This test contains 25 items Questions about Foundation of Nursing For Answer Key visit: Foundation of Nursing Test IV - Set A: Answers with Rationales For more Nursing Review Test visit: www. NurseTopic. Com
Asses the patient’s ability to ambulate and transfer from a bed to a chair
Demonstrate the signal system to the patient
Check to see that the patient is wearing his identification band
All of the above
Obtaining a consent of an autopsy
Notifying the coroner or medical examiner
Labeling the corpse appropriately
Ensuring that the attending physician issues the death certification
An alert, chronic arthritic patient treated with steroids and aspirin
An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.
Fever
Exercise
Sympathetic nervous system stimulation
Parasympathetic nervous system stimulation
Lethargy
Increased pulse rate and blood pressure
Muscle weakness
Muscle irritability
Parkinson’s disease
Multiple sclerosis
Amyotrophic lateral sclerosis (Lou Gerhig’s disease)
Alzheimer’s disease
Apical
Radial
Pedal
Femoral
Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
Circulatory overload due to hypervolemia
Respiratory excitement
Inhibition of the respiratory hypoxic stimulus
Increased peripheral resistance of the blood vessels
Decreased blood flow
Increased work load of the left ventricle
All of the above
Ineffective airway clearance related to thick, tenacious secretions.
Ineffective airway clearance related to dry, hacking cough.
Ineffective individual coping to COPD.
Pain related to immobilization of affected leg.
Atheroscleotic changes in the blood vessels
Increased incidence of gallbladder disease
Urinary Tract Infection
Hip fracture
Encourage the patient to increase her fluid intake to 200 ml every 2 hours
Place a humidifier in the patient’s room.
Continue administering oxygen by high humidity face mask
Perform chest physiotheraphy on a regular schedule
Depression
Sleep disturbances (such as bizarre dreams)
Inability to concentrate
Decreased appetite
Protect the patient from injury
Insert an airway
Elevate the head of the bed
Withdraw all pain medications
Thiamine
Riboflavin
Pyridoxine
Pantothenic acid
Encourage the patient to walk in the hall alone
Discourage the patient from walking in the hall for a few more days
Accompany the patient for his walk.
Consuit a physical therapist before allowing the patient to ambulate
“Don’t worry. It’s only temporary”
“Why are you crying? I didn’t get to the bad news yet”
“Your hair is really pretty”
“I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”
Baseline vital signs
Systolic blood pressure
Respiratory rate
Apical pulse
Side rails are ineffective
Side rails should not be used
Side rails are a deterrent that prevent a patient from falling out of bed.
Side rails are a reminder to a patient not to get out of bed
Providing a complete bath and dressing change
Placing one pillow under the body’s head and shoulders
Removing the body’s clothing and wrapping the body in a shroud
Allowing the body to relax normally
The patient will find pureed or soft foods, such as custards, easier to swallow than water
Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
The patient should always feed himself
The nurse should perform oral hygiene before assisting with feeding.
Infancy
Young adulthood
Childhood
Pregnancy
The patient will find pureed or soft foods, such as custards, easier to swallow than water
Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
The patient should always feed himself
The nurse should perform oral hygiene before assisting with feeding.
A semiconscious or over fatigued patient
A disoriented or confused patient
A patient who cannot care for himself at home
A patient demonstrating symptoms of drugs or alcohol withdrawal
Caffeine-containing drinks, such as coffee and cola.
Beets
Urinary analgesics
Kaolin with pectin (Kaopectate)
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