LPN Fundamentals of Nursing Exam 1-6 FINAL EXAM
/ Questions & Expertly Verified Answers,
Define Sinus Tachycardia - (ANSWER)Regular Rhythm, rate 100-180 beats/min
(higher in infants)
When is the best time of the month to perform a self-breast examination? -
(ANSWER)4th to 7th day during menstrual cycle or days after cycle has ended.
Define total Patient Care - (ANSWER)Rn is responsible for all aspects of care for
one or more pts during a shift of care. Care is usually consistent, comprehensive,
and holistic, care can be delegated. RN works directly with pt, family and health
care team members.
Define Primary nursing - (ANSWER)1 primary RN assumes responsibility for a
caseload of patients, provides care for the same pts during their stay in health
care facility. RN assesses pt, develops plan of care and delivers appropriate
nursing intervention. Communication is lateral from nurse to nurse and caregiver
to caregiver.
Define major surgery - (ANSWER)Involves extensive reconstruction or alteration
in body parts, poses great risks to well being.
Describe a stage II pressure ulcer - (ANSWER)Partial thickness loss of dermis
presenting a shallow ulcer red- pink wound bed without slough. May present an
intact or open. ruptured serum filled blister. Shiny dry shallow ulcer without
slough or bruising.
,Define Presbyscusis - (ANSWER)Hearing loss associated with aging. Usually
involves both a loss of hearing sensitivity and a reduction in the clarity of speech.
Define Ventilation - (ANSWER)movement of air in and out of the lungs. Afterload
ejection of blood from left ventricle
define contact precaution - (ANSWER)Safeguards designed to reduce the risk of
transmission of epidemiologically important microorganisms by direct or indirect
contact.
what sound do rhonchi make - (ANSWER)sonorous wheeze-coarse, low pitched:
may clear with cough.
describe head lice - (ANSWER)attach their eggs to hair, eggs look like oval
particles of dandruff. Lice are difficult to see, observe for bites or pustule
eruptions in the follicles and area where skin surfaces meet behind the ears in the
ears and in the groin.
describe diffusion - (ANSWER)movement of gases between air spaces and blood
stream
what is the final step in a complete assessment? - (ANSWER)documentation
, S/S of hypostatic pneumonia - (ANSWER)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 - (ANSWER)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 ? - (ANSWER)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? - (ANSWER)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
/ Questions & Expertly Verified Answers,
Define Sinus Tachycardia - (ANSWER)Regular Rhythm, rate 100-180 beats/min
(higher in infants)
When is the best time of the month to perform a self-breast examination? -
(ANSWER)4th to 7th day during menstrual cycle or days after cycle has ended.
Define total Patient Care - (ANSWER)Rn is responsible for all aspects of care for
one or more pts during a shift of care. Care is usually consistent, comprehensive,
and holistic, care can be delegated. RN works directly with pt, family and health
care team members.
Define Primary nursing - (ANSWER)1 primary RN assumes responsibility for a
caseload of patients, provides care for the same pts during their stay in health
care facility. RN assesses pt, develops plan of care and delivers appropriate
nursing intervention. Communication is lateral from nurse to nurse and caregiver
to caregiver.
Define major surgery - (ANSWER)Involves extensive reconstruction or alteration
in body parts, poses great risks to well being.
Describe a stage II pressure ulcer - (ANSWER)Partial thickness loss of dermis
presenting a shallow ulcer red- pink wound bed without slough. May present an
intact or open. ruptured serum filled blister. Shiny dry shallow ulcer without
slough or bruising.
,Define Presbyscusis - (ANSWER)Hearing loss associated with aging. Usually
involves both a loss of hearing sensitivity and a reduction in the clarity of speech.
Define Ventilation - (ANSWER)movement of air in and out of the lungs. Afterload
ejection of blood from left ventricle
define contact precaution - (ANSWER)Safeguards designed to reduce the risk of
transmission of epidemiologically important microorganisms by direct or indirect
contact.
what sound do rhonchi make - (ANSWER)sonorous wheeze-coarse, low pitched:
may clear with cough.
describe head lice - (ANSWER)attach their eggs to hair, eggs look like oval
particles of dandruff. Lice are difficult to see, observe for bites or pustule
eruptions in the follicles and area where skin surfaces meet behind the ears in the
ears and in the groin.
describe diffusion - (ANSWER)movement of gases between air spaces and blood
stream
what is the final step in a complete assessment? - (ANSWER)documentation
, S/S of hypostatic pneumonia - (ANSWER)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 - (ANSWER)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 ? - (ANSWER)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? - (ANSWER)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
