fundamentals of nursing quizlet exam 3

: an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Medcomic Book - nursing fundamentals illustrated book, Chapter 46 Urinary Elimination Nursing Test Banks, #1- Otterness-COPD-Pneumonia-Recognizing Relevance, Learning Outcomes Chapter 49 - Fecal Elimination, Fundamentals Chapters one, three and twelve, Concept Map NUR 1022C Fundamentals of Nursing, "What Brought Me Closer to My Fmaily" English Composition narrative. CO can increase to 25 L/min with strenuous activity, Erythrocytes = Red Blood Cells (RBC) All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. D. Bile colors the stool brown. B. The middle third of the muscle is recommended as the injection site. Initial vasoconstriction may cause skin to feel cold to the touch. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Your score is During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents? Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. D. Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. IM or a subcutaneous injection A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Muscles of the abdomen, back, and upper arms may be easily injured. None of the other situations would put the patient at risk for contracting an infection; taking broad-spectrum antibiotics might actually reduce the infection risk.Question 42After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. Which element in the circular chain of infection can be eliminated by preserving skin integrity? Differentiate between water and fat soluble vitamins. Body hair Have the patient repeat the nurses instructions using her own words Hypoventilation: shallow breathing with a lower than expected respiratory rate - urine travels through the urinary system or urinary tract, which consists of kidneys, ureters, bladder, and urethra 22G, 1 long Which of the following conditions may require fluid restriction? The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. - smoking - decreased diffusion CPlacing a sterile object on the edge of the sterile fieldDTouching the outside wrapper of sterilized material without sterile glovesQuestion 21 Explanation: The edges of a sterile field are considered contaminated. 42. D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. Provide additional bedclothes D. 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. The reaction can range from a rash or hives to anaphylactic shock. The purpose of increasing urine acidity through dietary means is to: Microorganisms usually do not grow in an acidic environment. - weakness Urine 6. Immobility also results in more alkaline urine with excessive amounts of calcium, sodium and phosphate, a gradual decrease in urine production, and an increased specific gravity.Question 4The primary purpose of a platelet count is to evaluate the:APresence of an antigen-antibody responseBPotential for bleedingCPresence of cardiac enzymes The equivalent dose in milligrams is: Your answers are highlighted below. Describe the nursing care of chest tubes. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. The equivalent dose in milligrams is:A600 mg B60 mgC10 mgD0.6 mgQuestion 30 Explanation: gr 10 x 60mg/gr 1 = 600 mgQuestion 31Which element in the circular chain of infection can be eliminated by preserving skin integrity? An infected patient has chills and begins shivering. Identify the clinical outcomes as a result of hypoxemia. Assess a vital signs every 15 minutes for 2 hours Hot water may lead to skin irritation or burns. 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. - dyspnea They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. insertion site, and a red streak going up the arm or leg from the I.V. 67864 Report Document Comments Please sign inor registerto post comments. injections; and a 25G needle, for subcutaneous insulin injections.Question 49A patient has returned to his room after femoral arteriography. 0.6 mg B. Diuresis, natriuresis, and decreased urine specific gravity For more information, see the developers privacy policy. injections because it: 24. - exercise Normal Saline Enema: When administering the medication, the nurse observes a fine rash on the patients skin. Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? 17. You Selected Upper GI bleeding results in black or tarry stool. Reservoir recognize that We and our partners use cookies to Store and/or access information on a device. - urinary incontinence 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 241 cards. - initial check (gold standard): confirm placement by x-ray Rapid eye movement marks the stage of sleep during which dreaming occurs. - Allows for clients to gain control of their bowel movement schedule to avoided unexpected accidents and the embarrassment associated with such events The mid-deltoid injection site is seldom used for I.M. The inside of the glove is considered sterile 1) regular, heart healthy, renal There are 600+ NCLEX-style practice questions partitioned into four sets in this nursing test bank. Which of the following will probably result in a break in sterile technique for respiratory isolation? Distended neck veins are an indication of hypervolemia. The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: - poor meal choices Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 41Which of the following patients is at greater risk for contracting an infection?AA postoperative patient who has undergone orthopedic surgeryBA patient with leukopeniaCA patient receiving broad-spectrum antibioticsDA newly diagnosed diabetic patient Question 41 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation.Question 10Which of the following types of medications can be administered via gastrostomy tube?AEnteric-coated tablets that are thoroughly dissolved in waterBAny oral medicationsCCapsules whole contents are dissolve in waterDMost tablets designed for oral use, except for extended-duration compounds Question 10 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. The correct method for determining the vastus lateralis site for I.M. Explain the role of the nurse in end of life care. Complete blood count (CBC) and electrolyte levels. - temperature changes Normal WBC counts range from 5,000 to 100,000/mm3. - securement device Is primarily a voluntary action - coolness of extremities Good luck! - pain All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. Vaginal instillation of conjugated estrogen - confusion - hallucinations Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. You have not finished your quiz. injections because it: - as with sugar, any amount of ketones detected in your urine could be a sign of diabetes and requires follow-up testing. question 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. Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. All of the following nursing interventions are correct when using the Z-track method of drug injection except: - obstruction of the airway that sounds like rattling Placement: - use sterile technique when placing catheter The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube.Question 11After routine patient contact, hand washing should last at least:A2 minuteB3 minutes C1 minuteD30 secondsQuestion 11 Explanation: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Constipation is characterized by small, hard masses. S & S: The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist, The inside of the glove is considered sterile. The edges of a sterile field are considered contaminated. Heart-Healthy Diet: Cerebral Aneurysm Nursing Diagnosis and Nursing Care Plan. The primary purpose of a platelet count is to evaluate the: 16. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. Fundamentals of Nursing Practice Exam 3 (PM) 4. is provided by nurses with a graduate degree in community health nursing. 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma The most appropriate time for the nurse to obtain a sputum specimen for culture is:

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