Fundamentals of Nursing:LPN Fundamentals of Nursing Exam 1-6 :Final Exam: Guaranteed A+ Guide Solution

what is the final step in a complete assessment? (Ans- documentation S/S of hypostatic pneumonia (Ans- decreased lung expansion, generalized respiratory muscle weakness and secretions occur without immobility. (comes from inflammation of the lung from stasis or pooling of secretions. ) s/s of respiratory acidosis (Ans- increased PaCo2 and increased hydrogen ion concentration below 7.35. This reflects the excess carbonic acid in the blood (hypoventilation produces R. acidosis) what is the primary advantage of hydrogel dressing? (Ans- contains a high percentage of water for wounds that require moisture. Maintaining a moist wound environment needed for healing. Hydrogel facilitates debridement by softening dead tissue. A pt complains of chills, dizziness and feeling hot during a blood transfusion. What are the nurses most appropriate actions? (Ans- Stop transfusion immediately. Remove blood component and tubing containing and tubing contacting blood products replace with new primed tubing with 0.9% sodium chloride Maintain patent IV line with normal saline Stay with patient observe signs and symptoms and monitor every 5 min. Notify health care ream or response team notify bank prepare to do cpr and give emergency drugs save blood container, tube, labels and transfusion record get blood and 1st urine document transfusion reaction, description, treatment and outcomes The nurse is providing preoperative teaching for a patient regarding pain control after surgery. Which of the following statements is/are true regarding the use of postoperative analgesia? (Ans- -inform nurse as soon as pain becomes a persistent discomfort. -takes time for a drug to act -drugs rarely eliminates all discomfort. -don't be fearful of dependency - USE of PCA pump which leadership skills should a nursing student use when caring for patients? (Ans- clinical decisions making priority setting organizational skills use of resources time management evaluation team communication delegation a nurse wants to follow the American nurses association's social media policy. Which actions should the nurse take? (Ans- never name a patient never describe a patient never post an image of pt never disparage a fellow employee or employer report breaches of confidentiality and privacy. visual changes in older adults is caused by what? (Ans- glaucoma, Age Related MUACLAR DEGENERATION