fundamentals of nursing quizlet exam 3

Pain Management: Lh Layla12 days ago awsome! - therapeutic diets, Describe what is included in each step of the nursing process for clients with impaired nutrition (dysphagia, malnutrition, etc.). Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. 24. 10. - impaired cough Impending constipation 40. All of the following measures are recommended to prevent pressure ulcers except: This is done by blood typing (a test that determines a persons blood type) and cross-matching (a procedure that determines the compatibility of the donors and recipients blood after the blood types has been matched). - education on breathing techniques Anorexia is another symptom of hypokalemia. - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces Differentiate between hospice and palliative care. - hallucinations Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary; however it can be voluntary, as when a patient is taught to perform coughing exercises. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. Follow enteric precautions - avoid processed foods and fast food Wheezing: - "nothing by mouth" The mid-deltoid injection site can accommodate only 1 ml or less of medication because of its size and location (on the deltoid muscle of the arm, close to the brachial artery and radial nerve). injections; and a 25G needle, for I.M. injections because it has relatively few major nerves and blood vessels. 0.6 mg [Show more] Preview 3 out of 27 pages Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? A postoperative patient who has undergone orthopedic surgery Pictures on slide show (in order): A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS) Specific Gravity (SG): - a higher than normal concentration often is a result of not drinking enough fluids . What educational setting would be most appropriate for this process? - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. Insertion: The appropriate needle size for insulin injection is: Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin. This is done by blood typing (a test that determines a persons blood type) and cross-matching (a procedure that determines the compatibility of the donors and recipients blood after the blood types has been matched). Aid in diagnosing a patient with AIDS - choking concerns Make sure to include the concepts of ventilation, perfusion, and the exchange of gases. A clinical nurse specialist is a nurse who has: 39. A newly diagnosed diabetic patient - pregnancy and lactation 1) Perform hand hygiene immediately before and after insertion or any manipulation of the catheter device or site - breastfeeding and formula Received credentials from the Philippine Nurses Association The physician orders an IV solution of dextrose 5% in water at 100ml/hour. It cannot be administered subcutaneously or intradermally.Question 7Effective skin disinfection before a surgical procedure includes which of the following methods?AShaving the site on the day before surgeryBHaving the patient take a tub bath on the morning of surgeryCApplying a topical antiseptic to the skin on the evening before surgeryDHaving the patient shower with an antiseptic soap on the evening v=before and the morning of surgery Question 7 Explanation: Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. - pregnancy injections because it:ABruises too easilyBCan accommodate only 1 ml or less of medicationCDoes not readily parenteral medication DCan be used only when the patient is lying downQuestion 35 Explanation: The mid-deltoid injection site can accommodate only 1 ml or less of medication because of its size and location (on the deltoid muscle of the arm, close to the brachial artery and radial nerve).Question 36Immobility impairs bladder elimination, resulting in such disorders asAIncreased urine acidity and relaxation of the perineal muscles, causing incontinenceBDiuresis, natriuresis, and decreased urine specific gravityCDecreased calcium and phosphate levels in the urine DUrine retention, bladder distention, and infectionQuestion 36 Explanation: The immobilized patient commonly suffers from urine retention caused by decreased muscle tone in the perineum. Immobility impairs bladder elimination, resulting in such disorders as, Increased urine acidity and relaxation of the perineal muscles, causing incontinence, Diuresis, natriuresis, and decreased urine specific gravity, Decreased calcium and phosphate levels in the urine, Urine retention, bladder distention, and infection. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. - nutrition - usually ordered in addition to a urinalysis - dehydration - the colon fills with fluid, and the resultant distention promotes defacation Assessment: How would you assess a patient's nutritional status. - poor tissue perfusion Abnormal: 30. - hospital bundle - weakness Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. Criminals,widows, and orphans AD SPONSORED BY RAKUTEN $10 Welcome Bonus! The physician orders gr 10 of aspirin for a patient. Prothrombin and coagulation time All of the following statement are true about donning sterile gloves except: Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. Any items you have not completed will be marked incorrect. - allow the family to participate in post-mortem care If loading fails, click here to try again. Clay colored stools indicate: - anorexia Which of the following conditions may require fluid restriction? N76. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. Initial vasoconstriction may cause skin to feel cold to the touch. Final Score on Quiz - trauma Question Details IM or a subcutaneous injection Distended neck veins are an indication of hypervolemia.Question 39A patient who develops hives after receiving an antibiotic is exhibiting drug:AAllergy BSynergismCToleranceDIdiosyncrasyQuestion 39 Explanation: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. An example of data being processed may be a unique identifier stored in a cookie. Differentiate between a urinalysis and a urine culture. The two blood vessels most commonly used for TPN infusion are the: Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. Good luck! - increased HR Parenteral penicillin can be administered as an: 27. 4) pureed solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. - decreased inspired oxygen concentrations (high altitude) - evaluates overall appearance for color, clarity, and odor A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS). Protective isolation is necessary - obstruction of the airway that sounds like rattling Presence of an antigen-antibody response 22G, 1 long Animal sources include liver, kidneys, cream, butter, and egg yolks. Waist tie in front of the gown Wearing gloves is not always necessary when administering an I.M. Which of the following patients is at greater risk for contracting an infection? The purpose of increasing urine acidity through dietary means is to: Your answers are highlighted below. 15 cards. 8. A patient with no known allergies is to receive penicillin every 6 hours. 26G Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (PM). 3. is directed at the individual client only. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container - contradicted for patients who are dehydrated and for young infants 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End Chest pain and urticaria may be symptoms of impending anaphylaxis. - allow for time with loved ones - normally, a bladder can hold up to 2 cups of urine. Strictisolation requires the use of clean gloves, masks, gowns and equipment to prevent the transmission of highly communicable diseases by contact or by airborne routes. A graduate of an associate degree program is not a clinical nurse specialist: however, she is prepared to provide bed side nursing with a high degree of knowledge and skill. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. - urinary retention Administer the medication and notify the physician Pain Differentiate between wheezing, crackles, and rhonchi. Central Nervous System: It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. - caused by fluid filling the air sacs that sound like music or a whistling heard on exhalation Muscles of the abdomen, back, and upper arms may be easily injured.Question 15Which of the following statements about chest X-ray is false?AEating, drinking, and medications are allowed before this test BA signed consent is not requiredCNo contradictions exist for this testDBefore the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waistQuestion 15 Explanation: Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. - stressfchest. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Urinalysis: TOP: Communication and Documentation MSC: Management of Care In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: - lack of access to safe places to play/exercise Constipation is characterized by small, hard masses. After routine patient contact, hand washing should last at least: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Wear gloves when administering IM injections What are the necessary components for red blood cell (RBC) production? Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. insertion site. Change the urines color injections of oil-based medications; a 22G needle for I.M. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. - diet consisting of only liquids that are clear and offers little daily calories and nutrients The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBApply corn starch soaks to the rash Vaginal instillation of conjugated estrogen Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Eating, drinking, and medications are allowed before this test Planning Providing meticulous skin care A patient who develops hives after receiving an antibiotic is exhibiting drug: 35. - obesity Once you are finished, click the button below. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 17Which of the following conditions may require fluid restriction?AChronic Obstructive Pulmonary DiseaseBDehydration CRenal FailureDFeverQuestion 17 Explanation: In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. A. Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary; however it can be voluntary, as when a patient is taught to perform coughing exercises. Choose the letter of the correct answer. 8. questions Attempt to explain changes in behavior, roles, and relationships that come with aging. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. The correct method for determining the vastus lateralis site for I.M. A count of 100,000/mm3 or less indicates a potential for bleeding; count of less than 20,000/mm3 is associated with spontaneous bleeding. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? D. Bile colors the stool brown. Dysphagia means difficulty swallowing.Question 43In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:AKussmails respirations and hypoventilation BAppneustic breathing, atypical pneumonia and respiratory alkalosisCCheyne-Strokes respirations and spontaneous pneumothoraxDRespiratory acidosis, ateclectasis, and hypostatic pneumoniaQuestion 43 Explanation: Because of restricted respiratory movement, a recumbent, immobilize patient is at particular risk for respiratory acidosis from poor gas exchange; atelectasis from reduced surfactant and accumulated mucus in the bronchioles, and hypostatic pneumonia from bacterial growth caused by stasis of mucus secretions.Question 44A clinical nurse specialist is a nurse who has:ACompleted a masters degree in the prescribed clinical area and is a registered professional nurse. - nutrient dense foods A 20G needle is usually used for I.M. The primary purpose of a platelet count is to evaluate the: 16. C. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. The purpose of increasing urine acidity through dietary means is to: 41. Assessment Splinting the abdomen supports the abdominal muscles when a patient coughs.Question 29The primary purpose of a platelet count is to evaluate the:APotential for bleedingBPresence of an antigen-antibody responseCPotential for clot formationDPresence of cardiac enzymes After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. Opening the door of the patients room leading into the hospital corridor, Opening the patients window to the outside environment, Failing to wear gloves when administering a bed bath. The mid-deltoid injection site is seldom used for I.M. Question 1Which of the following procedures always requires surgical asepsis?ANasogastric tube insertionBUrinary catheterizationCColostomy irrigation DVaginal instillation of conjugated estrogenQuestion 1 Explanation: The urinary system is normally free of microorganisms except at the urinary meatus. Time allowed Evaluation Ventilation: Describe nursing management of NG tubes. An effect of medication The urinary system is normally free of microorganisms except at the urinary meatus. Describe the risk factors for alterations in nutrition. fluids may be necessary. Interventions: - maintain skin integrity around stoma 0 cards. The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBAdminister the medication and notify the physicianCAdminister the medication with an antihistamineDApply corn starch soaks to the rash A patient with no known allergies is to receive penicillin every 6 hours. Why are these interventions effective? We and our partners use cookies to Store and/or access information on a device. 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS)Question 26Which of the following blood tests should be performed before a blood transfusion?AProthrombin and coagulation timeBComplete blood count (CBC) and electrolyte levels. Diagnosis: Applying additional bed clothes helps to equalize the body temperature and stop the chills. She must successfully complete the licensing examination to become a registered professional nurse. However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area. Answer Choice(s) Selected The most appropriate time for the nurse to obtain a sputum specimen for culture is: Obtaining a sputum specimen early in this morning ensures an adequate supply of bacteria for culturing and decreases the risk of contamination from food or medication. An 18G, 1 needle is usually used for I.M. seconds 2) soft So, after removing gloves and washing hands, the nurse should untie the back of the gown; slowly move backward away from the gown, holding the inside of the gown and keeping the edges off the floor; turn and fold the gown inside out; discard it in a contaminated linen container; then wash her hands again.Question 8In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:AKussmails respirations and hypoventilation BCheyne-Strokes respirations and spontaneous pneumothoraxCRespiratory acidosis, ateclectasis, and hypostatic pneumoniaDAppneustic breathing, atypical pneumonia and respiratory alkalosisQuestion 8 Explanation: Because of restricted respiratory movement, a recumbent, immobilize patient is at particular risk for respiratory acidosis from poor gas exchange; atelectasis from reduced surfactant and accumulated mucus in the bronchioles, and hypostatic pneumonia from bacterial growth caused by stasis of mucus secretions.Question 9The two blood vessels most commonly used for TPN infusion are the:ASubclavian and jugular veinsBBrachial and subclavian veinsCFemoral and subclavian veinsDBrachial and femoral veins Question 9 Explanation: Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. D. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood.

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