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Assignment NUR 198 Fundamentals of Nursing

Assignment: NUR 198 Fundamentals of Nursing

FUNDAMENTALS OF NURS ING 1

The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…

  1. Maintain the patient on strict bed rest at all times
  2. Maintain the patient in an orthopneic position as needed
  3. Administer oxygen by Venturi mask at 24%, as needed
  4. Allow a 1 hour rest period between activities

The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:

  1. Tachypnea
  2. Eupnca
  3. Orthopnea
  4. Hyperventilation

The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:

  1. Instructing the patient about this diagnostic test
  2. Writing the order for this test
  3. Giving the patient breakfast
  4. All of the above

Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:

  1. A ham and Swiss cheese sandwich on whole wheat bread
  2. Mashed potatoes and broiled chicken
  3. A tossed salad with oil and vinegar and olives
  4. Chicken bouillon

The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:

  1. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
  2. Reporting an APTT above 45 seconds to the physician
  3. Assessing the patient for signs and symptoms of frank and occult bleeding
  4. All of the above

NUR 198 Fundamentals of Nursing Assignment

The four main concepts common to nursing that appear in each of the current conceptual models are:

  1. Person, nursing, environment, medicine
  2. Person, health, nursing, support systems
  3. Person, health, psychology, nursing
  4. Person, environment, health, nursing

In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:

  1. Love
  2. Elimination
  3. Nutrition
  4. Oxygen

The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?

  1. Discourage them from making a decision until their grief has eased
  2. Listen to their concerns and answer their questions honestly
  3. Encourage them to sign the consent form right away
  4. Tell them the body will not be available for a wake or funeral

A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?

  1. Complain to her fellow nurses
  2. Wait until she knows more about the unit
  3. Discuss the problem with her supervisor
  4. Inform the staff that they must volunteer to rotate

Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?

  1. Continuity of patient care promotes efficient, cost-effective nursing care
  2. Autonomy and authority for planning are best delegated to a nurse who knows the patient well
  3. Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
  4. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.

If nurse administers an injection to a patient who refuses that injection, she has committed:

  1. Assault and battery
  2. Negligence
  3. Malpractice
  4. None of the above

If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician is incompetent, the nurse could be held liable for:

  1. Slander
  2. Libel
  3. Assault
  4. Respondent superior

NUR 198 Fundamentals of Nursing Assignment

A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with:

  1. Defamation
  2. Assault
  3. Battery
  4. Malpractice

Which of the following is an example of nursing malpractice?

  1. The nurse administers penicillin to a patient with a documented history of allergy to the drug. The patient experiences an allergic reaction and has cerebral damage resulting from anoxia.
  2. The nurse applies a hot water bottle or a heating pad to the abdomen of a patient with abdominal cramping.
  3. The nurse assists a patient out of bed with the bed locked in position; the patient slips and fractures his right humerus.
  4. The nurse administers the wrong medication to a patient and the patient vomits. This information is documented and reported to the physician and the nursing supervisor.

Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?

  1. Decreased blood pressure and heart rate and shallow respirations
  2. Quiet crying
  3. Immobility, diaphoresis, and avoidance of deep breathing or coughing
  4. Changing position every 2 hours

A patient is admitted to the hospital with complaints of nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following would immediately alert the nurse that the patient has bleeding from the GI tract?

  1. Complete blood count
  2. Guaiac test
  3. Vital signs
  4. Abdominal girth

The correct sequence for assessing the abdomen is:

  1. Tympanic percussion, measurement of abdominal girth, and inspection
  2. Assessment for distention, tenderness, and discoloration around the umbilicus.
  3. Percussions, palpation, and auscultation
  4. Auscultation, percussion, and palpation

High-pitched gurgles head over the right lower quadrant are:

  1. A sign of increased bowel motility
  2. A sign of decreased bowel motility
  3. Normal bowel sounds
  4. A sign of abdominal cramping

A patient about to undergo abdominal inspection is best placed in which of the following positions?

  1. Prone
  2. Trendelenburg
  3. Supine
  4. Side-lying

For a rectal examination, the patient can be directed to assume which of the following positions?

  1. Genupecterol
  2. Sims
  3. Horizontal recumbent
  4. All of the above

During a Romberg test, the nurse asks the patient to assume which position?

  1. Sitting
  2. Standing
  3. Genupectoral
  4. Trendelenburg

If a patient’s blood pressure is 150/96, his pulse pressure is:

  1. 54
  2. 96
  3. 150
  4. 246

NUR 198 Fundamentals of Nursing Assignment

Assignment NUR 198 Fundamentals of Nursing

Assignment NUR 198 Fundamentals of Nursing

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A patient is kept off food and fluids for 10 hours before surgery. His oral temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading probably indicates:

  1. Infection
  2. Hypothermia
  3. Anxiety
  4. Dehydration

Which of the following parameters should be checked when assessing respirations?

  1. Rate
  2. Rhythm
  3. Symmetry
  4. All of the above

A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?

  1. Respiratory rate only
  2. Temperature only
  3. Pulse rate and temperature
  4. Temperature and respiratory rate

All of the following can cause tachycardia except:

  1. Fever
  2. Exercise
  3. Sympathetic nervous system stimulation
  4. Parasympathetic nervous system stimulation

Palpating the midclavicular line is the correct technique for assessing

  1. Baseline vital signs
  2. Systolic blood pressure
  3. Respiratory rate
  4. Apical pulse

The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?

  1. Apical
  2. Radial
  3. Pedal
  4. Femoral

Which of the following patients is at greatest risk for developing pressure ulcers?

  1. An alert, chronic arthritic patient treated with steroids and aspirin
  2. An 88-year old incontinent patient with gastric cancer who is confined to his bed at home
  3. An apathetic 63-year old COPD patient receiving nasal oxygen via cannula
  4. A confused 78-year old patient with congestive heart failure (CHF) who requires assistance to get out of bed.

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The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing Mrs. Paul, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?

  1. Encourage the patient to increase her fluid intake to 200 ml every 2 hours
  2. Place a humidifier in the patient’s room.
  3. Continue administering oxygen by high humidity face mask
  4. Perform chest physiotheraphy on a regular schedule

The most common deficiency seen in alcoholics is:

  1. Thiamine
  2. Riboflavin
  3. Pyridoxine
  4. Pantothenic acid

Which of the following statement is incorrect about a patient with dysphagia?

  1. The patient will find pureed or soft foods, such as custards, easier to swallow than water
  2. Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing
  3. The patient should always feed himself
  4. The nurse should perform oral hygiene before assisting with feeding.

To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is:

  1. Less than 30 ml/hour
  2. 64 ml in 2 hours
  3. 90 ml in 3 hours
  4. 125 ml in 4 hours

NUR 198 Fundamentals of Nursing Assignment

Certain substances increase the amount of urine produced. These include:

  1. Caffeine-containing drinks, such as coffee and cola.
  2. Beets
  3. Urinary analgesics
  4. Kaolin with pectin (Kaopectate)

A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?

  1. Encourage the patient to walk in the hall alone
  2. Discourage the patient from walking in the hall for a few more days
  3. Accompany the patient for his walk.
  4. Consuit a physical therapist before allowing the patient to ambulate

A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:

  1. Ineffective airway clearance related to thick, tenacious secretions.
  2. Ineffective airway clearance related to dry, hacking cough.
  3. Ineffective individual coping to COPD.
  4. Pain related to immobilization of affected leg.

Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:

  1. “Don’t worry. It’s only temporary”
  2. “Why are you crying? I didn’t get to the bad news yet”
  3. “Your hair is really pretty”
  4. “I know this will be difficult for you, but your hair will grow back after the completion of chemotheraphy”

An additional Vitamin C is required during all of the following periods except:

  1. Infancy
  2. Young adulthood
  3. Childhood
  4. Pregnancy

A prescribed amount of oxygen s needed for a patient with COPD to prevent:

  1. Cardiac arrest related to increased partial pressure of carbon dioxide in arterial blood (PaCO2)
  2. Circulatory overload due to hypervolemia
  3. Respiratory excitement
  4. Inhibition of the respiratory hypoxic stimulus

After 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder?

  1. Lethargy
  2. Increased pulse rate and blood pressure
  3. Muscle weakness
  4. Muscle irritability

Which of the following nursing interventions promotes patient safety?

  1. Asses the patient’s ability to ambulate and transfer from a bed to a chair
  2. Demonstrate the signal system to the patient
  3. Check to see that the patient is wearing his identification band
  4. All of the above

Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions?

  1. Side rails are ineffective
  2. Side rails should not be used
  3. Side rails are a deterrent that prevent a patient from falling out of bed.
  4. Side rails are a reminder to a patient not to get out of bed

Examples of patients suffering from impaired awareness include all of the following except:

  1. A semiconscious or over fatigued patient
  2. A disoriented or confused patient
  3. A patient who cannot care for himself at home
  4. A patient demonstrating symptoms of drugs or alcohol withdrawal

The most common injury among elderly persons is:

  1. Atheroscleotic changes in the blood vessels
  2. Increased incidence of gallbladder disease
  3. Urinary Tract Infection
  4. Hip fracture

The most common psychogenic disorder among elderly person is:

  1. Depression
  2. Sleep disturbances (such as bizarre dreams)
  3. Inability to concentrate
  4. Decreased appetite

Which of the following vascular system changes results from aging?

  1. Increased peripheral resistance of the blood vessels
  2. Decreased blood flow
  3. Increased work load of the left ventricle
  4. All of the above

Which of the following is the most common cause of dementia among elderly persons?

  1. Parkinson’s disease
  2. Multiple sclerosis
  3. Amyotrophic lateral sclerosis (Lou Gerhig’s disease)
  4. Alzheimer’s disease

The nurse’s most important legal responsibility after a patient’s death in a hospital is:

  1. Obtaining a consent of an autopsy
  2. Notifying the coroner or medical examiner
  3. Labeling the corpse appropriately
  4. Ensuring that the attending physician issues the death certification

NUR 198 Fundamentals of Nursing Assignment

Before rigor mortis occurs, the nurse is responsible for:

  1. Providing a complete bath and dressing change
  2. Placing one pillow under the body’s head and shoulders
  3. Removing the body’s clothing and wrapping the body in a shroud
  4. Allowing the body to relax normally

When a patient in the terminal stages of lung cancer begins to exhibit loss of consciousness, a major nursing priority is to:

  1. Protect the patient from injury
  2. Insert an airway
  3. Elevate the head of the bed
  4. Withdraw all pain medications
  5. Important information for writing discussion questions and participationHi Class,

    Please read through the following information on writing a Discussion question response and participation posts.

    Contact me if you have any questions.

    Important information on Writing a Discussion Question

    • Your response needs to be a minimum of 150 words (not including your list of references)
    • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
    • Include in-text citations in your response
    • Do not include quotes—instead summarize and paraphrase the information
    • Follow APA-7th edition
    • Points will be deducted if the above is not followed

    Participation –replies to your classmates or instructor

    • A minimum of 6 responses per week, on at least 3 days of the week.
    • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
    • Each response needs to be at least 75 words in length (does not include your list of references)
    • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
    • Follow APA 7th edition
    • Points will be deducted if the above is not followed

    Welcome to class

    Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

    I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

    Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

    If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

    Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

    Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

    I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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