Podcast
Questions and Answers
In which scenario might simultaneous palpation of bilateral arteries pose the greatest risk to a patient?
In which scenario might simultaneous palpation of bilateral arteries pose the greatest risk to a patient?
- Determining blood flow to the brain in a patient with suspected stroke. (correct)
- Assessing circulation in both feet after applying compression stockings.
- Measuring pulse rate during CPR.
- Evaluating the strength of peripheral pulses in arms during exercise.
How does considering the spiritual and mental well-being of Hispanic patients impact healthcare delivery?
How does considering the spiritual and mental well-being of Hispanic patients impact healthcare delivery?
- It reinforces stereotypes and may lead to assumptions about patients' healthcare preferences.
- It primarily focuses on alternative medicine, disregarding conventional treatment options.
- It necessitates the exclusion of family members from the patient's care plan.
- It allows for a more holistic approach to patient care, integrating cultural beliefs and practices. (correct)
A patient is exhibiting deep, slow, labored breathing. How would you relate this breathing pattern to the underlying physiological process?
A patient is exhibiting deep, slow, labored breathing. How would you relate this breathing pattern to the underlying physiological process?
- The patient has a neurological condition affecting the respiratory center in the brainstem.
- The patient is experiencing anxiety, leading to hyperventilation followed by a compensatory pause.
- The patient has a pulmonary embolism, causing reduced oxygen exchange and rapid, shallow breaths.
- The body is attempting to compensate for metabolic acidosis, often seen in conditions like diabetic ketoacidosis. (correct)
A client with a terminal diagnosis promises to attend religious services if they survive. What is the most appropriate nursing intervention during this stage?
A client with a terminal diagnosis promises to attend religious services if they survive. What is the most appropriate nursing intervention during this stage?
When documenting patient care, which approach ensures comprehensive and legally sound documentation?
When documenting patient care, which approach ensures comprehensive and legally sound documentation?
Which blood pressure reading indicates the highest level of concern, potentially requiring immediate intervention?
Which blood pressure reading indicates the highest level of concern, potentially requiring immediate intervention?
A patient is scheduled for an elective surgery next month. How would this type of hospital admission be classified?
A patient is scheduled for an elective surgery next month. How would this type of hospital admission be classified?
Which statement made by a new graduate nurse about patient assessments requires correction by a preceptor?
Which statement made by a new graduate nurse about patient assessments requires correction by a preceptor?
An 80-year-old patient is admitted to the hospital. Which primary insurance plan would the nurse expect this patient to have?
An 80-year-old patient is admitted to the hospital. Which primary insurance plan would the nurse expect this patient to have?
During a routine assessment of a highly trained athlete, which finding would the nurse most likely expect?
During a routine assessment of a highly trained athlete, which finding would the nurse most likely expect?
In the initial assessment of a patient in the emergency room, which of the following takes the highest priority?
In the initial assessment of a patient in the emergency room, which of the following takes the highest priority?
A client has a documented temperature of 103.1°F (39.5°C). Which nursing intervention is most appropriate to initiate?
A client has a documented temperature of 103.1°F (39.5°C). Which nursing intervention is most appropriate to initiate?
A terminally ill patient expresses a desire to update their will. According to Kübler-Ross' stages of grief, which stage does this behavior likely represent?
A terminally ill patient expresses a desire to update their will. According to Kübler-Ross' stages of grief, which stage does this behavior likely represent?
A nurse assesses a client with an oxygen saturation of 85%. Beyond immediate oxygen administration, what is the MOST appropriate next step?
A nurse assesses a client with an oxygen saturation of 85%. Beyond immediate oxygen administration, what is the MOST appropriate next step?
A newly licensed nurse is learning about hospice care. Which statement BEST reflects the core philosophy of hospice?
A newly licensed nurse is learning about hospice care. Which statement BEST reflects the core philosophy of hospice?
When assessing a client with pneumonia, which finding would the nurse MOST likely expect?
When assessing a client with pneumonia, which finding would the nurse MOST likely expect?
A nurse is teaching about cultural bias in healthcare. How can cultural bias MOST significantly impact therapeutic relationships?
A nurse is teaching about cultural bias in healthcare. How can cultural bias MOST significantly impact therapeutic relationships?
When assessing a client's radial pulse, which technique should the nurse employ?
When assessing a client's radial pulse, which technique should the nurse employ?
A nurse detects a pulse deficit while assessing a client. What is the MOST appropriate initial action?
A nurse detects a pulse deficit while assessing a client. What is the MOST appropriate initial action?
Which physiological process contributes the MOST to the body's heat production?
Which physiological process contributes the MOST to the body's heat production?
Which of the following BEST describes the sound of rhonchi?
Which of the following BEST describes the sound of rhonchi?
Considering variations in practice and evolving views, which of the following statements BEST reflects the traditional, though debated, stance within Catholicism regarding unbaptized infants?
Considering variations in practice and evolving views, which of the following statements BEST reflects the traditional, though debated, stance within Catholicism regarding unbaptized infants?
Simultaneous palpation of the carotid arteries is contraindicated primarily due to the risk of:
Simultaneous palpation of the carotid arteries is contraindicated primarily due to the risk of:
When providing culturally competent care to Hispanic patients, which approach demonstrates the BEST understanding of their holistic health beliefs?
When providing culturally competent care to Hispanic patients, which approach demonstrates the BEST understanding of their holistic health beliefs?
A patient's arterial blood gas results show a pH of 7.30, PaCO2 of 18 mmHg, and HCO3- of 15 mEq/L. Based on these values, the patient is MOST likely exhibiting which type of breathing pattern?
A patient's arterial blood gas results show a pH of 7.30, PaCO2 of 18 mmHg, and HCO3- of 15 mEq/L. Based on these values, the patient is MOST likely exhibiting which type of breathing pattern?
A patient with a terminal illness pledges to volunteer regularly at a homeless shelter if they experience a remission. According to Kübler-Ross, this statement MOST likely indicates which stage of grief?
A patient with a terminal illness pledges to volunteer regularly at a homeless shelter if they experience a remission. According to Kübler-Ross, this statement MOST likely indicates which stage of grief?
When evaluating the effectiveness of a new antihypertensive medication, which blood pressure reading, taken 30 minutes after administration, would indicate the medication is working as intended?
When evaluating the effectiveness of a new antihypertensive medication, which blood pressure reading, taken 30 minutes after administration, would indicate the medication is working as intended?
A patient is admitted for observation due to possible appendicitis, but a surgical consult is not yet needed. How should this type of hospital admission be classified?
A patient is admitted for observation due to possible appendicitis, but a surgical consult is not yet needed. How should this type of hospital admission be classified?
A newly graduated nurse states, 'I only need to perform a complete nursing assessment when a patient is first admitted; after that, I just focus on changes.' Which response from the preceptor is MOST appropriate?
A newly graduated nurse states, 'I only need to perform a complete nursing assessment when a patient is first admitted; after that, I just focus on changes.' Which response from the preceptor is MOST appropriate?
An 82-year-old patient is admitted with pneumonia and has a history of hypertension and type 2 diabetes. Which insurance plan would MOST likely be the primary payer for this patient's hospital stay?
An 82-year-old patient is admitted with pneumonia and has a history of hypertension and type 2 diabetes. Which insurance plan would MOST likely be the primary payer for this patient's hospital stay?
When assessing a long-distance runner immediately after a race, which vital sign finding would be MOST expected?
When assessing a long-distance runner immediately after a race, which vital sign finding would be MOST expected?
Upon arriving at the scene of a motor vehicle accident, the nurse identifies one patient who is unresponsive and not breathing and another patient who is conscious but has a severe leg wound that is actively bleeding. According to basic triage principles, which action should the nurse prioritize?
Upon arriving at the scene of a motor vehicle accident, the nurse identifies one patient who is unresponsive and not breathing and another patient who is conscious but has a severe leg wound that is actively bleeding. According to basic triage principles, which action should the nurse prioritize?
A patient with a fever of 103.1°F (39.5°C) is experiencing significant discomfort and shivering. While administering prescribed antipyretics, what additional intervention should the nurse implement to promote patient comfort and reduce body temperature?
A patient with a fever of 103.1°F (39.5°C) is experiencing significant discomfort and shivering. While administering prescribed antipyretics, what additional intervention should the nurse implement to promote patient comfort and reduce body temperature?
A terminally ill patient who previously denied the severity of their condition begins to discuss funeral arrangements and expresses a desire to reconcile with estranged family members. According to Kübler-Ross' stages of grief, which stage is MOST likely represented by these behaviors?
A terminally ill patient who previously denied the severity of their condition begins to discuss funeral arrangements and expresses a desire to reconcile with estranged family members. According to Kübler-Ross' stages of grief, which stage is MOST likely represented by these behaviors?
A client with an oxygen saturation of 85% is not showing signs of respiratory distress. After administering oxygen, what is the MOST appropriate next step?
A client with an oxygen saturation of 85% is not showing signs of respiratory distress. After administering oxygen, what is the MOST appropriate next step?
A newly licensed nurse is explaining the criteria for hospice eligibility to a patient. Which statement indicates a correct understanding of hospice care?
A newly licensed nurse is explaining the criteria for hospice eligibility to a patient. Which statement indicates a correct understanding of hospice care?
A nurse is assessing a client with pneumonia. Which assessment finding, combined with a respiratory rate of 28 breaths per minute (tachypnea), would warrant the MOST immediate intervention?
A nurse is assessing a client with pneumonia. Which assessment finding, combined with a respiratory rate of 28 breaths per minute (tachypnea), would warrant the MOST immediate intervention?
A nurse is teaching a group of nursing students about the impact of cultural bias in healthcare. Which example BEST illustrates how unconscious bias can negatively affect patient outcomes?
A nurse is teaching a group of nursing students about the impact of cultural bias in healthcare. Which example BEST illustrates how unconscious bias can negatively affect patient outcomes?
A nurse is assessing a patient's peripheral circulation. After palpating the radial pulse, the nurse notes it is weak and thready. What is the MOST appropriate next step?
A nurse is assessing a patient's peripheral circulation. After palpating the radial pulse, the nurse notes it is weak and thready. What is the MOST appropriate next step?
A nurse assesses a pulse deficit in a client. After notifying the provider, what collaborative intervention is MOST important to implement?
A nurse assesses a pulse deficit in a client. After notifying the provider, what collaborative intervention is MOST important to implement?
A patient is experiencing hypothermia due to prolonged exposure to cold weather. Beyond providing warm blankets, what physiological mechanism should the nurse anticipate as the body's primary compensatory response?
A patient is experiencing hypothermia due to prolonged exposure to cold weather. Beyond providing warm blankets, what physiological mechanism should the nurse anticipate as the body's primary compensatory response?
During auscultation of a patient's lungs, a nurse hears continuous, low-pitched rattling sounds that seem to clear somewhat with coughing. How should the nurse document these findings?
During auscultation of a patient's lungs, a nurse hears continuous, low-pitched rattling sounds that seem to clear somewhat with coughing. How should the nurse document these findings?
Flashcards
Low Oxygen Saturation
Low Oxygen Saturation
Low oxygen saturation, below 90%, requires intervention.
Hospice Care
Hospice Care
Focuses on comfort and quality of life for terminally ill patients.
Tachypnea
Tachypnea
Increased respiratory rate, often seen in pneumonia.
Cultural Bias Impact
Cultural Bias Impact
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Palpating a Radial Pulse
Palpating a Radial Pulse
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Verify Pulse Deficit
Verify Pulse Deficit
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Shivering
Shivering
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Rhonchi
Rhonchi
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Catholicism and Unbaptized Babies
Catholicism and Unbaptized Babies
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Palpating Carotid Arteries
Palpating Carotid Arteries
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Hispanic Patient Care
Hispanic Patient Care
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Kussmaul Respirations
Kussmaul Respirations
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Bargaining (Grief Stage)
Bargaining (Grief Stage)
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Concerning Blood Pressure Reading
Concerning Blood Pressure Reading
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Routine Admission
Routine Admission
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Incorrect Nursing Assessment View
Incorrect Nursing Assessment View
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Medicare
Medicare
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Bradycardia (in Athletes)
Bradycardia (in Athletes)
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Emergency Assessment Priority
Emergency Assessment Priority
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Action for High Temperature
Action for High Temperature
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Acceptance (Grief Stage)
Acceptance (Grief Stage)
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Comprehensive Documentation
Comprehensive Documentation
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Kussmaul Breathing
Kussmaul Breathing
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Grief: Bargaining Stage
Grief: Bargaining Stage
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Cultural Sensitivity: Hispanic
Cultural Sensitivity: Hispanic
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Carotid Artery Palpation
Carotid Artery Palpation
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Fever's Effect on Heart Rate
Fever's Effect on Heart Rate
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Blood Pressure Teaching
Blood Pressure Teaching
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Deep Breathing for Hypoxia
Deep Breathing for Hypoxia
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Purpose of Hospice
Purpose of Hospice
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Tachypnea Definition
Tachypnea Definition
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Cultural Bias Effects
Cultural Bias Effects
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Checking Radial Pulse
Checking Radial Pulse
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Pulse Deficit Verification
Pulse Deficit Verification
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Shivering and Heat
Shivering and Heat
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Rhonchi Lung Sound
Rhonchi Lung Sound
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Study Notes
Okay, I will incorporate the new information into the existing study notes, maintaining the format and guidelines specified.
- For a client with an oxygen saturation of 85%, encourage the client to take deep breaths.
- Hospice care is for clients who are terminally ill.
- An expected finding when assessing a client with pneumonia is tachypnea.
- Cultural bias can impair therapeutic relationships.
- When taking a radial pulse, palpate the radial artery.
- The first action to take when checking a pulse deficit is to call another nurse for verification.
- Body heat production is primarily conducted by shivering.
- Rhonchi is best described as a coarse, low-pitched rattling lung sound.
- A belief in Catholicism is that unbaptized babies do not go to heaven.
- Never palpate the carotid artery in the body simultaneously on both sides.
- When caring for Hispanic patients, remember that the spiritual and mental aspects of life are highly valued.
- Deep, slow, and labored breathing is classified as Kussmaul respirations.
- A client who states, "I will go to church if I survive," when dealing with a terminal diagnosis is in the bargaining stage of grief per the Kübler-Ross model.
- Document the site of measurement, client's response, and interventions taken.
- A blood pressure reading of 140/90 mmHg is the most concerning.
- A routine admission is a scheduled admission planned in advance.
- "Nursing assessments are provided to gather information only" requires intervention.
- An elderly patient might have Medicare.
- Bradycardia is expected in an athlete.
- In an emergency room assessment, airway takes priority.
- If a client has an oral temperature of 39.5°C (103.1°F), remove excess clothing.
- A terminally ill client who states, "I want to update my will" is in the acceptance stage.
- Obtain data on a client with a temperature of 102°F then an increased heart rate should be expected.
- Releasing the valve so it drops by 10 mmHg per second indicates further teaching is needed for blood pressure measurement.
- For a client admitted with a productive cough at 10 AM, and encouraged to cough and take deep breaths at 10:15 AM, expect the temperature to worsen, the pulse and respiratory rate to improve, and blood pressure to remain unchanged at 11 AM.
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Description
Nursing fundamentals cover essential concepts like oxygen saturation management with deep breaths, hospice care for terminally ill patients, and assessment of pneumonia symptoms like tachypnea. Cultural sensitivity can enhance therapeutic relationships, and accurate pulse measurement requires radial artery palpation. Understanding respiratory patterns such as Kussmaul respirations, and being aware of religious beliefs are crucial aspects of nursing care.