🎧 New: AI-Generated Podcasts Turn your study notes into engaging audio conversations. Learn more

FUNDA 1-1COMPREHENSIVE EXAM.pdf

Loading...
Loading...
Loading...
Loading...
Loading...
Loading...
Loading...

Document Details

IngenuousNaïveArt

Uploaded by IngenuousNaïveArt

National University

Tags

nursing theory patient care medical examination

Full Transcript

FUNDA 1 COMPREHENSIVE EXAM * Required 1. Mang Toto a chronic smoker with emphysema was to be given oxygen. It is important to note which of the following? * respiratory rate may be increased a great part of the time intercostal muscles contract during inspirati...

FUNDA 1 COMPREHENSIVE EXAM * Required 1. Mang Toto a chronic smoker with emphysema was to be given oxygen. It is important to note which of the following? * respiratory rate may be increased a great part of the time intercostal muscles contract during inspiration, but fail to relax during expiration drive to breathe may be dependent on low levels of oxygen in the blood lung stretch receptors may fail to monitor the patterns of breathing 2. A patient with a neurological disorder is having a difficult time expressing himself because his ability to speak has been impaired. Realizing this, which of the following nursing problems should the nurse focus on according to Abdellah’s theory? * To facilitate the maintenance of effective verbal and nonverbal communication To facilitate the maintenance of sensory function To promote optimal activity, exercise, rest, and sleep To maintain good body mechanics and prevent and correct deformities 3. Given a very heavy client, what instruction is best to give in order to avoid workplace injury? A. Use the mechanical lift and another person to transfer the client from the bed to the chair B. You are physically fit and at lesser risk for injury when transferring the client C. Use the back belt to avoid hurting your back doctor” D. Using proper body mechanics will prevent you from injuring yourself. * 4. The client is ambulating for the first time after surgery. The client tells the nurse, “I feel faint. The best action by the nurse includes which of the following? * Return the client to her room as quickly as possible. Find another nurse for help. Tell the client to take rapid, shallow breaths Assist the client to a nearby chair 5. How would the nurse know that her health teaching is effective in terms of the use of the spirometer? * “I should use the device three times a day, after meals.” “I should breathe out fast and hard as possible into the device.” “I should inhale slowly and steadily to keep the balls up.” “The entire device should be washed thoroughly in sudsy water once a week.” 6. Jessica was admitted to the ER for severe pain. The doctor immediately ordered pain medication for her. Jessica told Amy, “This pill is a different color than the one that I usually take at home.” Which is the best response by the nurse? * “I’ll leave the pill here while I check “I will recheck your medication orders.” “Go ahead and take your medicine” Maybe the doctor ordered a different medication 7. Aling Maria, an emaciated client as supposed to given 0.5 ml of meds. Which is the most appropriate for the nurse to do? * Two 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle A tuberculin syringe, # 25-#27 gauge, 1⁄4 to 5/8-inch needle 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle 2mL syringes, #25-gauge, 5/8 inch needle 8. Mang Berto has been coughing on and off the ward. Upon consultation it was heard that he has mucous. As an independent action, Anna planned to perform percussion and postural drainage. Which is important to note in planning Mang Berto’s care? * The order should be coughing, percussion, positioning and then suctioning Percussion and postural drainage should be done before lunch Percussion and postural drainage should always be preceded by 3 minutes of 100% oxygen. A good time to perform percussion and postural drainage is in the morning after breakfast when the client is well rested 9. Tony has been handling several clients for the past hour. Which of the following conditions poses a greatest risk or a problem with the transport of oxygen from the lungs to the tissues? * a tumor of the medulla a fractured rib infection anemia 10. Timone has diabetes and hypertension and have been experiencing faint headedness. With one of the goals as “Demonstrate adequate tissue perfusion” what would be the best evaluation result? * Symmetrical Chest Expansion Activity intolerance Brisk Capillary refill Use of pursed lip breathing 11. Who creates the nursing care plan of a client? * licensed practical nurse nurse manager registered nurse. primary care provider 12. During COVID 19 lots of clients were brought to the hospitals for confinement. Having lots of patients may cause medication errors. Which practice(s) will help decrease the possibility of errors? Select all that apply. * Please select at most 3 options. Create a culture of trust Hire only competent nurses Improve the nurse’s ability to multitask Communicate effectively Establish a reporting system for “near misses.” 13. When assessing respirations, you should: * Count the number of times his chest rises and falls in one minute Auscultate his chest All of the above Observe whether John is breathing easily or seems to be having difficulty 14. Aling Soria usually becomes disoriented and tries to walk and get up from bed. She suffered stroke a few days ago. What would ensure her safety? * Check the client every 15 minutes. Use a bed exit safety monitoring device. Restrain the client in bed. Ask a family member to stay with the client 15. Data collection consists of: * information supplied by patient and family health history and physical assessment assessment, patient records, and diagnostic tests. health history, physical assessment, and documentation 16. Problem-oriented medical records (POMRs): * focus on medical diagnosis focus on patient response to treatment is source-oriented charting reflects the patient’s current problems 17. A client with emphysema is prescribed corticosteroid therapy on a short-term basis for acute bronchitis. The client asks the nurse how the steroids will help him. The nurse responds by saying that the corticosteroids will do which of the following? * Bronchodilation Prevent respiratory infection Help the client to cough Decrease inflammation of the airways 18. “The patient will maintain an adequate nutritional state without nausea or vomiting” is an example of: * a nursing diagnosis a nursing goal a nursing intervention. the nursing process. 19. The nurse notes the previous 24-hour urine output was 950 mL, well below the normal of 1500 mL. An effective nursing order to remedy the impending dehydration would be to: * offer 8 ounces of juice or tea at 0800 (8 AM), 1200 (12 noon), 1600 (4 PM), and 2000 (8 PM). request extra fluid on a diet tray from the kitchen place a large water pitcher at the bedside during each shift. offer more fluids daily. 20. If we try to study our client in their point of view, how they view the world we are using what Leininger’s theory of culture care addresses? * Understanding the humanistic aspects of life Caring for clients from unique cultures Caring for patients who cannot adapt to internal and external environmental demands Variables affecting a client’s response to a stressor 21. Henry was able to move freely when asked to except in bathing on his own back and extremities. Which functional level describes this client? * Moderately dependent (+3) Semi-dependent (+2) Independent (0) Totally dependent (+4) 22. Mang Boyet is admitted to the medical unit with a diagnosis of dehydration. Which of the following signs or symptoms are most representative of a sodium imbalance? Muscle weakness Mental confusion Irregular pulse Hyperreflexia 23. A client with a chronic lung disorder requires some supplemental oxygen. The nurse ensures consistent and safe delivery with which of the following? * 8 L/min per partial rebreather mask 2 L/min per nasal cannula 10 L/min per nonrebreather mask 6 L/min per face mask 24. What action is very vital in performing tracheostomy care? * Changes the twill tape holding the tracheostomy in place Checks the tightness of the ties and knot Cleans the incision site Tells the client to raise two fingers to indicate pain or distress 25. Karla was just brought out of a crumbled building. She was given oxygen because she has blueish tinge in her lips. This tinge shows that she has: * cyanosis dyspnea hypoxia hypoxemia 26. Which of the following statements identifies the purpose of a nursing theory when applied to practice? * it guides curricular decision making it helps establishes criteria to measure quality of nursing care it provides general focus on the curriculum it offers framework in generating new ideas 27. 1. Pulse deficit is when: * When the pulse rate exceeds 100 beats per minute The difference between the apical pulse rate and the popliteal pulse rate One nurse takes the apical pulse, and another takes the radial pulse and the difference between the two 78 beats per minute 28. Activities directed toward maintaining or enhancing well-being against illness are called: * health evaluation activities. health promotion activities health treatment activities. health assessment activities. 29. The nurse is teaching a patient how to prevent complications of being immobile. The nurse knows that the best medicine for immobility is: * dietary supplements fluids. adequate fiber. exercise. 30. Nurse Popoy is developing an educational prevention program for elderly patients with problems on mobility. He wanted to incorporate the theory of Abdellah into his health teachings. Which of the following nursing problems would be appropriate to address in his activity? * To create and maintain a therapeutic environment To maintain good hygiene and physical comfort To facilitate the maintenance of sensory function To promote safety through prevention of accidents, injury, or other trauma 31. The most effective documentation is: * 7/27 945 AM Pt. vomited; Pt. looked better after episode. A. Nurse, LPN 7/27 945 AM Pt. reported less nausea after vomiting. A. Nurse, LPN 7/27 0945 AM Pt. vomited 200 mL of partially digested food. Pt. states nausea diminished. A. Nurse, LPN 7/27 945 AM Pt. vomited large amount. Reduced nausea 32. Which among the following actions is done properly? * Hyperoxygenate with 100% oxygen for 30 minutes before and after suctioning Apply suction intermittently while inserting the suction catheter Lubricate the suction catheter with petroleum jelly before and between insertions Rotate the catheter while applying suction 33. Nursing interventions classifications (NIC): * are guidelines for goal setting and documentation of nursing care given to patients. is a list of currently approved nursing goals are mandated by NANDA as interventions that are to be used for all patients. are instituted based on individual patient needs. 34. Sonny have been walking around his room when suddenly, the connection between the tube and the water seal dislodges. Which action is most appropriate? * Assess the client’s lung sounds with a stethoscope Assist the client to ambulate back to bed Reconnect the tube to the water seal Have the client cough forcibly several times 35. Which of the following documentation entries is an example of objective data? * Assessment reveals past history of drug abuse Complaint of pain in the RLQ of the abdomen rated 5 on pain scale of 1 to 10 Family states that the patient does not sleep at night and wanders about the house An area of erythema to the upper right extremity approximately 1 by 4 inches 36. In the course of our study we are told that there is a 5th vital sign. Which of the following questions is best to assess the 5th vital sign? * “Are you experiencing any discomfort right now?” “Is there anything I can do for you now?” “Do you have any complaints of pain?” “Do you have any complaints?” 37. The nursing process is based on: * standards of nursing care provided by the American Nurses’ Association the medical diagnosis of the patient identified physiological and psychological needs of the patient. orders of the primary care provider 38. The five steps of the nursing process, in the correct order, are: * history, physical, diagnosis, intervention, and evaluation data collection, diagnosis, assessment, planning, and evaluation data collection, nursing diagnosis, planning, intervention, and evaluation assessment, planning, documentation, intervention, and evaluation 39. You have instructed a postoperative client on the use of an incentive spirometer. Which of the following is an appropriate outcome for the client? * The client’s temperature returns to normal The client’s vital capacity is increased The client’s inspiratory volume returns to his preoperative value The client’s need for opioids is decreased 40. Health-conscious behaviors used to prevent or delay the onset of illness are components of which prevention type? * Final Primary Secondary Tertiary 41. An older client comes to the emergency department experiencing chest pain and shortness of breath. An arterial blood gas is ordered. Which of the following ABG results indicates respiratory acidosis? * pH 7.31; PaCO2 35 mmHg; HCO3 20 mEq/L pH 7.32; PaCO2 46 mmHg; HCO3 24 mEq/L pH 7.54; PaCO2 28 mmHg; HCO3 22 mEq/L pH 7.50; PaCO2 37 mmHg; HCO3 28 mEq/L 42. Whenever safety is being addressed, what would be the best topic to discuss for the young adult and adults? * Drowning and firearms Falls Suicide and homicide Automobile crashes 43. Nurse Even was taking good care of a client with low levels of potassium. Which of the following statement might indicate that he needs further teaching? * “I will take my potassium in the morning after eating breakfast.” “I will stop using my salt substitute.” “I will use avocado in my salads.” “I will be sure to take my heart rate before I take my digoxin.” 44. Carol was visiting a client. She sees smoke emerging from one of the equipment. What would be the number one priority? * Report the fire. Extinguish the fire Contain the fire. Protect the clients 45. Yannie, is planning to have a health education program in a community center on oral health. Which statements will be important to include? Select all that apply. * Please select at most 2 options. Schedule a visit to the dentist when your child is ready to go to school It is important for parents to supervise a child brushing of their teeth. Older adults are at risk for periodontal disease Using a bottle during naps and bedtime can cause dental caries in a toddler Most older adults have dentures and don’t need to worry about oral care 46. Reign, reports usually eating 2 cups dairy, 1 cups fruit, 3 cups vegetables, 3 ounces grains, and 5 ounces meat every day. What would be the most appropriate advice for Reign? * Decrease the number of servings of vegetables Increase the number of servings of dairy Increase the number of servings of grains Maintain the diet; the servings are adequate 47. Immobility is one factor that is important to nursing care. Why would you as a nurse be aware on reasons that might make a person immobile? * bereavement resulting from the loss of a loved one. to reduce the workload of the heart. lack of motivation to decrease flexibility and strength 48. Shifu, a 66-year-old Asian client has mild dysphagia. The client’s meals should be based on the need to: * Eliminate the beer usually ingested every evening Increase the calories from lipids to 40% Have at least one serving of thick dairy (eg. Pudding, ice cream) per meal Include as many of the client’s favorite foods as possible 49. A student nurse is caring for a patient with insomnia and realizes that the patient must have adequate sleep and rest in order to function properly. He realizes that sleep and rest is one of the 14 activities for client assistance according to * Faye Abdellah Jean Watson Virginia Henderson Hildegard Peplau 50. Fely was diagnosed with diabetes. Which statement by the client indicates a need for further teaching? “I will file my nails” “I enjoy walking barefoot around the house” “I am going to use a mirror to check my feet” “I will increase the time that I wear new shoes each day” 51. The nurse clarifies that currently the health care system is concerned with: a. caring for patients with acute and chronic illness. b. preventing illness c. treating illness d. promoting optimal function in the chronically ill. * 52. The gate control theory is used in order to inhibit transmission of pain. Which of the following would show examples of it? Select all that apply. * Please select at most 3 options. Patient controlled analgesia Oral analgesic round the clock Massage Teaching Heat or cold application 53. A client is being admitted to the hospital because of a seizure that occurred at his home. The client has no previous history of seizure. In planning the client’s nursing care, which of the following measures are most essential at this time of admission? Select all that apply. Please select at most 2 options. Inform the client about the importance of wearing a medical identification tag. Test oral suction equipment Teach the client about epilepsy. Pad the bed with blankets. Place a padded tongue depressor at the head of the bed. 54. Harry needs to be given a tuberculin test he is 20 y.o who is tall and weighs 200 lbs. Which is the best thing to do? * 2mL syringes, #25-gauge, 5/8-inch needle 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle A tuberculin syringe, # 25-#27 gauge, 1⁄4 to 5/8 inch needle Two 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle 55. Lydia Hall on the other hand identified needs of the client according to care, core, and cure. Care is. * Inner feelings Response to Disease Disease Motivation 56. Tonyo is 45 years old, 5’8” and weighs 140 lbs. He was prescribed 5 ml of a medication to be given deep intramuscular. Which is the most appropriate method of administration? * Two 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle A tuberculin syringe, # 25-#27 gauge, 1⁄4 to 5/8-inchneedle Two 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle Two 2mL syringes, #25 gauge, 5/8 inch needle 57. Sarah is known to assist clients in her ward whenever they ask for her. Who is the theorist that Sarah is following? * Virginia Henderson Faye Abdellah Jean Watson Martha Rogers 58. Given frail and disoriented clients what would be the main priority to avoid falls? * Keep all of the side rails up Place the bed in the lowest position. Review prescribed medications. Complete the “get up and go” test 59. Aling Bebang was brought to the ER unconscious and later fell into coma. She requires total care by nursing staff. Given that she is unresponsive what assessment does the nurse check first before providing special oral care to the client? * Range of motion Condition of the skin Presence of pain Gag reflex 60. Given the four concepts central to nursing theory, Which of the following interventions is aimed at addressing the environment: * actively listening to a client who expresses concerns about upcoming surgery. teaching the community class on proper nutrition. instructing a client to do range-of-motion exercises in preparation for walking following a limiting external stimulation for a client with a head injury. 61. Which of the following would make sure that cardiopulmonary resuscitation on a comatose client be initiated? * Absent pulses, flushed skin, pinpoint pupils Cyanosis, slow pulse, dilated pupils Apnea, absence of carotid or femoral pulses, dilated pupils Cool, pale skin; unconsciousness; absence of radial pulse 62. Which of the following is correctly done during otic meds for a toddler? * Pull the ear up and back Pull the ear straight back Pull the ear down and back Pull the ear straight upward 63. An example of a complete nursing diagnosis is: * peripheral neurovascular dysfunction exhibited by patient complaint. peripheral neurovascular dysfunction exhibited by patient statement. peripheral neurovascular dysfunction peripheral neurovascular dysfunction related to decreased sensation, exhibited by the statement that “My feet are tingling.” 64. The nurse explains that the health-illness continuum is based on: * individual response to health or illness variation in degree of health or illness prevention of acute illness promotion of health and wellness 65. Tito Win just undergone cholecystectomy and will be returning to his bed via a stretcher. Which bed position reflects that the nurse appropriately planned ahead for Tito Win? * Surgical bed in high position Occupied bed in low position Closed bed in high position Open bed in low position 66. Nursing outcome classification (NOC) is a method of classification of: * the nursing care plan. the nursing process nursing goals. nursing intervention outcomes. 67. Vicky has just been moved from the recovery room to her own room. A sequential compression device (SCDs) was ordered to be applied postoperatively. Vicky asks why the SCDs are needed. Which is the best response? * Promote arterial circulation Decrease postoperative pain Decrease afterload Promote venous return from the legs 68. Jessica has been assigned to the following client. Who among the client may have a reportable heartbeat? * A client with a sustained heart rate of 150 beats/min A client who has stroke volume of 70 ml per beat and a heart rate of 70 beats/min A client who receives a positive inotropic medication A client who has recently completed exercising and is talking with ah exercise partner 69. Which of the following statements reflects that the client did not fully understand the teaching given? * “Going up, the strong leg goes first, then the weaker leg with both crutches.” “A cane or single crutch may be used instead of both crutches if held on the weaker side.” “Going down, the weaker leg goes first with both crutches, then the strong leg.” “The weaker leg always goes first with both crutches.” 70. When preparing a plan of care for an older adult patient, the nurse should consider the common problems associated with immobility. These problems may be classified as: * physical and psychosocial environmental and intellectual internal and external mental and medical 71. The nurse emphasizes that the major advantage of utilizing Maslow’s Hierarchy of Needs when planning nursing care for patients is to: * prioritizes patient care establish priorities of care establish a nursing diagnosis improve problem-solving techniques 72. Documentation should include: * incidence reports. observations made by other nursing staff objective and subjective data. information that is accurate and complete 73. Sephra is about 30 lbs over her desired weight. She has been doing intermittent fasting with low carbs diet with no improvement. Which statement reflects a healthy approach to the desired weight loss? “I need to * Buy more organic and less processed foods.” Increase my exercise to at least 30 minutes every day.” Switch to a low carbohydrate diet.” Keep a list of my forbidden foods on hand at all times.” 74. Mang Nestor has been hospitalized for his condition and was prescribed medications to control fluid retention. He uses a cane when he goes around. Which is the most appropriate intervention for him to protect him from further hurt? * Provide a bedside commode Leave the bathroom light on. Withhold the client’s diuretic medication Keep the side rails up. 75. Pet was rushed to the ER due to shortness of breath when lying down but he breathes more comfortably if he is upright or sitting down. What do you call his condition? * hyperpnea acapnea orthopnea dyspnea 76. When positioning an immobile patient, the nurse should * reposition no more than every 4 hours. picture how people look while standing and try to have the patient achieve that position while he or she is lying down. always position the patient on his or her back with the head raised to prevent aspiration be sure that the patient’s knees and hips are flexed 77. Dyan is admitted to the hospital for low calcium levels. Nursing interventions relating to which system would have the highest priority? * Renal Gastrointestinal Neuromuscular Cardiac 78. Kibs is complaining of shortness of breath. RR are 28 and labored and his bed is in flat position. To ease his breathing what is the best position for his bed? * Semi-fowler’s Trendenburg Fowler’s Reverse Trendelenburg 79. Aya is a newly hired nurse who had just finished her orientation regarding MAR’s. Knowing her knowledge which would she question? * Ampicillin 500 mg, 6hr, IVPB Codeine q4-6hr po prn for pain Lasix 40 mg, po STAT Humulin L(Lente) insulin 36 units, subcutaneously, every morning before breakfast 80. The following are according to Dorothea Orem, EXCEPT: * Health deviation are self care requisites associated with health beliefs Universal self care are self care requisites common to all humans None of the above Developmental self care are self care requisites necessary for growth and development 81. When the postsurgical patient complains of shortness of breath, the nurse should immediately: * take vital signs. raise the head of the bed to 30 degrees. inform the charge nurse perform a focused assessment 82. The nurse is aware of the goal of “Patient will eat at least 50% of all meals.” The nurse has observed the patient eating over 50% of all meals for 2 days. The evaluation statement should read: * resolved: goal met ate 50% of meals. ate well for all meals goal met: patient ate 50% of all meals on 7/12 and 7/13. 83. The following illness: myocardial infarction, heart failure, and anemia will display what common symptom? * nausea shortness of breath pain distended neck veins 84. Tanya, was brought to the clinic because she says she feels that she’s spinning. Upon client interview it was revealed that she refused to eat or drink for several days. Which finding should you expect? * Jugular vein distention Weak, rapid pulse Increased blood pressure Moist mucus membranes 85. Jessa is a 400 lbs. client and was to be given a SC meds in her upper arm. Sam, the nurse can grasp approximately 2 inches of the client’s tissue at the upper arm. Which is the best thing to do? * A tuberculin syringe, # 25-#27 gauge, 1⁄4 to 5/8 inch needle 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle Two 3mL syringes, #20-#23 gauge, 1 1⁄2 inch needle 2mL syringes, #25 gauge, 5/8 inch needle 86. The patient complains of a headache. This data would be classified as: * undifferentiated data. objective. pain assessment. subjective. 87. The nurse uses palpation for the purpose of: * determining areas of tenderness. hearing sounds produced by the body. a systematic approach of physical assessment. differentiating between fluid- and air-filled organs. 88. When a patient plan of care has been written, it: * can only be changed by the initiating nurse. is continually reviewed and evaluated. must be reviewed by the primary caregiver remains in effect until the patient is discharged 89. To prevent respiratory complications resulting from immobility, the best nursing interventions would be to: * reposition the patient and encourage him or her to cough and deep-breathe at least every 2 hours. teach the patient the technique of pursed lip breathing administer pain medications as frequently as possible. suction every 4 to 6 hours 90. A man brings his elderly wife to the emergency department. He states that she has been vomiting and has had diarrhea for the past 2 days. She appears lethargic and is complaining of leg cramps. What should the nurse do first? * Offer the woman foods that are high in sodium and potassium content Start an IV Review the result of serum electrolytes Administer an antiemetic 91. Which of the following will best increases the base of support? * Spacing the feet farther apart Tensing the abdominal muscles Leaning slightly backward Bending the knees 92. The nurse teaches a patient with hypertension that his well- being will be focused on his ability to: * take exercise eat the correct diet. adhere to a medication protocol manage symptoms 93. Which of the following situations best depicts the application of Nightingale’s theory in actual nursing practice? * Facilitating range of motion exercises to a patient with a hip fracture Assessing the patient’s need for pain medications Keeping the patient’s bedside table and room clean with adequate ventilation to promote comfort Giving a patient oxygen inhalation via nasal cannula for difficulty of breathing 94. The nurse assisting with prioritizing nursing diagnoses would select which of the following as the highest priority? * Impaired adjustment Risk for imbalanced body temperature Ineffective airway clearance Impaired adjustment 95. Given a post-op client, you were instructed to engage the client in his exercise. If after five minutes the vital signs have not yet returned to baseline. An appropriate nursing diagnosis might be: * Activity Intolerance. Risk for Disuse Syndrome Impaired Physical Mobility Risk for Activity Intolerance 96. When percussing the patient’s abdomen, the “note” that the nurse anticipates is: * resonant. flat. tympanic dull. 97. The frail and elderly even though they aged needs to exercise regularly and increasing gradually. Darah, the nurse created a guide for those with heart ailments. This promotes which topic? * Renal perfusion and formation of urine Effective breathing and airway clearance Cardiac output and tissue perfusion Oxygen carrying capacity of white blood cells 98. What action is best to implement to prevent post-op complications? * Diaphragmatic and pursed lip breathing 5-10 times, four times a day Forceful coughing as many times as tolerated Huff coughing every 2 hours or as needed Coughing exercises 1 hour before meals and deep breathing 1 hour after meals 99. Standardized care plans are called: * clinical pathways. evaluation tools outcome criteria nursing intervention–based 100. If an elderly needs immunization, what should be expected to be current? Select all that apply * Please select at most 3 options. Receives a flu shot every year Has not received the hepatitis A vaccine Has not received the hepatitis B vaccine Has not received the herpes zoster vaccine Last tetanus booster was at age 50 101. Nurse Carla is conducting a nursing history to Mrs. Lopez, the mother of the patient who rushed her daughter Camille to the emergency department due to loss of consciousness. Mrs. Lopez found Camille lying unconsciously in bed with few tablets in her hands. Mrs. Lopez is suspecting medication overdosage to her daughter. As nurse Carla collects, Mrs. Lopez is considered as which of the following? (1 Point) A. Secondary source of data B. Primary source of data C. Subjective data D. Objective data *

Use Quizgecko on...
Browser
Browser