A 20G needle is usually used for I.M. NR222 Exam 3 Final. - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty Wrong All of the following measures are recommended to prevent pressure ulcers except: Adhering to a schedule for positioning and turning. injections in children, typically in the vastus lateralis. 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 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. The normal count ranges from 150,000 to 350,000/mm3. Discuss chest tubes. The inside of the glove is considered sterile Choose the letter of the correct answer. Please wait while the activity loads. - symptom control and management is very important in the end of life process 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 Muscles of the abdomen, back, and upper arms may be easily injured. - constipation - patients accepted into hospice usually have less than 6-12 months to live Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Make sure to include insertion, placement, checks, feedings, decompression, and ongoing monitoring. 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. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. Initial vasoconstriction may cause skin to feel cold to the touch. Complete blood count (CBC) and electrolyte levels. - lack of access (grocery stores, healthy foods) The appropriate needle gauge for intradermal injection is: 26. Describe the structure and function of the cardiopulmonary system. 11) Do not clean the area with antiseptics to prevent CAUTI while the catheter is in place. 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. 6) clear liquid, Clear Liquid Diet: - apprehensive B. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? If this activity does not load, try refreshing your browser. - may be auscultated in clients with asthma and COPD. Final Score on Quiz Chronic Obstructive Pulmonary Disease 4) Older Adults: - anemia Attempt to explain changes in behavior, roles, and relationships that come with aging. Explain the role of the nurse in end of life care. Effective hand washing requires the use of: 5. 4) pureed 25G, 5/8 long The equivalent dose in milligrams is: 28. - coolness of extremities - oral health 44. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. injections; and a 25G needle, for I.M. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Anorexia - to be eligible for home hospice, a patient must have a family caregiver to provide care when the patient is no longer able to function alone Many medications and foods will discolor stool for example, drugs containing iron turn stool black. DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. Enteric precautions prevent the transfer of pathogens via feces.Question 27In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?AAnalysisBEvaluation CAssessmentDPlanningQuestion 27 Explanation: 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.Question 28Clay colored stools indicate:AImpending constipationBUpper GI bleedingCAn effect of medicationDBile obstruction Question 28 Explanation: Bile colors the stool brown. - personal growth can occur Which of the following procedures always requires surgical asepsis? Terminal disinfection is the disinfection of all contaminated supplies and equipment after a patient has been discharged to prepare them for reuse by another patient. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. The patient can be in a supine or sitting position for an injection into this site.Question 9A patient with no known allergies is to receive penicillin every 6 hours. injections because it has relatively few major nerves and blood vessels. Return Many medications and foods will discolor stool for example, drugs containing iron turn stool black. - checks appearance, concentration, and content of urine Get Results Host Which of the following statements about chest X-ray is false? Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. 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. The middle third of the muscle is recommended as the injection site. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. The appropriate needle gauge for intradermal injection is: A. Parenteral penicillin can be administered I.M. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. - use sterile technique when placing catheter Applying additional bed clothes helps to equalize the body temperature and stop the chills. D. A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. 19. 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 Treatment: Distended neck veins 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). The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Rapid eye movement marks the stage of sleep during which dreaming occurs. Initial vasoconstriction may cause skin to feel cold to the touch. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. -detects and manages a wide range of disorders The mid-deltoid injection site is seldom used for I.M. Partial-Credit - dyspnea - hospice services are available in home, hospital, extended care, or nursing home settings A natural body defense that plays an active role in preventing infection is: Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. C. The edges of a sterile field are considered contaminated. Once you are finished, click the button below. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Please visit using a browser with javascript enabled. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. The urinary system is normally free of microorganisms except at the urinary meatus. Care of Urinary Stomas: - notify morgue; if organs/tissues are being donated, follow policy Evaluation 11. - process of moving gases into and out of the lungs Splinting the abdomen supports the abdominal muscles when a patient coughs. Evaluation: How would you evaluate if your interventions are effective? Upper GI bleeding results in black or tarry stool. - airway management. 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. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Applying additional bed clothes helps to equalize the body temperature and stop the chills. Having the patient shower with an antiseptic soap on the evening v=before and the morning of surgery The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. - foods that are soft and smooth - monitor and secure all connections Your answers are highlighted below. 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. What are the necessary components for red blood cell (RBC) production? - choking concerns 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. If you want to check your ability to succeed as a nurse, try to excel in these trivia questions and answers. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. 2) to prevent air and fluids from re-entering the pleural space If this activity does not load, try refreshing your browser. Cap all used needles before removing them from their syringes, Discard all used uncapped needles and syringes in an impenetrable protective container, Wear gloves when administering IM injections. Wearing gloves is not always necessary when administering an I.M. A patient receiving broad-spectrum antibiotics Date Parenteral penicillin can be administered as an: However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. 9. A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS). Discard all used uncapped needles and syringes in an impenetrable protective container The Z-track method is an I.M. 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. A patient who develops hives after receiving an antibiotic is exhibiting drug: 35. - alternatives (external and intermittent catheterization). - education on breathing techniques Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. The most appropriate nursing action would be to: Withhold the moderation and notify the physician, Administer the medication and notify the physician, Administer the medication with an antihistamine. Total Questions on Quiz Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest injection is to: - trauma Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity Why? Crackles: - say you are sorry for what is happening to them. Questions Not Attempted Edema and warmth at the IV insertion site 47. The purpose of increasing urine acidity through dietary means is to: Microorganisms usually do not grow in an acidic environment. - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. 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. A. 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. ; beets turn stool red.Question 35The mid-deltoid injection site is seldom used for I.M. - neuromuscular disease Shaded items are complete. C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Urinalysis: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. Correct - mottling. Increases partial thromboplastin time Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. How do you interpret a urinalysis (S.G, protein, glucose, nitrates, ketones). Urinary catheterization Bile colors the stool brown. A. Platelets are disk-shaped cells that are essential for blood coagulation. 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). Get Results injections because it has relatively few major nerves and blood vessels. - promotes cardiovascualr health though controlling portions, eating a varied diet, and watching sodium intake Which of the following blood tests should be performed before a blood transfusion? solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. or added to a solution and given I.V. The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). 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. Factors Affecting Elimination: Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects.Question 5The two blood vessels most commonly used for TPN infusion are the:ASubclavian and jugular veinsBFemoral and subclavian veinsCBrachial and subclavian veinsDBrachial and femoral veins Question 5 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. Insertion: It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. seconds - let the patient know what is happenings, and what you and others are doing - the colon fills with fluid, and the resultant distention promotes defacation - after placement is verified via x-ray, do secondary verification by aspiration (check pH) Autorsko pravo 2023 Apple Inc. Sva prava pridrana. 6. It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. Provide increased cool liquids The middle third of the muscle is recommended as the injection site. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. 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. CAdminister the medication with an antihistamineDAdminister the medication and notify the physicianQuestion 32 Explanation: Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. 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. seconds All of the following are good sources of vitamin A except: 43. - may be prescribed for clients recovering from surgery, clients with swallowing difficulty due to medications, dysphagia, etc. Enteric-coated tablets that are thoroughly dissolved in water, Capsules whole contents are dissolve in water, Most tablets designed for oral use, except for extended-duration compounds.

R Plot Two Histograms Side By Side Ggplot, How To Sell Things That Cost Bloxbux In Bloxburg, Gitlab Terraform State Example, Morton Salt Net Worth, Articles F