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Alvin (Not rated)3.8 (206)ChatNR 509 Week4 Quiz Advanced Physical Assessment Chamberlain (2018)…GUARANTEED A+ ANSWERS! GOOD LUCK
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1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed cervical nodes
b. Enlarged and tender inguinal nodes
c. Bilateral enlargement of the popliteal nodes
d. Pelletlike nodes in the supraclavicular region
2. The direction of blood flow through the heart is best described by which of these
a. Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle
b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle
c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava
d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle
3. In assessing the carotid arteries of an older patient with cardiovascular disease, the FNP would
a. Palpate the artery in the upper one third of the neck.
b. Listen with the bell of the stethoscope to assess for bruits.
c. Simultaneously palpate both arteries to compare amplitude.
d. Instruct the patient to take slow deep breaths during auscultation.
4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
a. mitral, tricuspid.
b. tricuspid, aortic.
c. aortic, pulmonic.
d. mitral, pulmonic.
5. The sack that surrounds and protects the heart is called the
a. pericardium.
b. myocardium.
c. endocardium.
d. pleural space.
6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
a. The left ventricle is larger and weighs more than the right.
b. The circulation of a newborn is identical to that of an adult.
c. There is an opening in the atrial septum where blood can flow into the left side of the heart.
d. The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately after.
7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
a. ask the parent if the child has had frostbite in the past.
b. suspect that the child has a venous insufficiency problem.
c. consider this a delayed capillary refill time and investigate further.
d. consider this a normal capillary refill time that requires no further assessment.
8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
a. Hormonal changes causing vasodilation and a resulting drop in blood pressure
b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
d. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities
9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
a. The position that baby sleeps in
b. Sibling history of eating disorders
c. Amount of background noise when eating
d. Presence of dyspnea or diaphoresis when sucking
10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
a. Family history, hypertension, stress, age
b. Personality type, high cholesterol, diabetes, smoking
c. Smoking, hypertension, obesity, diabetes, high cholesterol
d. Alcohol consumption, obesity, diabetes, stress, high cholesterol
11. The FNP is assessing… the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a—— pulse
a. normal
b. absent
c. bounding
d. weak, thread
12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs his legs when they are elevated, which disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
a. pain related to lymphatic abnormalities.
b. problems related to arterial insufficiency.
c. problems related to venous insufficiency.
d. pain related to musculoskeletal abnormalities.
13. During an assessment the FNP uses the profile sign to detect
a. Pitting edema.
b. Early clubbing.
c. Symmetry of the fingers.
d. Insufficient capillary refill.
14. Which of these statements describes the closure of the valves in a normal cardiac cycle?
a. The aortic valve closes slightly before the tricuspid valve.
b. The pulmonic valve closes slightly before the aortic valve.
c. The tricuspid valve closes slightly later than the mitral valve.
d. Both the tricuspid and pulmonic valves close at the same time.
15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
a. check for the presence of claudication.
b. refer the individual for further evaluation.
c. consider this a normal finding and proceed with the peripheral vascular evaluation.
d. ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
a. Claudication.
b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency.
17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?
a. Increase in resting heart rate
b. Increase in systolic blood pressure
c. Decrease in diastolic blood pressure
d. Increase in diastolic blood pressure
18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
a. Excessive swelling of the lymph nodes
b. The presence of palpable lymph nodes
c. No nodes palpable because of the immature immune system of a child
d. Fewer numbers and a decrease in size of lymph nodes compared with those of an adult
19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
a. To measure the rate of lymphatic drainage
b. To evaluate the adequacy of capillary patency before venous blood draws
c. To evaluate the adequacy of collateral circulation before cannulating the radial artery
d. To evaluate the venous refill rate that occurs after the ulnar and radial arteries are temporarily occluded
20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
a. This is the result of peripheral vasodilatation and is an expected change.
b. Because of increased cardiac output, the blood pressure should be higher this time.
c. This is not an expected finding because it would mean a decreased cardiac output.
d. This would mean a decrease in circulating blood volume, which is dangerous for the fetus
21. Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is eleveted 45°. The FNP knows that this finding indicate:
a. Decreased fluid volume.
b. Increased cardiac output.
c. Narrowing of jugular veins.
d. Elevated pressure related to heart failure.
22. The component of the conduction system referred to as the pacemaker of the heart is the
a. Atrioventricular (AV) node.
b. Sinoatrial (SA) node.
c. Bundle of His.
d. Bundle branches.
23. The FNP is reviewing anatomy and physiology of the heart. Which statement best describes by atrial kick?
a. The atria contract during systole and attempt to push against closed valves.
b. Contraction of the atria at the beginning of diastole can be felt as a palpitation.
c. Atrial kick is the pressure exerted against the atria as the ventricles contract during systole.
d. The atria contract toward the end of diastole and push the remaining blood into the ventricles.
24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
a. “When was your last electrocardiogram?”
b. “It’s probably because it’s been so hot at night.”
c. “Do you have any history of problems with your heart?”
d. “Have you had a recent sinus infection or upper respiratory infection?”
25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1 /4 . What should the FNP do next?
Auscultate the site for a bruit.
NR 509 Week4 Quiz Advanced Physical Assessment Chamberlain (2018)…GUARANTEED A+ ANSWERS! GOOD LUCK
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NR 509 Week 4 Quiz Advanced Physical Assessment Chamberlain (Spring 2018)…GUARANTEED A+ ANSWERS! GOOD LUCK
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
- Not rated
NR 509 Week4 Quiz Advanced Physical Assessment Chamberlain (2018)…GUARANTEED A+
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
- Not rated
NR 509 Week 4 Quiz Advanced Physical Assessment Chamberlain (Spring 2018)
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and …
- Not rated
NR 509 Week 4 Quiz Advanced Physical Assessment(Spring 2018)…GUARANTEED A+
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
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Nr 504 Week 6 Assignment And Discussion Questionanswer Spring Term 2018
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NR 504 Week 6 Assignment: The Meso Level Leadership (Care Clinic Improvement Project)
Care Clinic Scenario: The Executive Team of Care Clinic prides itself in the care that is provided to the community of Summerville, Florida. The Clinic is known for holistic approach to the individuals served at the clinic as well as presenting various community outreach programs. Annually, the Executive Team of Care Clinic reviews the client satisfaction benchmark results related to client service and quality indicators. The scores have substantially decreased in the past 12 months in the categories of client satisfaction and quality care.
To assist in understanding the quality issues related to client care occurring within the Care Clinic, you are provided with two videos of client situations that have been recorded using Second Life. You are also required to enter Second Life to observe actions and conversations occurring within the Care Clinic. When viewing the videos and participating within the Care Clinic located in Second Life, consider yourself to be the manager and identify quality care issues consistent with decreasing client satisfaction scores. From your leadership perspective, determine how the declining benchmarks can be addressed and improved. Discuss the actions/changes that need to be implemented in order to improve the satisfaction scores and attained Care Clinic quality outcomes.
The Care Clinic Improvement Project will need to be completed by the end of week six of this course and requires that each of the following areas to be addressed.
1.Identify ONE satisfaction benchmark that you will be addressing and why this benchmark has been selected. Select the ONE client satisfaction benchmark from the following list:
2.Decrease in client satisfaction scores related to courtesy and friendliness of staff at the Care Clinic.
3.Decrease in client satisfaction scores related to staff explaining discharge instructions in a manner that is understandable to the client/client.
4.Decrease in the quality nursing care related to interventions provided to clients at the Clinic.
5.Describe the leadership dynamics related to how the improvement/change project will be managed.
6.Identify the change model that will be used in addressing the selected benchmark.
7.Describe the course of action/change.
Due: Week 6
NR 504 Week 6 Discussion Question/Answer: Lippitt’s Phases of Change Theory
Describe the fundamental elements of a model for change, such as steps involved in the process, approach in mobilizing the change process, and what is … to sustain the results.
NR 504 Week 6 Assignment and Discussion Question/Answer (Spring Term 2018)
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NR 504 Week 6 Assignment – The Meso Level Leadership; Care Clinic Improvement Project (Spring Term 2018)
Care Clinic Scenario: The Executive Team of Care Clinic prides itself in the care that is provided to the community of Summerville, Florida. The Clinic is known for holistic approach to the …
Blog ArchiveCopyright © 2019 HomeworkMarket.com Read More
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"
Nr 504 Week 6 Assignment The Meso Level Leadership Care Clinic Improvement Project Spring Term 2018
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Care Clinic Scenario: The Executive Team of Care Clinic prides itself in the care that is provided to the community of Summerville, Florida. The Clinic is known for holistic approach to the individuals served at the clinic as well as presenting various community outreach programs. Annually, the Executive Team of Care Clinic reviews the client satisfaction benchmark results related to client service and quality indicators. The scores have substantially decreased in the past 12 months in the categories of client satisfaction and quality care.
To assist in understanding the quality issues related to client care occurring within the Care Clinic, you are provided with two videos of client situations that have been recorded using Second Life. You are also required to enter Second Life to observe actions and conversations occurring within the Care Clinic. When viewing the videos and participating within the Care Clinic located in Second Life, consider yourself to be the manager and identify quality care issues consistent with decreasing client satisfaction scores. From your leadership perspective, determine how the declining benchmarks can be addressed and improved. Discuss the actions/changes that need to be implemented in order to improve the satisfaction scores and attained Care Clinic quality outcomes.
The Care Clinic Improvement Project will need to be completed by the end of week six of this course and requires that each of the following areas to be addressed.
1.Identify ONE satisfaction benchmark that you will be addressing and why this benchmark has been selected. Select the ONE client satisfaction benchmark from the following list:
2.Decrease in client satisfaction scores related to courtesy and friendliness of staff at the Care Clinic.
3.Decrease in client satisfaction scores related to staff explaining discharge instructions in a manner that is understandable to the client/client.
4.Decrease in the quality nursing care related to interventions provided to clients at the Clinic.
5.Describe the leadership dynamics related to how the improvement/change project will be managed.
6.Identify the change model that will be used in addressing the selected benchmark.
7.Describe the course of action/change.
Due: Week 6
NR 504 Week 6 Assignment – The Meso Level Leadership; Care Clinic Improvement Project (Spring Term 2018)
Purchase the answer to view it
Try it first(plagiarism check)Buy tutorial $20Save time and money!
Our teachers already did such homework, use it as a reference!
NR 504 Week 6 Assignment and Discussion Question/Answer (Spring Term 2018)
Care Clinic Scenario: The Executive Team of Care Clinic prides itself in the care that is provided to the community of Summerville, Florida. The Clinic is known for holistic approach to the …
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Nr 504 Week 6 Discussion Lippitts Phases Of Change Theory Spring Term 2018
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Describe the fundamental elements of a model for change, such as steps involved in the process, approach in mobilizing the change process, and what is needed to sustain the results.
NR 504 Week 6 Discussion; Lippitt’s Phases of Change Theory (Spring Term 2018)
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Nr 504 Week 7 Assignment And Discussionanswer Spring Term 2018
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NR 504 Week 7 Assignment – Professional Coalition Project (Spring Term 2018)
Involvement in interdisciplinary coalitions allows the healthcare leader to gain an understanding regarding navigating socio-political environments as well as providing macro leadership within a broader community setting. The purpose of this project is to build and provide leadership to a coalition that addresses a healthcare concern. Leadership skills at the macro-level will be applied.
Due: Week 7
Total Points: 125 Points
NR 504 Week 7 Discussion; Identifying & Associating With Professional Coalitions (Spring Term 2018)
Involvement in interdisciplinary professional coalition/organizations allows the healthcare professional to stay current in their field or specialty, gain an understanding and navigate socio-political environments, as well as contribute their ideas to their healthcare specialty.
•Research your state’s exemptions and differences within your state regarding laws requiring vaccinations for school-age children.
oFind the professional coalition/organization that supports the use of vaccines for school-age children.
oAs a group, discuss the pros and cons of the above scenario and your stance of this controversial public health risk.
NR 504 Week 7 Assignment and Discussion/Answer (Spring Term 2018)
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Nr 504 Week 7 Assignment Professional Coalition Project Spring Term 2018
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Involvement in interdisciplinary coalitions allows the healthcare leader to gain an understanding regarding navigating socio-political environments as well as providing macro leadership within a broader community setting. The purpose of this project is to build and provide leadership to a coalition that addresses a healthcare concern. Leadership skills at the macro-level will be applied.
Due: Week 7
Total Points: 125 Points
NR 504 Week 7 Assignment; Professional Coalition Project (Spring Term 2018)
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Nr 504 Week 7 Discussion Identifying And Associating With Professional Coalitions Spring Term 2018
/in Uncategorized /by developerReport Issue
Involvement in interdisciplinary professional coalition/organizations allows the healthcare professional to stay current in their field or specialty, gain an understanding and navigate socio-political environments, as well as contribute their ideas to their healthcare specialty.
NR 504 Week 7 Discussion; Identifying & Associating with Professional Coalitions (Spring Term 2018)
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Try it first(plagiarism check)Buy tutorial $16Save time and money!
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Assignment
Involvement in interdisciplinary professional coalition/organizations allows the healthcare professional to stay current in their field or specialty, gain an understanding and navigate …
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Nr 504 Week 8 Discussion Questions And Answer You And Your Leadership Journey Spring Term 2018
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Week 8 has arrived and it provides an excellent opportunity to reflect—to self reflect on your leadership journey that started eight weeks ago. For the discussion provide a comprehensive response to each of the following topics:
1. Based upon your learning experiences in NR 504, identify two areas that were new to you regarding leadership and how will you use these two areas in your future professional nursing practice area.
2. Speculate on how you could use the leadership concepts presented in NR 504 to guide your final MSN practicum project.
NR 504 Week 8 Discussion Questions and Answer: You and Your Leadership Journey (Spring Term 2018)
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Nr 509 Week4 Quiz Advanced Physical Assessment Chamberlain 2018 Guaranteed A Answers Good Luck
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1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed cervical nodes
b. Enlarged and tender inguinal nodes
c. Bilateral enlargement of the popliteal nodes
d. Pelletlike nodes in the supraclavicular region
2. The direction of blood flow through the heart is best described by which of these
a. Vena cava right atrium right ventricle lungs pulmonary artery left atrium left ventricle
b. Right atrium right ventricle pulmonary artery lungs pulmonary vein left atrium left ventricle
c. Aorta right atrium right ventricle lungs pulmonary vein left atrium left ventricle vena cava
d. Right atrium right ventricle pulmonary vein lungs pulmonary artery left atrium left ventricle
3. In assessing the carotid arteries of an older patient with cardiovascular disease, the FNP would
a. Palpate the artery in the upper one third of the neck.
b. Listen with the bell of the stethoscope to assess for bruits.
c. Simultaneously palpate both arteries to compare amplitude.
d. Instruct the patient to take slow deep breaths during auscultation.
4. When listening to heart sounds the FNP knows that the valve closures that can be heard best at the base of the heart are
a. mitral, tricuspid.
b. tricuspid, aortic.
c. aortic, pulmonic.
d. mitral, pulmonic.
5. The sack that surrounds and protects the heart is called the
a. pericardium.
b. myocardium.
c. endocardium.
d. pleural space.
6. When assessing a newborn infant who is five minutes old the FNP knows that which of these statements would be true?
a. The left ventricle is larger and weighs more than the right.
b. The circulation of a newborn is identical to that of an adult.
c. There is an opening in the atrial septum where blood can flow into the left side of the heart.
d. The foramen ovale closes just minutes before birth and the ductus arteriosus closes immediately after.
7. The FNP is performing an assessment on an adult. The adults vital signs are normal and capillary refill is five seconds. What should the FNP do next?
a. ask the parent if the child has had frostbite in the past.
b. suspect that the child has a venous insufficiency problem.
c. consider this a delayed capillary refill time and investigate further.
d. consider this a normal capillary refill time that requires no further assessment.
8. During an assessment of an older adult the FNP should expect to notice which finding as normal physiologic change associated with aging process?
a. Hormonal changes causing vasodilation and a resulting drop in blood pressure
b. Progressive atrophy of the intramuscular calf veins, causing venous insufficiency
c. Peripheral blood vessels growing more rigid with age, producing a rise in systolic blood pressure
d. Narrowing of the inferior vena cava, causing low blood flow and increases in venous pressure resulting in varicosities
9. The mother of a three month old infant states that her baby has not been gaining weight. With further questioning the FNP finds that the infant falls asleep after nursing and wakes up after a short amount of time hungry again. What other information with the FNP want to have?
a. The position that baby sleeps in
b. Sibling history of eating disorders
c. Amount of background noise when eating
d. Presence of dyspnea or diaphoresis when sucking
10. In assessing a patient’s major risk factors for heart disease which would the FNP want to include when taking a history?
a. Family history, hypertension, stress, age
b. Personality type, high cholesterol, diabetes, smoking
c. Smoking, hypertension, obesity, diabetes, high cholesterol
d. Alcohol consumption, obesity, diabetes, stress, high cholesterol
11. The FNP is assessing… the pulses of a patient who has been admitted for untreated hyperthyroidism. The FNP should expect to find a—— pulse
a. normal
b. absent
c. bounding
d. weak, thread
12. A patient complains of leg pain that wakes him at night. He states that he has been having problems with his legs. He has pain in his legs his legs when they are elevated, which disappears when he dangles them. He recently noticed a sore on the inner aspect of his right ankle. On the basis of this history information the FNP interprets that the patient is most likely experiencing
a. pain related to lymphatic abnormalities.
b. problems related to arterial insufficiency.
c. problems related to venous insufficiency.
d. pain related to musculoskeletal abnormalities.
13. During an assessment the FNP uses the profile sign to detect
a. Pitting edema.
b. Early clubbing.
c. Symmetry of the fingers.
d. Insufficient capillary refill.
14. Which of these statements describes the closure of the valves in a normal cardiac cycle?
a. The aortic valve closes slightly before the tricuspid valve.
b. The pulmonic valve closes slightly before the aortic valve.
c. The tricuspid valve closes slightly later than the mitral valve.
d. Both the tricuspid and pulmonic valves close at the same time.
15. When performing a peripheral vascular assessment on a patient the FNP is unable to palpate the ulnar pulses. The patient skin is warm and capillary refill is normal. The FNP should next
a. check for the presence of claudication.
b. refer the individual for further evaluation.
c. consider this a normal finding and proceed with the peripheral vascular evaluation.
d. ask the patient if he or she has experienced any unusual cramping or tingling in the arm.
16. A 67-year-old patient states that he “recently began have pain in his left calf when climbing the 10 stairs to his apartment”. This pain is relieved by sitting for about two minutes then he’s able to resume activities. The FNP interprets this patient is most likely experiencing
a. Claudication.
b. Sore muscles.
c. Muscle cramps.
d. Venous insufficiency.
17. In assessing a 70-year-old man the FNP finds the following blood pressure 140/100 mmHg, heart rate 104 and slightly irregular, split S2. Which of these findings can… by expected hemodynamic changes related to age?
a. Increase in resting heart rate
b. Increase in systolic blood pressure
c. Decrease in diastolic blood pressure
d. Increase in diastolic blood pressure
18. The FNP is examining the lymphatic system of a healthy three year old child. Which finding should the FNP expect?
a. Excessive swelling of the lymph nodes
b. The presence of palpable lymph nodes
c. No nodes palpable because of the immature immune system of a child
d. Fewer numbers and a decrease in size of lymph nodes compared with those of an adult
19. The FNP is preparing to perform modified Allen test. Which is an appropriate reason for this test?
a. To measure the rate of lymphatic drainage
b. To evaluate the adequacy of capillary patency before venous blood draws
c. To evaluate the adequacy of collateral circulation before cannulating the radial artery
d. To evaluate the venous refill rate that occurs after the ulnar and radial arteries are temporarily occluded
20. A 25-year-old woman is in her fifth month of pregnancy has a blood pressure of 100/70 mmHg. In reviewing her previous exam the FNP notes that her blood pressure in her second month was 124/80 mmHg. When evaluating this change what does the FNP know to be true?
a. This is the result of peripheral vasodilatation and is an expected change.
b. Because of increased cardiac output, the blood pressure should be higher this time.
c. This is not an expected finding because it would mean a decreased cardiac output.
d. This would mean a decrease in circulating blood volume, which is dangerous for the fetus
21. Findings from an assessment of a 70-year-old patient with swelling in his ankles include jugular venous pusations, 5 cm above the sternal angle when the head of his bed is eleveted 45°. The FNP knows that this finding indicate:
a. Decreased fluid volume.
b. Increased cardiac output.
c. Narrowing of jugular veins.
d. Elevated pressure related to heart failure.
22. The component of the conduction system referred to as the pacemaker of the heart is the
a. Atrioventricular (AV) node.
b. Sinoatrial (SA) node.
c. Bundle of His.
d. Bundle branches.
23. The FNP is reviewing anatomy and physiology of the heart. Which statement best describes by atrial kick?
a. The atria contract during systole and attempt to push against closed valves.
b. Contraction of the atria at the beginning of diastole can be felt as a palpitation.
c. Atrial kick is the pressure exerted against the atria as the ventricles contract during systole.
d. The atria contract toward the end of diastole and push the remaining blood into the ventricles.
24. A 45-year-old man is in the clinic for a routine physical. During history the patient states he has been having difficulty sleeping. I’ll be sleeping great and then I wake up and feel like I can’t catch my breath. The FNP‘s best response to this would be
a. “When was your last electrocardiogram?”
b. “It’s probably because it’s been so hot at night.”
c. “Do you have any history of problems with your heart?”
d. “Have you had a recent sinus infection or upper respiratory infection?”
25. When assessing a patient the FNP notes that the left femoral pulse as diminished 1 /4 . What should the FNP do next?
Auscultate the site for a bruit.
NR 509 Week4 Quiz Advanced Physical Assessment Chamberlain (2018)…GUARANTEED A+ ANSWERS! GOOD LUCK
Purchase the answer to view it
Try it first(plagiarism check)Buy tutorial $9.5Save time and money!
Our teachers already did such homework, use it as a reference!
NR 509 Week 4 Quiz Advanced Physical Assessment Chamberlain (Spring 2018)…GUARANTEED A+ ANSWERS! GOOD LUCK
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
NR 509 Week4 Quiz Advanced Physical Assessment Chamberlain (2018)…GUARANTEED A+
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
NR 509 Week 4 Quiz Advanced Physical Assessment Chamberlain (Spring 2018)
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and …
NR 509 Week 4 Quiz Advanced Physical Assessment(Spring 2018)…GUARANTEED A+
1. A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient?
a. Hard and fixed …
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Nr 531 Week 2 1
/in Uncategorized /by developerRespond
Hiring more nursing assistants to assist during registered nurses'(RNs) shortage can be very challenging. Currently, I am working in the critical care unit (CCU), where we always used total patient care delivery assignments. The staff work 12-hour shifts, and each nurse is assigned for two patients, depending on the patients’ acuity. According to Marquis and Huston (2017), total-patient-care (TPC) nursing is the oldest patient-delivery model. With this model, one bedside nurse oversees the total care of patients during the assigned shift. The total responsibilities of the bedside nurse for a patient’s care include bathing, bed making, administering medications, vital signs, carrying out all ordered treatments, dressing changes, patient teaching, discharge planning, and updating patient care plan, etc (Marquis & Huston, 2017). We do not have nursing assistants in the CCU to help our nurses with all these responsibilities. Unfortunately, two months ago, we have about six nurses who resigned due to professional advancement and relocation.
Since we have a nurses shortage and hiring nurses is a long process, we (CCU leaders and the senior executive leadership) decided to collaborate with other departments to give us task nurses or nursing assistants which we called clinical partners (CP). Since both task nurses and the CPs will work under the supervision of the supervisor or the charge nurse, this delivery care model will fall under the functional-care model. A task nurse is a medical-surgical or telemetry nurse who is responsible for giving medications according to her job descriptions, checking blood sugar, etc. The nursing assistants’ tasks are to help CCU nurses in bathing the patients and foley care, changing linens, answering call lights, etc.
Marquis and Huston (2017) noted that functional-care model (FCM) was found to be more cost-efficient due to the lower number of RNs required per shift. FCM involves assigning tasks to various team members based on the patients’ complexity or acuity of care needed. Generally, routine tasks are done by persons who are not RN, and the RN oversees more complex patients’ needs. With this model, the unit charge nurse makes the patients’ assignments for the team because she/he has more knowledge of all the patients’ needs (Marquis & Huston, 2017). However, switching from TPC to FCM has a significant impact on the patients’ quality of care in our unit. Our patients’ satisfaction dropped this month by 30%. Marquis and Huston (2017) outlined that the FCM quality of care was found to be less than with the total-patient-care model (Marquis & Huston, 2017). In my experience, hiring more nursing assistants to assist during nurses shortage will help to lessen the nurses’ workload in the CCU temporarily. On the other hand, having more certified critical nurses improve patients’ safety and outcomes.
Meanwhile, hiring more nursing assistants to assist during nurses’ shortage can impact patients’ quality of care and staff satisfaction on St. Louis Medical Center (SLMC). As a nurse administrator at SLMC, I will use evidence-based practice, current literature, and scientific research to analyze proposed changes in nursing care delivery models. I will also make changes in work design to facilitate meeting organizational goals. Also, I will arrange a departmental meeting involving staff-led representatives from all nursing departments to ensure that everyone has a voice. Finally, I will empower each unit-based practice councils/members to be involved in unit problem solving such as short staffing and develop action plans to resolve the issues. During the meeting, I will seek feedback from my direct reports and the staff and ask them “what’s working well and what is not?” and to know what I can offer for them.
One of the mechanisms used to promote employees’ growth and development in an organization’s long-term plan is empowerment and to support staff during times of difficult transitions (Choi, Goh, Adam, & Tan, 2016). Johnston and Villa (2018) outline that the Chief Nursing Officer should ensure successful engagement by integrating a shared governance council (SGC). SGC involves monthly meetings with bedside nurses to express issues, share best practices, develop action plans, and raise specific challenges to administration (Johnston & Villa, 2018).
References
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application. (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016). Transformational leadership, empowerment, and job satisfaction: the mediating role of employee empowerment. Human Resources for Health, 14(1). doi: 10.1186/s12960-016-0171-2
Johnston, D., & Villa, J. (2018). Shifting culture: A new CNO leading to nursing excellence. Journal of Nursing Administration, 48(9), 422. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=edb&AN=131663203&site=eds-live&scope=site
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Nr 531 Week 2
/in Uncategorized /by developerWeek 2: Care Delivery Models and Effective Nurse Administrators
You are the nurse administrator at SLMC. Your Human Resources Director informed you that SLMC is having difficulty recruiting registered nurses for your facility. It was decided by the Chief Executive Officer (CEO) to hire more nursing assistants to assist during this shortage. Discuss the impact this new strategy/model may have on the organization and how an effective leader can assist with implementing this change.
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