Funda 1 Comprehensive Exam

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Questions and Answers

Mang Toto, a chronic smoker with emphysema, was to be given oxygen. What is important to note?

Respiratory rate may be increased a great part of the time

Lung stretch receptors may fail to monitor the patterns of breathing

Drive to breathe may be dependent on low levels of oxygen in the blood (correct)

Intercostal muscles contract during inspiration, but fail to relax during expiration

Which nursing problem should the nurse focus on for a patient with a neurological disorder experiencing difficulty in speaking, according to Abdellah’s theory?

To maintain good body mechanics and prevent and correct deformities

To promote optimal activity, exercise, rest, and sleep

To facilitate the maintenance of effective verbal and nonverbal communication (correct)

To facilitate the maintenance of sensory function

What instruction is best to give when handling a very heavy client to avoid workplace injury?

Use the mechanical lift and another person to transfer the client from the bed to the chair (correct)

Use the back belt to avoid hurting your back

You are physically fit and at lesser risk for injury when transferring the client

Using proper body mechanics will prevent you from injuring yourself

The client is ambulating for the first time after surgery and feels faint. What is the best action by the nurse?

Assist the client to a nearby chair. Signup and view all the answers

How would the nurse know that her health teaching is effective in terms of the use of the spirometer?

I should inhale slowly and steadily to keep the balls up. Signup and view all the answers

Jessica was admitted for severe pain and notices her medication is a different color. What is the best response by the nurse?

I will recheck your medication orders. Signup and view all the answers

What is the most appropriate syringe type for administering 0.5 ml of medication to Aling Maria, an emaciated client?

A tuberculin syringe, #25-#27 gauge, 1⁄4 to 5/8-inch needle Signup and view all the answers

What is important to note when planning care for Mang Berto, who has mucous?

A good time to perform percussion and postural drainage is in the morning after breakfast when the client is well rested. Signup and view all the answers

Which condition poses the greatest risk with the transport of oxygen from the lungs to the tissues?

Anemia Signup and view all the answers

What is the best evaluation result for Timone, who has diabetes and hypertension and is experiencing faint-headedness with a goal of demonstrating adequate tissue perfusion?

Brisk Capillary refill Signup and view all the answers

Who creates the nursing care plan of a client?

Registered nurse Signup and view all the answers

What practice(s) will help decrease the possibility of medication errors during a high patient load?

Create a culture of trust Signup and view all the answers

Study Notes

Patient Assessments and Interventions

Chronic smokers with emphysema may experience increased respiratory rates, and their breathing drive can depend on low oxygen levels in the blood.
Neurological disorders affecting speech necessitate prioritizing effective verbal and nonverbal communication in nursing care.
To prevent workplace injuries during client transfers, utilizing mechanical lifts and teamwork is essential.
If a post-operative client feels faint while ambulating, assisting them to a chair is the best action to ensure safety.

Health Teaching and Medication Administration

Effective teaching on the use of a spirometer includes inhaling slowly to keep the device's balls elevated, while incorrect uses, like exhaling forcefully, should be corrected.
A nurse should verify medication orders if a patient notes a discrepancy in medication appearance, ensuring patient safety before administration.

Medication Dosage and Administration Equipment

For administering a small volume of medication (0.5 ml) to emaciated clients, a tuberculin syringe (25-27 gauge, 1/4 to 5/8 inch) is the most appropriate choice for accuracy in dosing.

Client Care Techniques

When performing percussion and postural drainage on a patient, the sequence should begin with coughing, followed by percussion, positioning, and then suctioning; this maximizes effectiveness.
It is essential to conduct these interventions when the patient is well-rested, such as after breakfast, to enhance comfort and effectiveness.

Oxygen Transport and Tissue Perfusion Evaluation

Conditions like anemia pose a significant challenge to oxygen transport from lungs to tissues, indicating a need for monitoring hemoglobin levels and overall blood health.
For clients with diabetes and hypertension, quick capillary refill is an important evaluation indicator demonstrating adequate tissue perfusion.

Nursing Roles and Responsibilities

Nursing care plans are primarily created by registered nurses, who assess and synthesize information to meet patient needs effectively.
In high patient volume situations, especially during pandemics like COVID-19, creating a culture of trust among the healthcare team and communicating effectively are key strategies to reduce medication errors.

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Description

Test your knowledge on respiratory physiology and the management of chronic conditions like emphysema. This quiz includes scenarios such as oxygen administration and respiratory patterns. Perfect for students in medical or health science fields.