BSN 246 (BSN246)

factors affecting nutritional intake correct answer: •Medications (may affect taste or cause N&V) •Medical Testing (may miss out on meals bc taking test) •Fear and Anxiety •Pain •Unfamiliar Schedules (may be interrupted, may not be used to being offered 3 meals per day) •Unacceptable Food/Acceptance of Interventions (don't want to accept diet) •Inappropriate Diet Orders (i.e. stroke needs a texture and consistency modification) •If needed, inadequate feeding assistance/u...

What is the angle of Louis? correct answer: •Joint formed by the articulation between the manubrium and the body of the sternum •Where the sternum and second ribs meet midaxillary line correct answer: An imaginary vertical line that starts at the middle of the axilla (armpit) and extends down the side of the chest. 2 What do we listen for in the lateral thorax? And what should it sound like? correct answer: Lateral thorax ◦Vesicular sounds ◦Softer lower pitch and found i...

ethics correct answer: study of morality of human behavior from a variety of perspectives Morality -describes personal values, character or conducts of individuals or groups Code of Ethics for Nurses -expected standards of moral behavior of a particular group is described here -allows nurses to share common principles, published by ANA 2015 ANA Scope & Standards of Practice -holds nurses accountable for their ethical conduct and competency When we think of ethics, we think of wh...

what are 8 functions of the skin? correct answer: ction . regulation osocial tion in D production ologic ption nation what are 5 health statuses that may predispose patients to skin alterations? correct answer: *very thin skin and very obese people-skin irritation and injury *fluid loss/dehydration (makes skin appear loose and flabby)-fever, vomiting, or diarrhea *excess moisture (perspiration or moisture related to incontinence)-breakdown of skin, especially in skin folds *jaundi...

Easy or normal breathing; 12-20/min correct answer: eupnea Difficult or labored breathing correct answer: dyspnea An abnormal condition in which a person must sit or stand to breathe deeply or comfortably. correct answer: orthopnea curvature of the spine associated with barrel chest correct answer: kyphotic ribs more horizontal, spine slightly curved, seen in emphysema/COPD due to air trapped in lung causing hyperinflation correct answer: barrel chest A crinkly sensation palp...

Abduction - Movement away from the midline of the body. Accommodation - The process by which the eye's lens changes shape to focus near or far objects on the retina. Acrocyanosis - Persistent blue or cyanotic discoloration of the extremities, most commonly occurring in the hands, although it also occurs in the feet and distal parts of face. Adduction - Movement toward the midline of the body. Adventitious sounds - Extra breath sounds that are not normally heard, such as crackles, rh...

A nurse is caring for a patient who recently had coronary bypass surgery. Which are legal sources of standards of care the nurse uses to deliver safe healthcare? (Select all that apply). [23] 1. Information provided by the head nurse 2. Policies and procedures of the employing hospital 3. State Nurse Practice Act 4. Regulations identified in the Joint Commission's manual. 5. The American Nurses Association standards of practice. correct answer: 2, 3, 4, 5 A nurse is sued for failure to...

A patient who had a hysterectomy yesterday has not been allowed food or drink by mouth (NPO). The physician has now ordered the patient's diet to be clear liquids. Before administering the diet, the nurse should check for: 1. Feelings of hunger 2. Bowel sounds 3. Positive Homans sign 4. Gag reflex correct answer: 2. Bowel sounds The absence of bowel sounds would contraindicate a diet of clear liquids. Skin turgor checks are performed to determine the: 1. temperature of the skin. ...

The registered nurse (RN) recognizes which client group is at the greatest risk for developing a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.) 1.Older males. 2.School-age female. 3.Older females. 4.Adolescent males. correct answer: orrect Answer: 1.Older females. 2.School-age female. 3.Older males. 4.Adolescent males. Rationale Hypoestrogenism and alkalotic urine are other age-related factors put older women at the highest risk for UTIs. School age girls (6 t...

The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). When assessing the client skin, which clinical manifestations would the nurse expect to find? correct answer: Bronze color The nurse is developing a plan of care for the client diagnosed with acquired immuno- deficiency syndrome (AIDS) who has developed an infection in the adrenal gland. Which problem would have the highest priority? correct answer: Fluid volume deficit The nurse is ...