Fundamentals of nursing

Oxygen toxicity results from oxygen concentrations greater than 28%. 21%. 60%. 40%. ​

40% Oxygen concentrations greater than 40% have been found to cause oxygen toxicity in adults.

Disposal of medical records in government hospital/institutions must be done in close coordination with what agency? a. Department of Health b. Records Management Archives Office c. Metro Manila Development Authority d. Bureau of Internal Revenue

A. DOH

Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated 3 cm, 0 station and completely effaced; fetal heart rate of 136 bpm. Which of the following would the nurse plan to do next? Prepare the client for epidural anesthesia to relieve the pain Assist the client with comfort measures and breathing techniques. Turn the client from the left side-lying position to the right side-lying position. Instruct the client that internal fetal monitoring will be necessary.

Assist the client with comfort measures and breathing techniques. The client's assessment findings indicate that the client is in the latent phase of the first stage of labor. Therefore, the nurse should plan to assist the client with comfort measures and breathing techniques to relieve the discomfort. The client is able to move around, walk, or ambulate at this phase of labor

The present chairman of the Board of Nursing in the Philippines is: a. Maria Joanna Cervantes b. Carmencita Abaquin c. Leonor Rosero d. Primitiva Paquic

B. CARMENCITA ABAQUIN

The obligation to maintain efficient ethical standards in the practice of nursing belong to this body: a. BON b. ANSAP c. PNA d. RN

BON quasi judiciary quasi legislative and executive power

Nurse Chie needs to expose the patient's arm and position it with palm upward and the arm slightly flexed with the whole arm supported at which level? A. Above heart B. Below heart C. Heart level D. Any level

C. heart level

An example of subjective data is: a. Size of wounds b. VS c. Lethargy d. The statement of patient "My hand is painful"

D.

Which of the following can be the LEAST source of data for this case? a) Vital signs b) Laboratory Findings c) Intake and output d) Immunization record

D.

82. Nurse Chie remembers that blood pressure taken in the upper arm versus the forearm varies. Thus, there is a need to document which site is used. Which of the following values is the correct variation in mmHg? A. 10-15 B. 5-10 C. 14-20 D. 1-4

D. 1-4

In order to determine if the nursing care is effective, the "response" should be compared to which of the following categories of the FDAR? a) Evaluation b) Focus c) Data d) Interventions

DATA

The nurse has just received the change of shift report on the following clients on the labor, delivery, recovery, and postpartum unit. Which of these clients would the nurse assess first? An 18-year-old single primigravid client, in labor for 9 hours, with cervical dilation at 6 cm, 0 station, contractions occurring every 5 minutes, and receiving epidural anesthesia. A 26-year-old multigravid client, in labor for 8 hours, with cervical dilation at 8 cm, 1+ station, contractions every 3 to 4 minutes, and receiving no anesthesia. A 24-year-old primiparous client who delivered a 7-pound, 3-ounce boy vaginally 1 hour ago, has a firm fundus and scant lochia rubra, and is attempting to breast-feed. A 30-year-old multipara who delivered a 6 pound 5 ounce girl by cesarean section owing to fetal distress 3 hours ago, has a firm fundus and scant lochia rubra, and is receiving patient-controlled morphine analgesia

Ga ung ung na ang +1 dayun 8cm dilatation na dayun multi gravid mas dali nana manganak so ANSWER: A 26-year-old multigravid client, in labor for 8 hours, with cervical dilation at 8 cm, 1+ station, contractions every 3 to 4 minutes, and receiving no anesthesia. The client who should be assessed first is the multigravid client who has been in labor for 8 hours and whose cervix is 8 cm dilated at 1+ station with contractions every 3 to 4 minutes. A multigravid client typically has a shorter labor than a primigravida, and this client's station is 1+, which means that delivery of the fetus is imminent.

Florence nightingale is born on: a. France b. Britain c. U.S d. Italy

ITALY

. It is a flip over card usually kept in portable file at nursing station. a. Nursing care plan b. Medicine and treatment record c. Kardex d. TPR sheet

KARDEX

When suctioning a client's tracheostomy tube, the nurse should incorporate which of the following steps into the procedure? Oxygenate the client before suctioning. Use clean gloves during the procedure. Insert the suction catheter about 2 inches into the cannula. Use a bolus of sterile water to stimulate cough

Oxygenate the client before suctioning. Preoxygenating the client before suctioning helps prevent the development of hypoxia during the procedure. The suction catheter is inserted about 5 to 6 inches into the cannula. A bolus of 3 to 5 mL of sterile normal saline may be inserted into the cannula before suctioning to stimulate coughing and loosen secretions. The nurse uses sterile technique when suctioning a client.

The BSN curriculum prepares the graduates to become? a. Nurse generalist b. Nurse specialist c. Primary health nurse d. Clinical instructor

PRIMARY HEALTH CARE

When getting the data on the subjective symptom of the abdominal pain, which of the following should the nurse RELY on? a) Mother's verbal complaint b) Result of the abdominal percussion c) Patient's verbal complaint d) Result of auscultation of the abdomen

Patient's verbal complaint ​

Nurse Aladdin emphasized that patient safety is___________. a) Preventing errors and adverse reactions to patients associated with health care b) Being careful in caring for patients at all times c) Providing treatment and care to patients and documenting the same d) Being mindful of the needs of others at all times

Preventing errors and adverse reactions to patients associated with health care ​

Kidlat, 3 years old, was admitted to Pediatrics Ward because of watery stools four times in 30 minutes accompanied by vomiting, abdominal pain and temperature of 38.1 degrees centigrade. Nurse Viviy was the one who was the admitting nurse. 41. Which of the following should be the PRIMARY consideration by the nurse when charting the Chief Complaint? The ___ a) Number of significant accompanying symptoms b) Objective symptom presented c) Subjective symptom presented d) Significant reason for the child's hospitalization

Subjective symptom presented kay bata mana and ang mama may gaingon maong subjective

Epidural anesthesia is usually administered when the cervix is dilated to 5 to 6 cm.

TRUE

The client should be turned at least every 2 hours

TRUE

The suction catheter is inserted about 5 to 6 inches into the cannula. TRUE OR FALSE

TRUE para abot jud

The subjective and objective data that signal the existence of an actual health problem are which of parts of an actual nursing diagnosis? Etiology Inferences Problem statement (diagnostic label) Signs and symptoms (defining characteristics)

The signs and symptoms (defining characteristics) of an actual nursing diagnosis are subjective and objective data or information that signals the existence of an actual health problem.

Which is true of primary facilities? They are usually government-run. Their services are provided on an out-patient basis. They are training facilities for health professionals. A community hospital is an example of this level of health facilities.

Their services are provided on an out-patient basis. Primary facilities government and non-government facilities that provide basic out-patient services.

The first college of nursing that was established in the Philippines is: a. Fatima University b. Far Eastern University c. University of the East d. University of Sto. Tomas

UST

Which of the following statement is true about membership to the Philippine Nurses Association (PNA)? It is: A. Voluntary and is encouraged by the PRC code of ethics B. Compulsory for new nurses wanting to practice nursing in the Philippines C. Mandatory as stipulated in the Philippine Nursing Act if 2002 D. Required for those employed in government health facilities

Voluntary and is encouraged by the PRC code of ethics ​

Using the FDAR (Focus Data Action and Response) Charting, which of the following presenting data would be PRIMARY "Focus" a) Vomiting in small amount b) Watery stools 4x in 30 minutes c) Generalized abdominal pain d) Temperature of 38.1 centigrade

Watery stools 4x in 30 minutes ​

Nurse Aladdin has provided instructions that all care provided by nurses must be documented, as one of their legal responsibilities. In case errors occur, which is the correct way of documenting it? a) Wrong medicine given to wrong patient. Physician notified. Patient observed b) Medication inadvertently omitted. Supervisor notified. c) Medication given to patient A instead to patient B. Patient advised. d) Wrong dose of medicine administered to patient. Sorry.

Wrong medicine given to wrong patient. Physician notified. Patient observed ​

Application of cold prevents swelling

applications of cold are used to prevent swelling by causing vasoconstriction.

In defining and classifying hypertension, blood pressure readings must be based on measurements done during ________. A. at least two visits taken one week apart B. three consecutive daily visits C. two readings taken two weeks apart D. two consecutive monthly visits

at least two visits taken one week apart ​

The MOST accurate and reliable technique for indirect BP measurement is the _______. A. auscultatory using a mercury manometer. B. palpation using mercury manometer C. auscultatory using an aneroid BP apparatus D. palpation using an aneroid BP apparatus ​

auscultatory using a mercury manometer. ​

The nurse prepares a warm compress to apply to a client's leg. The nurse understands that the reason for applying a heat treatment is to decrease mobility of leukocytes. prevent swelling in the area. reduce tissue metabolism. promote circulation to the area

promote circulation to the area. Heat applications cause vasodilation, which promotes circulation to the area, and increase tissue metabolism and leukocyte mobility.

The nurse uses sterile technique when suctioning a client.

yes kay respiratory not Gi so sterile