Differentiate between a urinalysis and a urine culture. - decreased urine output The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.Question 48All of the following measures are recommended to prevent pressure ulcers except:AMassaging the reddened are with lotionBAdhering to a schedule for positioning and turningCUsing a water or air mattressDProviding meticulous skin care Question 48 Explanation: 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. These symptoms probably indicate that the patient is experiencing: 18. Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. - a catheter places through the thorax to remove air and fluids from the pleural space Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls. Interpret the features of normal vs. abnormal stool and urine. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Administer the medication with an antihistamine Average Cardiac Output (CO) = 5-8 L/min A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS)Question 43Which of the following types of medications can be administered via gastrostomy tube?ACapsules whole contents are dissolve in waterBAny oral medicationsCMost tablets designed for oral use, except for extended-duration compounds DEnteric-coated tablets that are thoroughly dissolved in waterQuestion 43 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Have the patient repeat the nurses instructions using her own words injection is to: Purpose: - apprehensive Brachial and femoral veins Fundamentals of Nursing Exam 1 A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. Splinting the abdomen supports the abdominal muscles when a patient coughs. Describe how to assess for the risk factors affecting a patient's oxygenation. 8. - agitated A patient has returned to his room after femoral arteriography. Applying additional bed clothes helps to equalize the body temperature and stop the chills. If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. The most appropriate nursing action would be to: insertion site. What would the flow rate be if the drop factor is 15 gtt = 1 ml? 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. The best nursing intervention is to: The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. Soapsud Enema: 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. This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. An antitussive drug inhibits coughing. Ventilation: If you leave this page, your progress will be lost. Early in the morning Which of the following statements about chest X-ray is false? Also, this page requires javascript. All of the following are common signs and symptoms of phlebitis except: 32. 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. - small increases in protein usually aren't a cause for concern, but larger amounts may indicate a kidney problem Parenteral penicillin can be administered as an: 27. - effectively communicate D. The Z-track method is an I.M. Time allowed - coolness of extremities ; beets turn stool red. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Bruises too easily Brachial and subclavian veins Normal: Question 1All of the following are common signs and symptoms of phlebitis except:AFrank bleeding at the insertion site BA red streak exiting the IV insertion siteCEdema and warmth at the IV insertion siteDPain or discomfort at the IV insertion siteQuestion 1 Explanation: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. med surg II final. Strict isolation is required C. 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. GI/GU: - used to evaluate urine for presence of bacteria and yeast that may cause a UTI When administering the medication, the nurse observes a fine rash on the patients skin. Which of the following will probably result in a break in sterile technique for respiratory isolation? Which of the fol. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation.Question 46All of the following measures are recommended to prevent pressure ulcers except:AAdhering to a schedule for positioning and turningBMassaging the reddened are with lotionCProviding meticulous skin care DUsing a water or air mattressQuestion 46 Explanation: 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. or added to a solution and given I.V. The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: Ask the patient to demonstrate the procedure, Ask the patient if he/she has used ear drops before, Demonstrate the procedure to the patient and encourage to ask questions, Have the patient repeat the nurses instructions using her own words. 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. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. - age - anxiety - low LOC injections in children, typically in the vastus lateralis. Criminals,widows, and orphans AD SPONSORED BY RAKUTEN $10 Welcome Bonus! Using sterile forceps, rather than sterile gloves, to handle a sterile item 36. 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. She received her RN license in 1997. The mid-deltoid injection site is seldom used for I.M. - infections (pneumonia) 5) healthy heart, renal (renal = low sodium; avoid processed foods) 9. Please wait while the activity loads. 22G, 1 long injection. Fundamentals of Nursing (NUR100) Foundational Literacy Skills and Phonics (ELM-305) multidimensional care 3 (NUR2502) Nursing Process IV: Medical-Surgical Nursing (NUR 411) biology (bio 111) Intermed Algebra (MTH 101) Physics II (PHY 220) Principles of Marketing (proctored course) (BUS 2201) Maternal-Child Nursing (NR-327) Nursing LVN (VN 200) The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: - 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. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. 3) to re-establish normal intra-pleural and intra-pulmonary pressures 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Barbara Kozier; Glenora Erb; Audrey Berman; Shirlee Snyder; Tracy Levett-jones, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. Not Attempted When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated.Question 22The correct method for determining the vastus lateralis site for I.M. 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. [Show more] Preview 4 out of 412 pages Evaluation: How would you evaluate if your interventions are effective? Answers and Rationales - typically opaque and smaller in diameter 45. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Which of the following procedures always requires surgical asepsis? - rapid growth/dietary needs Your answers are highlighted below. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. 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. - anxiety attacks 4) pureed - maintain skin integrity around stoma Anorexia is another symptom of hypokalemia. Dysphagia means difficulty swallowing. Hypoventilation: shallow breathing with a lower than expected respiratory rate Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Dehydration 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. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. Waist tie in front of the gown Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. 67864 Report Document Comments Please sign inor registerto post comments. When administering the medication, the nurse observes a fine rash on the patients skin. Increases partial thromboplastin time She found a passion in the ER and has stayed in this department for 30 years. 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma recognize that - anemia 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. 10 mg Upper GI bleeding results in black or tarry stool. - obesity - low levels of protein in urine are normal The mid-deltoid injection site is seldom used for I.M. The Urinary Tract Choose the letter of the correct answer. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. - surgery and anesthesia A. Platelets are disk-shaped cells that are essential for blood coagulation. C. Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. 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. Applying additional bed clothes helps to equalize the body temperature and stop the chills. 13. Get Results What are their indications? Constipation is characterized by small, hard masses. injections; and a 25G needle, for I.M. Specific Gravity (SG): A patient has returned to his room after femoral arteriography. 1 A nurse manager is teaching staff how to use a new piece of hospital equipment. 39. - decreased ventilation Portal of entry All of the following statement are true about donning sterile gloves except: 47. insertion site.Question 19When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?ABack musclesBLeg musclesCAbdominal musclesDUpper arm muscles Question 19 Explanation: The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Learn how your comment data is processed. 11 cards. D. 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. Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. 15 cards. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. Anorexia is another symptom of hypokalemia. . Fundamentals of Nursing Practice Exam 3 (EM) Text Mode fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that The middle third of the muscle is recommended as the injection site. injections because it has relatively few major nerves and blood vessels. LearnMore. After chest physiotherapy 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. Kussmails respirations and hypoventilation Shaded items are complete. - dizziness - from the kidneys, urine is transported to the bladder by the ureters D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. 2. Your score is - decreased LOC; coma or added to a solution and given I.V. The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube.Question 44Parenteral penicillin can be administered as an:AIntradermal or subcutaneous injectionBIM injection or an IV solutionCIM or a subcutaneous injection DIV or an intradermal injectionQuestion 44 Explanation: Parenteral penicillin can be administered I.M. - avoid processed foods and fast food Which of the following statements about chest X-ray is false? You scored %%SCORE%% out of %%TOTAL%%. An infected patient has chills and begins shivering. IM injection or an IV solution Question 9 Explanation: Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. You have not finished your quiz. C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. - diet Prepare the injection site with alcohol A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS) Evaluation A newly diagnosed diabetic patient According to the Centers for Disease Control (CDC), blood-to-blood contact occurs most commonly when a health care worker attempts to cap a used needle. The physician orders gr 10 of aspirin for a patient. A patient with no known allergies is to receive penicillin every 6 hours. 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. 1) to remove air and fluids from the pleural space Upper GI bleeding D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. Results Fever Can be inhibited by splinting the abdomen A. 19. As an Amazon Associate I earn from qualifying purchases.
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