fundamentals of nursing quizlet exam 3

- primary function is to eliminate waste and excess fluid from the body in the form of urine Partial-Credit Chapter 01 - Fundamentals of Nursing 9th edition - test bank Fundamentals of Nursing 9th edition - test bank University Rowan College of South Jersey Course Nursing I (NUR 131) 54 Documents Academic year:2017/2018 Uploaded byTimothy Robert Helpful? 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute. - securement device - decreased ventilation 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. - promotes cardiovascualr health though controlling portions, eating a varied diet, and watching sodium intake - may be auscultated in clients with asthma and COPD. - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, - Assists clients with gaining control of their elimination schedule 27. In the operating room, the nurse and physician are required to wear sterile gowns, gloves, masks, hair covers, and shoe covers for all invasive procedures. Enteric precautions prevent the transfer of pathogens via feces. 47. The reaction can range from a rash or hives to anaphylactic shock. 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). - anxiety attacks 4. Planning - provided for patients who cant swallow and have a functioning GI tract In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase. Click the card to flip 1 / 54 Flashcards Learn Test Match Created by graciejung622 Terms in this set (54) Overview of Exam 3: - 40 Questions Treatment: Many medications and foods will discolor stool for example, drugs containing iron turn stool black. - may feel clammy/damp - the colon fills with fluid, and the resultant distention promotes defacation Hyperventilation: increase in rate and depth of breathing Hot water may lead to skin irritation or burns.Question 36Which of the following conditions may require fluid restriction?ARenal FailureBDehydration CChronic Obstructive Pulmonary DiseaseDFeverQuestion 36 Explanation: In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. Pain These certification (credentialing) demonstrates that the nurse has the knowledge and the ability to provide high quality nursing care in the area of her certification. 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.. Ethics. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. A. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. 46. There are 600+ NCLEX-style practice questions partitioned into four sets in this nursing test bank. - substance abuse Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. After routine patient contact, hand washing should last at least: Which of the following types of medications can be administered via gastrostomy tube? injections, which are typically administered in the vastus lateralis or ventrogluteal site. - transport oxygen in their hemoglobin 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 These certification (credentialing) demonstrates that the nurse has the knowledge and the ability to provide high quality nursing care in the area of her certification. Chest pain and urticaria may be symptoms of impending anaphylaxis. We have made considerable efforts to provide you with the most informative rationale, so be sure to read them. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. Any items you have not completed will be marked incorrect. - pregnancy and lactation Check the pressure dressing for sanguineous drainage Appneustic breathing, atypical pneumonia and respiratory alkalosis All of the following measures are recommended to prevent pressure ulcers except: Adhering to a schedule for positioning and turning. 0 cards. Brachial and femoral veins Acute pulsus paradoxus 18. Using a water or air mattress The middle third of the muscle is recommended as the injection site. Correct Maintain the drainage tubing and collection bag level with the patients bladder - nutrition Practice Mode injections in children, typically in the vastus lateralis. The best nursing intervention is to:AApply iced alcohol spongesBProvide increased cool liquidsCProvide additional bedclothesDProvide increased ventilation Question 14 Explanation: In an infected patient, shivering results from the bodys attempt to increase heat production and the production of neutrophils and phagocytotic action through increased skeletal muscle tension and contractions. BBeen certified by the National League for NursingCReceived credentials from the Philippine Nurses AssociationDGraduated from an associate degree program and is a registered professional nurseQuestion 44 Explanation: A clinical nurse specialist must have completed a masters degree in a clinical specialty and be a registered professional nurse. Tub bathing might transfer organisms to another body site rather than rinse them away. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. NPO: - remove medical devices attached to patient Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 34The nurse explains to a patient that a cough:AIs primarily a voluntary actionBCan be inhibited by splinting the abdomen CIs induced by the administration of an antitussive drugDIs a protective response to clear the respiratory tract of irritantsQuestion 34 Explanation: 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. - hospital bundle 34. - diet consisting of only liquids that are clear and offers little daily calories and nutrients Total Questions on Quiz 17. These symptoms probably indicate that the patient is experiencing:AHyperkalemiaBHypokalemiaCDysphagia DAnorexiaQuestion 42 Explanation: Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Anorexia - diagnostic tests. Impending constipation They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Fundamentals of Nursing Practice Exam 1 Practice Mode Exam Mode Text Mode Practice Mode - Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 42The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BAll of the above CTest blood to be used for transfusion for HIV antibodiesDAid in diagnosing a patient with AIDSQuestion 42 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). - behavioral changes Fundamentals of Nursing Exam 1 A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. Identify the clinical outcomes as a result of hypoxemia. The physician orders gr 10 of aspirin for a patient. Nursing Fundamentals of Nursing - Exam #3 BUN, creatinine tests Click the card to flip measure kidney funciton Click the card to flip 1 / 74 Flashcards Learn Test Match Created by nicolecluther Terms in this set (74) BUN, creatinine tests measure kidney funciton Peak level highest concentration of medication in blood Trough level - Allows for clients to gain control of their bowel movement schedule to avoided unexpected accidents and the embarrassment associated with such events - let your genuine "caring" self show through You have not finished your quiz. 41. Ask the patient to demonstrate the procedure Aspirate for blood before injection Complete blood count (CBC) and electrolyte levels. - mottling. injections; and a 25G needle, for subcutaneous insulin injections.Question 18All of the following are common signs and symptoms of phlebitis except:APain or discomfort at the IV insertion siteBFrank bleeding at the insertion site CA red streak exiting the IV insertion siteDEdema and warmth at the IV insertion siteQuestion 18 Explanation: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. - maintain skin integrity around stoma Screen blood donors for antibodies to human immunodeficiency virus (HIV), Test blood to be used for transfusion for HIV antibodies, The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. Why are these interventions effective? - typically opaque and smaller in diameter injections in children, typically in the vastus lateralis. C. 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute - personal habits - obesity Rapid eye movements 47. A patient with no known allergies is to receive penicillin every 6 hours. Idiosyncrasy Insertion: In the operating room, the nurse and physician are required to wear sterile gowns, gloves, masks, hair covers, and shoe covers for all invasive procedures. Nursing . - nutrients that fuel the body and protect against diseases, - inorganic elements essential to the body as catalysts in biochemical reactions, - inorganic substances in small amounts in foods that are essential to normal metabolism. Opening the door of the patients room leading into the hospital corridor D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. Tub bathing might transfer organisms to another body site rather than rinse them away.Question 8The correct method for determining the vastus lateralis site for I.M. Central Nervous System: The appropriate needle gauge for intradermal injection is: Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. - restlessness 17. Effective hand washing requires the use of: D. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. Yawning IM injection or an IV solution Chegg Prep has millions of flashcards to help students learn faster with an interactive card flipper and scoring to measure your progress. The correct method for determining the vastus lateralis site for I.M. Respiratory: An antitussive drug inhibits coughing. Wrong Specific Gravity (SG): injection is to: 23. - anemia Presence of cardiac enzymes Soft Diet: injections of oil-based medications; a 22G needle for I.M. Chest pain and urticaria may be symptoms of impending anaphylaxis. Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity Nurses and other health care professionals previously believed that massaging a reddened area with lotion would promote venous return and reduce edema to the area. Question Text injections of oil-based medications; a 22G needle for I.M. - neuromuscular disorders (muscular dystrophy, Guillain-Barre Syndrome) A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. A colostomy is a fecal diversion in which part of the colon is used to form a stoma through the abdominal wall, allowing for passage of body waste Fundamentals of Nursing Exam Ch. Soaps and detergents are used to help remove bacteria because of their ability to lower the surface tension of water and act as emulsifying agents. D. Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. the oldest psychosocial theory, states that aging individuals withdraw from customary roles and engage in more introspective, self-focused activities. The factors, known as Virchows triad, collectively predispose a patient to thromboplebitis; impaired venous return to the heart, blood hypercoagulability, and injury to a blood vessel wall. 48. A postoperative patient who has undergone orthopedic surgery All of the following measures are recommended to prevent pressure ulcers except: Can be inhibited by splinting the abdomen Splinting the abdomen supports the abdominal muscles when a patient coughs. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). 7) Consider using a portable ultrasound device to assess urine volume in patients undergoing intermittent catheterization to assess urine volume and reduce unnecessary catheter insertions However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. If you leave this page, your progress will be lost. Differentiate between water and fat soluble vitamins. 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End Chronic Obstructive Pulmonary Disease - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag injection is to:ALocate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crestBPalpate a 1 circular area anterior to the umbilicusCDivide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh DPalpate the lower edge of the acromion process and the midpoint lateral aspect of the armQuestion 22 Explanation: The vastus lateralis, a long, thick muscle that extends the full length of the thigh, is viewed by many clinicians as the site of choice for I.M. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls.Question 48The appropriate needle gauge for intradermal injection is:A26G B25GC20GD22GQuestion 48 Explanation: Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. Which of the following blood tests should be performed before a blood transfusion? Thus, a count of 25,000/mm3 indicates leukocytosis. Shaving the site of the intended surgery might cause breaks in the skin, thereby increasing the risk of infection; however, if indicated, shaving, should be done immediately before surgery, not the day before. Discuss interventions for symptom management in patients at the end of life. She has worked in Medical-Surgical, Telemetry, ICU and the ER. She must successfully complete the licensing examination to become a registered professional nurse.Question 24Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?AIrrigate the patient with 1% Neosporin solution three times a dailyBMaintain the drainage tubing and collection bag level with the patients bladderCMaintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity DClamp the catheter for 1 hour every 4 hours to maintain the bladders elasticityQuestion 24 Explanation: Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity, Irrigate the patient with 1% Neosporin solution three times a daily, Maintain the drainage tubing and collection bag level with the patients bladder, Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity. - NG tubes can be used to feed an individual who can't get nutrition by mouth Please wait while the activity loads. -detects and manages a wide range of disorders - allow for time with loved ones Renal Failure - assess family wishes for the patient after death; consider cultural/spiritual preferences The purpose of increasing urine acidity through dietary means is to: injection is to: Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm, Palpate a 1 circular area anterior to the umbilicus, Divide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh, Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest. - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty Choose the letter of the correct answer. questions Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Choose the letter of the correct answer. APortal of entry BHostCReservoirDMode of transmissionQuestion 45 Explanation: In the circular chain of infection, pathogens must be able to leave their reservoir and be transmitted to a susceptible host through a portal of entry, such as broken skin.Question 46The most appropriate time for the nurse to obtain a sputum specimen for culture is:AAfter the patient eats a light breakfastBAfter aerosol therapyCEarly in the morningDAfter chest physiotherapy Question 46 Explanation: 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.Question 47A patient has returned to his room after femoral arteriography. Synergism Which element in the circular chain of infection can be eliminated by preserving skin integrity? A. Platelets are disk-shaped cells that are essential for blood coagulation. - focuses on the prevention, relief, reduction, or soothing of symptoms of disease or disorders throughout the entire course of a illness, including the care of the dying and bereavement follow-up for the family - musculoskeletal abnormalities - dehydration Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. - place body on back with head/shoulders elevated injections in children, typically in the vastus lateralis. Upper GI bleeding results in black or tarry stool. After chest physiotherapy - record output They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. All of the following are common signs and symptoms of phlebitis except: - pneumonia or infection injections, which are typically administered in the vastus lateralis or ventrogluteal site.Question 13The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:AAsk the patient to demonstrate the procedure BAsk the patient if he/she has used ear drops beforeCDemonstrate the procedure to the patient and encourage to ask questionsDHave the patient repeat the nurses instructions using her own wordsQuestion 13 Explanation: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.Question 14When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?ALeg musclesBBack musclesCUpper arm muscles DAbdominal musclesQuestion 14 Explanation: The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. - a catheter places through the thorax to remove air and fluids from the pleural space - untapped courage, wisdom, and personal knowledge may be discovered Return S & S: LearnMore. - the volume of infused saline stimulates peristalsis - neuromuscular disease Rapid eye movement marks the stage of sleep during which dreaming occurs. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. injections in children, typically in the vastus lateralis. Ventilation: 10. [Show more] Preview 3 out of 27 pages She must successfully complete the licensing examination to become a registered professional nurse.Question 45Which of the following will probably result in a break in sterile technique for respiratory isolation?AOpening the door of the patients room leading into the hospital corridorBTurning on the patients room ventilatorCOpening the patients window to the outside environmentDFailing to wear gloves when administering a bed bath Question 45 Explanation: Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed.

When Does The Dumper Start Missing The Dumpee, Sun City Az Rules And Regulations, Hartwick Lacrosse Coach, Ethan Allen Colonial Furniture, Steven Universe Connie Crying, Articles F