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Fundamental’s- Admission, D/C, transfer, health assessment Flashcards | StudBud
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Fundamental’s- Admission, D/C, transfer, health assessment
Fundamental’s- Admission, D/C, transfer, health assessment
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1
What is the normal rate of bowel sounds per minute?
3 to 20
5 to 40
4 to 32
2 to 10
2
Which aspects of care does the discharge standards set by The Joint Commission (TJC) include? Select all that apply
Rehabilitation techniques
Referral to community agencies
Obtaining health history
Medication
Transporting patients to car in wheelchair
Medical equipment to be used
3
What would the nurse begin by assessing when performing a head-to-toe assessment?
Support system
Neurologic status
Pain level
Skin integrity
4
What is the pulse-the expansion and contraction of an artery-produced by?
Contraction of the right ventricle
Contraction of the left atrium
Contraction of the right atrium
Contraction of the left ventricle
5
What does the nurse recognize as the initial step in conducting an assessment of a patient?
The nursing health history
A body systems review
Biographic data
The present illness
6
What is the medical term for loss of strength and energy?
Dyspnea
Cyanosis
Asthenia
Ecchymosis
7
What essential part of an admission procedure is performed by the RN?
Obtaining a health history
Securing the patient’s valuables
Confirming the type of insurance
Familiarizing the patient with the room
8
A pt admitted with abdominal pain. Later, the nurse observes dyspnea. What type of assessment does this change require?
Focused
Specialized
Systematic
Individualized
9
The nurse assesses a patient’s dorsalis pedis pulse it’s difficult to feel and not felt when slight pressure is applied:
Thready pulse
Weak pulse
Normal pulse
Bounding pulse
10
How can the nurse demonstrate cultural sensitivity to a Haitian American patient?
By writing out all instructions given to the patient
By asking the health care provider to provide all directions to the patient
By providing a well-lit room 24 hours a day
By allowing the patient to keep leaves in her room
11
What is the term for the exchange of carbon dioxide and oxygen that takes place at the alveolar level?
Internal respiration
External respiration
Bradypnea
Tachypnea
12
What position is best to assess for a heart murmur?
Lateral recumbent
Sims
Dorsal recumbent
Prone
13
What would you suspect if your pt has black, tarry stools?
Consumption of cranberry juice
Bleeding in the upper intestinal tract
Bleeding in the lower intestinal tract
Bleeding in the entire intestinal tract
14
A pt has a unilateral, dilated, nonreactive pupil. This is a sign of pressure on which cranial nerve?
IV
II
I
III
15
These sounds are heard on inspiration and expiration. They are low-pitched, coarse, gurgling, snoring sounding.
Crackles
Rhonchi
Sonorous wheezes
Plural friction rub
16
Patient is having purulent drainage from a wound. What does the nurse understand is most likely the cause?
Ringworm
Fungal infection
Bacterial infection
Viral infection
17
The PQRST system is used when obtaining a health history. What does the R stand for?
Result
Recent
Random
Region
18
When are crackles most often auscultated?
During inspiration
Following expiration
During expiration
Following inspiration
19
Any disturbance of a structure of function of the body is a pathologic condition. What is the term for this condition?
Pathology
Injury
Disease
Condition
20
What is the cause of scleral icterus?
Serum magnesium
Hemoglobin
Bilirubin
Serum potassium