, leans forward to hear what the patient is saying, and does not interrupt, the nurse is demonstrating
active listening
a therapeutic communication technique that requires a great deal of skill and is not used as frequently as other communication techniques is
silence
a patient does not speak english; therefore, the nurse cannot use words to provide comfort during a painful procedure. another intervention that may provide comfort is
touch
a patient states, "I do cocaine when i feel things are out of my control." the nurse who responds by asking, "what else does cocaine do for you?" is using the communication skill of
showing acceptance
a patient states, "I'm really strung out about this pregnancy." the nurse who responds by asking, "what about this pregnancy worries you?" is using the technique of
open ended question
a grieving young widow cries out, "why was my husband killed? why wasn't it me?" the best response from the nurse would be
silently placing her hand on the widow's arm
a nurse assessing a patient with a nursing diagnosis of impaired verbal communication is aware that the least number of defining characteristics for this diagnosis is
one
when communicating with an unresponsive patient, the communication technique the nurse should use is to
assume verbal stimuli are heard
if in response to the patient statement, "i am upset about all this lab work" the nurse responds, "you're upset?" this is an example of
restating
one of the main characteristics of therapeutic communication is that it
involves the patient as a person
the nurse should avoid standing at the bedside with the patient lying in bed because the nurse may be construed as demonstrating
power
ageism
a profound prejudice in American Society
akinesia
abnormal state of motor and psychos hypoactivity
aphasia
language function is defective or absent
ataxia
impaired ability to coordinate movement
chronologic age
age of an individual expressed as the time that elapse since birth
claudication
pain in calf after walking due to poor circulation
dementia
cognitive malfunction
dysarthia
difficult speech
dysphagia
difficulty swallowing
hemipleagia
paralysis of one half of the body
kyphosis
hump back
nocturia
excessive urination at night
orthostatic hypotension
low BP after change in position
prebycusis
sensorineural hearing loss
presbyopia
farsightedness
pruritus
itchiness
senile
associated with aging
shearing forces
produce injury by shearing strains
symptom
subjective indication of a disease or a change in condition as perceived by the patient
disease
any disturbance of a structure or function of the body; a pathologic condition of the body
etiology
the study of all factors that may be involved in the development of a disease; the cause of disease
inflammation
protective response of body tissues to irritation, injury, or invasion by disease producing organisms. the cardinal signs include erythema, edema, heat, and loss of function
neoplastic
any abnormal growth of new tissue, benign or malignant
edema
abnormal accumulation of fluids in interstitial spaces of tissue; a combining form meaning swelling
acute
having a short and relatively severe course; a disease process characterized by a relatively short duration of signs and symptoms that are usually severe and begin abruptly
pruritus
the symptoms of itching; an uncomfortable sensation leading to the urge to scratch; scratching often leads to secondary infection. some causes of pruritus are allergy, infection, elevated serum urea, jaundice, and skin irritation.
remission
a decrease in the severity of a disease or any of its symptoms
erythema
redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries examples are mild sunburn, nervous blushes, injury resulting from trauma or infection.
the nurse is collecting data during an initial assessment. the data that can be seen, heard, measured, or felt and is objective is called a(n)
sign
as part of an assessment, the nurse asks the patient for subjective information related to the present illness, subjective findings that are perceived by the patient are known as
symptoms
any disturbance of a structure or function of the body is a pathological condition. this condition is termed a(n).
disease
the nurse is assessing a patient to collect subjective and objective data. these data will provide the basis for making a
nursing diagnosis
the nurse is discussing the origin of diabetes with a diabetic patient. the most appropriate explanation is that this disease is caused by a dysfunction of the
pancreas
the nurse is meeting a patient for the first time. the initial step when initiating a nurse patient relationship is for the nurse to
introduce her/himself
a patient interview being conducted by the nurse should convey to the patient that the nurse has
feelings of concern
while conducting an assessment of a patient, the nurse recognizes that the initial step is
the nursing health history
when collecting data related to the present illness, the nurse must obtain detailed and comprehensive data to assist in establishing
appropriate interventions
during the nursing interview, several histories are take. the history that involves data concerning habits and lifestyle patterns is called
past health history
the nurse uses a systematic method for collecting data on all body systems, including normal functioning and any noted changes. this method is a
review of systems
the nurse is developing a nursing care plan for a newly admitted patient. the first step in developing this care plan is a
nursing assessment
the patient should be assessed as soon as possible after admission. this initial assessment is done by the
RN
a patient was admitted with a complaint of abdominal pain. later. the nurse observed the patient demonstrating dyspnea. this change condition requires an assessment called:
focused
where would the procedures and treatments directed by the health care provider be found?
physician's order form
which action will the nurse take when it is determined that the narcotic count is incorrect while obtaining a medication from the narcotic area?
call the nurse from the previous shift to determine if there was a discrepancy earlier
which action will the nurse take if a dosage is unclear on a health care provider's order?
contact the health care provider to verify the correct dosage
what is the most reliable method to calculate a pediatric patient's medication dosage?
body surface area (BSA)
which medication route provides the most onset of a medication, but also poses the greatest risk of adverse effects?
intravenous
which is known as the fifth vital sign?
pain
which is true regarding the unit dose drug distribution system?
the use of single dose packages of drugs dispensed to fill each dose requirement as it is ordered
the nursing assessment identifies that the client is nauseated and cannot take acetaminophen (tylenol) orally. which is true regarding the substitution of this medication to suppository from?
it is contraindicated without an order form from the health care provider
which medication order requires nursing judgement and means "administer if needed"?
Morphine 4 mg IV every 4 hours PRN
what is medication reconciliation?
comparing the patient's current medication orders to all of the medications actually being taken
which example best demonstrates safe drug administration by the nurse?
administering an oral medication with the patient sitting upright
the nurse determines that a prescribed medication has not been administered as ordered on the previous shift. what action will the nurse take?
complete an incident report
the correct conversion for the improper fraction 77/9 is:
8 5/9
the fraction 80/100 when reduced to lowest terms is
4/5
the largest fraction listed below is
1/2
the smallest amount is expressed by the fraction
3/12
the sum of 3/4 and 7/8 is
1 5/8
the product of 5/6 x 1/2 is
5/12
divide 3/4 by 1/5
15/4
2.34 + 0.77 equals
3.11
when rounded to the nearest tenth, 6.147 is expressed as
6.1
2.5 x 2 equals
5
4.5 divided by 3 equals
1.5
0.9% expressed as a decimal is
0.009
1/5 expressed as a percent is
20%
which is the same ratio as 2:100
1:50
the medication order reads "Ibuprofren 600 mg PO did." The bottle is labeled "Ibuprofren 200 mg/tab." the nurse should give
three tablets
the physician has ordered furosemide 20 mg stat. the ampule is labeled 40 mg/ml. the nurse should give
0.5 mL
6 mg = ---- g
0.006
0.5 liter = ---mL
500
the average adult dose of Phenergan is 50 mg. using young's rule for a 10 year old, the nurse should calculate the dosage as
23 mg
a 35 pound child is to receive an IM medication. the average adult dos is 75 mg. using clark's rule, the nose should give.
17.5 mg
when discussing aging, the nurse clarifies that the term older adulthood applies to those who are older than
65
when the nurse discusses prevention of cardiac disease, falls, and depression with a group of older adults, it is important to stress the benefits of
exercise
the first major legislation to provide finical security for older adults was the Social Security Act passed in
1935
when assessing the skin of an older adult patient who is complaining of pruritus, the nurse advises the patient that to reduce further drying of her skin, she should avoid using
antibacterial soap
because thin skin and lack of subcutaneous fat predisposes the older adult to pressure ulcers, the nurse alters the care plan to include turning the bedfast patient every:
2 hours
at mealtime, the older adult seems to be eating less food than adequate. the nurse recognizes that the older adult compared to the younger adult requires
fewer calories
the older patient informs the nurse that food has no taste and therefore she has no appetite. the nurse recognizes this is most likely caused by
loss of taste buds
when the nurse attempts to assist an older adult who is having difficulty swallowing, the nurse suggests a position in which the chin is held
down
the patient complains to the nurse about a newly developed intolerance to milk. the nurse suggests filling calcium needs with
yogurt
the older adult patient complains to the nurse about nocturia. the nurse complains that the problem is most likely related to
decrease in bladder capacity
the older adult female patient is concerned about incontinence when she sneezes. the nurse explains that this type of incontinence is called
stress incontinence
a change of aging related to the circulatory system includes decreased blood vessel elasticity, which leads the nurse to assess for
hypertension
the nurse suggests that to relieve the pain of claudication the patient should
rest
the nurse recommends a breathing technique to helo a patient with chronic obstructive pulmonary disease (COPD) to empty the lungs of used air and to promote inhalation of adequate oxygen. this method of breathing is
pursed lip breathing
the nurse reminds the 80 year old patient that her respiratory system has decreased resistance to respiratory infections, making her more at risk for
pneumonia
the nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age related skeletal change that will alter the ability to exchange air effectively?
kyphosis
the nurse explains that the major difference between rheumatoid arthritis and osteoarthritis is that rheumatoid arthritis
is inflammatory
the nurse recognizes that arthritis affects an individual's functional ability. interventions are aimed at relieving
stress on affected joints
the home health nurse cautions the older adult patient that because of age related changes in the musculoskeletal system, there is an increased risk for
falls related to posture changes
the nurse is assisting an older adult patient our of bed when suddenly the patient begins to fall. this could be caused by
orthostatic hypotension
nursing process is best defined as a
framework for the organization of individualized nursing care
on admission, the patient who should receive a focused assessment is the
53 year old admitted with a perforated ulcer
the subjective data the nurse would include after a patient assessment includes
flatulence
information provided by the family when a patient is unable to provide data during assessment is classified as
secondary
the two primary methods used to collect data are
interview and physical examination
the nurse writes two nursing diagnosis: 1) inadequate nutritional intake related to vomiting as manifested by 3 pound weight loss and 2) risk for impaired skin integrity related to inadequate nutrition. the major difference between the two diagnoses is that the second diagnosis:
reflects a problem that does not yet exist
the establishment of priorities of care during the planning phase of the nursing process often uses the framework of
Maslow's hierarchy of needs
the appropriate outcome statement for a patient with a nursing diagnosis of ineffective airway clearance related to thick secretions is that the patient will
increase intake to 1000 mL daily to liquefy secretions
nursing orders, as opposed to physician's orders, prescribe activities that
may be done independently by the nurse
the primary purpose of nursing orders is to
provide direction for all caregivers
the documentation that reflects implementation is
"patient was ambulated for 15 minutes after lunch."
the nursing order that is complete and correct is
"day nurse will cleanse wound and change dressings every day. May 10, A. Nurse"
a patient with a urinary tract infection is assessed using a clinical pathway. when a projected outcome is not met by predetermined date, it is determined that what has occurred?
variance
during a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. the nurse should treat these data as the basis of a nursing diagnosis plan, as they represent:
data clustering
what type of assessment is performed continuously throughout nurse patient contact?
focused
what assists the nurse in the identification of nursing diagnoses?
data clustering
subjective data provided by the patient included complaints of intermittent chest pain upon exertion. when performing a complete physical examination, the nurse might use an organized approach such as
a head to toe assessment
the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis is the
RN
the basis for designing and selecting nursing interventions to meet patient needs is the
nursing diagnosis