أساسيات ممارسة التمريض

Questions and Answers

ما هي الطريقة الأكثر راحة لتوصيل الأكسجين؟

القنية الأنفية

ما هي الأولوية الرئيسية للممرض عند العناية بمريض مصاب بشلل نصفي؟ (اختر الإجابة الصحيحة)

مساعدة المريض على تقبل المرض

توفير بيئة آمنة (correct)

تثقيف المريض

تعزيز صورة الذات الإيجابية

ما هو الاحمرار المفاجئ للجلد يُعرف بـ:

يرقان

شحوب

زراق

احمرار (correct)

إذا كان المريض يواجه صعوبة في النوم في المستشفى بسبب الضوضاء، فما هو الإجراء المناسب للممرض؟

إعطاء المريض كوبًا من الحليب الدافئ قبل النوم Signup and view all the answers

إذا قام مريض بمقاضاة ممرض بتهمة الإهمال، يجب على المريض إثبات:

خطأ، إصابة وسبب قريب Signup and view all the answers

أي من منظري التمريض يُنسب إليه تطوير نموذج مفهومي يركز بشكل خاص على التمريض، مع الإنسان كتركيز رئيسي؟

مارثا روجرز Signup and view all the answers

أي من منظري التمريض طور نموذجًا مفهوميًا مبنيًا على الاعتقاد بأن جميع الأشخاص يسعون لتحقيق الرعاية الذاتية؟

دوروثيا أوريم Signup and view all the answers

ما هي الكمية اليومية المتوسطة من البول التي يتم إخراجها من قبل البالغين؟

1,500 إلى 2,000 مل Signup and view all the answers

يجب على الممرض أخذ درجة الحرارة المستقيمية لمريض لديه:

تغليف أنفي Signup and view all the answers

التسلسل المعتاد لتقييم الأمعاء هو:

الربع السفلي الأيمن، الربع العلوي الأيمن، الربع العلوي الأيسر، الربع السفلي الأيسر Signup and view all the answers

الإمساك مشكلة شائعة للمرضى المعاقين بسبب:

انخفاض الحركة المعوية وعدم الراحة الناتجة عن الوضعية Signup and view all the answers

وفقًا لهرم ماسلو للاحتياجات، أي من الاحتياجات الفسيولوجية الأساسية بعد الأكسجين هو:

النشاط Signup and view all the answers

مصطلح التغذية يشير إلى:

إعطاء غذاء سائل إلى المعدة Signup and view all the answers

أي من مهارات الاتصال هو الأكثر فعالية في التعامل مع الاتصال الكامن؟

التحقق Signup and view all the answers

During a physical assessment, the nurse closes the door and provides drape to promote privacy. The nurse is performing her role as a/an:

Caregiver Signup and view all the answers

During the nursing rounds, Nurse Cathy is instructing the patient to avoid smoking to prevent the worsening of respiratory problems. This is an example of a nurse's role as a/an:

Change agent Signup and view all the answers

Based on Benner's theory, Nurse Cathy, who knows the case immediately even before a diagnosis is done, is a/an:

Expert Signup and view all the answers

Newborn screening is done to every newborn in the Philippines. This is an example of:

Secondary prevention Signup and view all the answers

According to Patricia Benner's category in specialization in nursing, Annie, who is flexible and performing her duties well without supervision but needs more experience, is a/an:

Advanced beginner Signup and view all the answers

When discussing nursing diagnoses, the instructor mentioned that when a cluster of actual or high-risk diagnoses are present, it is called:

Syndrome nursing diagnosis Signup and view all the answers

The nurse measures a patient's temperature at 101 degrees F. What is the equivalent centigrade temperature?

37.95 degrees C Signup and view all the answers

During a change-of-shift report, which fact is important for the nurse to communicate to the nurse assuming responsibility for care?

Patient's NGT was removed 2 hours ago Signup and view all the answers

A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture site is red and swollen. Which intervention would the nurse perform first?

Stop the infusion Signup and view all the answers

Which data would be of greatest concern to the nurse when assessing a 68-year-old woman hospitalized due to pneumonia?

Capillary refill greater than 3 seconds and buccal cyanosis Signup and view all the answers

What is the correct order of the nursing process?

Assessing, diagnosing, planning, implementing, evaluating Signup and view all the answers

Which is the most important purpose of planning care with a patient?

Making of individualized patient care Signup and view all the answers

What nursing action is appropriate when obtaining a sterile urine specimen from an indwelling catheter to prevent infection?

Aspirate urine from the tubing port using a sterile syringe Signup and view all the answers

Jake is tachypneic with a respiratory rate of 30 breaths per minute. What does tachypnea mean?

Respiratory rate greater than 20 breaths per minute Signup and view all the answers

Formulating a nursing diagnosis is a joint function of:

Nurse and patient Signup and view all the answers

The nurse listens to Mrs. Sullen's lungs and notes a hissing or musical sound. The nurse documents this as:

Wheezes Signup and view all the answers

Becky is NPO since midnight in preparation for a blood test. Which is an expected response of the adreno-cortical response?

Decreased urine output Signup and view all the answers

When performing an abdominal examination, the patient should be in a supine position with the head of the bed at which position?

0 degrees Signup and view all the answers

Which is an inappropriate nursing action when administering NGT feeding?

Place the feeding 20 inches above the point of insertion of NGT Signup and view all the answers

During application of medication into the ear, which is an inappropriate nursing action?

Instill the medication directly into the tympanic membrane Signup and view all the answers

Kussmaul's breathing is defined as:

Increased rate and depth of respiration Signup and view all the answers

The nurse is aware that Bell's palsy affects which cranial nerve?

7th CN (Facial) Signup and view all the answers

Resonance heard on percussion is most commonly found over which organ?

Lung Signup and view all the answers

To assess the adequacy of food intake, which assessment parameter is best used?

3-day diet recall Signup and view all the answers

By definition, the nurse understands that chronic shoulder pain means the patient has had pain for longer than:

6 months Signup and view all the answers

It is the gradual decrease of the body's temperature after death:

Algor mortis Signup and view all the answers

Prolonged deficiency of Vitamin B9 leads to:

Megaloblastic anemia Signup and view all the answers

Pia's serum sodium level is 150 mEq/L. Which food item should the nurse instruct Pia to avoid?

Sardines Signup and view all the answers

When assessing a patient's level of consciousness, which type of nursing intervention is performed?

Independent Signup and view all the answers

Which of the following is a nursing diagnosis?

Hypothermia Signup and view all the answers

A skin lesion which is fluid-filled and less than 1 cm in size is called:

Vesicle Signup and view all the answers

S1 is heard best at the:

5th left intercostal space along the midclavicular line Signup and view all the answers

The correct site to verify a radial pulse measurement is the:

Apex of the heart Signup and view all the answers

To promote correct anatomic alignment in a supine patient, the nurse should:

Place the patient's feet in dorsiflexion Signup and view all the answers

Postural drainage to relieve respiratory congestion should take place:

Before meals Signup and view all the answers

Mr. Jose is admitted to the hospital with pneumonia and COPD. The most comfortable method of delivering oxygen to him is by:

Nasal cannula Signup and view all the answers

Study Notes