An 18G, 1 needle is usually used for I.M. After chest physiotherapy However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. A patient receiving broad-spectrum antibiotics 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. - as with sugar, any amount of ketones detected in your urine could be a sign of diabetes and requires follow-up testing. 10) Change catheters drainage bags based on clinical indication such as infection, obstruction, or when the closed system is compromised Be sure to include color, odor, and clarity. List Time used Placing a sterile object on the edge of the sterile field - transport oxygen in their hemoglobin Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. - diet of liquids, foods that are considered liquids, and foods that turn into liquids at room temperature The most appropriate time for the nurse to obtain a sputum specimen for culture is: Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. . Parenteral penicillin can be administered as an: 27. The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Ask the patient to demonstrate the procedure 29. All of the following nursing interventions are correct when using the Z-track method of drug injection except: 22. Compare and contrast the different types of enemas (water, hypertonic, saline, soapsud). 1) Infants-School Age: Thrombophlebitis typically develops in patients with which of the following conditions? Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Glucose: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. fundamentals of nursing 9th edition test bank potter and quizlet web a nurse assesses a patient s fluid status and decides that the patient needs to drink more fluids the nurse then encourages the . Enteric precautions prevent the transfer of pathogens via feces. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. The Digestive System consists of the liver, pancreas, gallbladder. Use a needle thats a least 1 long The middle third of the muscle is recommended as the injection site. S & S: 24. 30 seconds The mid-deltoid injection site is seldom used for I.M. Which of the following statements about chest X-ray is false? Use these nursing practice questions as an alternative to Quizlet or ATI.Application features: Mode "Preparation" Mode "Exam" Mode "Marathon" Questions search Advantages: The application does not require an Internet connection; Tests are always "Available". Many modes of work with tests.This test simulator will help you prepare for the Fundamentals of Nursing2023 exam.The app is free with in-app purchases! 16. - lack of access to safe places to play/exercise 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. A. Why are these interventions effective? 39. Protective isolation is necessary 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. Animal sources include liver, kidneys, cream, butter, and egg yolks. Potential for bleeding Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Which of the following conditions may require fluid restriction? 1) Feeding: Frank bleeding at the insertion site You have completed - diet consisting of only liquids that are clear and offers little daily calories and nutrients 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. The urinary system is normally free of microorganisms except at the urinary meatus. Test blood to be used for transfusion for HIV antibodies solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Which of the following patients is at greater risk for contracting an infection? - lung diseases (COPD, pneumonia, asthma) Question Text A patient who develops hives after receiving an antibiotic is exhibiting drug: Provide increased cool liquids Enhancing my Professional Caregiving course to Nursing Aid Course, To achieve more knowledge in general nursing, This is very helpful to students academia. - airway management. 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 Carrots - the primary goal is to help patients and families achieve the best quality of life Manage Settings 600 mg 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. This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. Wearing gloves is not always necessary when administering an I.M. - Cheyenne-Stokes respirations 27. Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. Perfusion: C. 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. Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. 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. 11) Do not clean the area with antiseptics to prevent CAUTI while the catheter is in place. - exchange of respiratory gases in the alveoli and capillaries, Cardiac Output: amount of blood ejected from the left ventricle each minute - substance abuse The inside of the glove is considered sterile - pharmacological, - always provide dignity and respect after death Not Attempted Practice materials Date A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. - pregnancy Constipation is characterized by small, hard masses. - consists of easily digestible foods that do not leave undigested residue in the intestinal tract Enteric-coated tablets that are thoroughly dissolved in water Completed a masters degree in the prescribed clinical area and is a registered professional nurse. Correct Answer Ongoing Monitoring: 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. 3 minutes injections; and a 25G needle, for subcutaneous insulin injections. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Answer Choice(s) Selected Chegg Prep has millions of flashcards to help students learn faster with an interactive card flipper and scoring to measure your progress. All of the following are common signs and symptoms of phlebitis except: A red streak exiting the IV insertion site, Edema and warmth at the IV insertion site, Pain or discomfort at the IV insertion site. Adhering to a schedule for positioning and turning They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Which of the following nursing pioneers established the Red Cross in the United States in 1882? Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Shaving the site on the day before surgery Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. Attempted Questions Correct 3) to re-establish normal intra-pleural and intra-pulmonary pressures - urinary retention - securement device Why are these interventions effective? Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Which of the following statements about chest X-ray is false? fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that 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. A patient with leukopenia Capsules whole contents are dissolve in water When administering the medication, the nurse observes a fine rash on the patients skin. Cheyne-Strokes respirations and spontaneous pneumothorax Hypoxia: lack of oxygen at the cellular level Urine Culture: D. A clinical nurse specialist must have completed a masters degree in a clinical specialty and be a registered professional nurse. 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. EXAMPLES: ice cream, juices, pudding, milkshakes, tea, strained soups, protein shakes, gelatin All of the following are appropriate nursing interventions except: 36. - 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 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container An infected patient has chills and begins shivering. Acute pulsus paradoxus After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. Which of the following will probably result in a break in sterile technique for respiratory isolation? Return - maintain underwater seal In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. She received her RN license in 1997. Once you are finished, click the button below. 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? Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. 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. C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. The normal count ranges from 150,000 to 350,000/mm3. Make sure to include whether its an upper or lower airway issue, its cause, and its treatment. Cap all used needles before removing them from their syringes or added to a solution and given I.V. A 20G needle is usually used for I.M. Causes: In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: 50. C. All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. 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). Which of the following procedures always requires surgical asepsis? - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag Feedings VS. To move forward on my career. Heart-Healthy Diet: Apricots 1,2, and 3 Flashcards | Quizlet Fundamentals of Nursing Ch. 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. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Providing meticulous skin care Partial-Credit - patients and families may find meaning Which of the following nursing interventions is considered the most effective form or universal precautions? Stool Crackles: - let your genuine "caring" self show through Describe nursing management of NG tubes. Nursing . The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. 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. Assessment Hemoglobinuria - safest solution to use because it exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist A 22G, 1 needle is usually used for adult I.M. B. Good luck! 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. A nasogastric tube is a thin, soft tube that goes through the nose, down the throat, and into the stomach Opening the patients window to the outside environment Constipation is characterized by small, hard masses. D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. fluids may be necessary. Back muscles or added to a solution and given I.V. - coolness of extremities Upper GI bleeding results in black or tarry stool. - contradicted for patients who are dehydrated and for young infants Dysphagia means difficulty swallowing.Question 6Sterile technique is used whenever:AInvasive procedures are performedBTerminal disinfection is performedCStrict isolation is requiredDProtective isolation is necessary Question 6 Explanation: All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. Bleeding and clotting time Can accommodate only 1 ml or less of medication 0 cards. Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. Hot water may lead to skin irritation or burns. - low RBC 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. A. - pulmonary congestions ("death rattle" - temperature changes 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. How do you interpret a urinalysis (S.G, protein, glucose, nitrates, ketones). Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. injections of oil-based medications; a 22G needle for I.M. Normal WBC counts range from 5,000 to 100,000/mm3. 3. 1 A nurse manager is teaching staff how to use a new piece of hospital equipment. - promotes cardiovascualr health though controlling portions, eating a varied diet, and watching sodium intake They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. A. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. 25,000/mm Immobility impairs bladder elimination, resulting in such disorders as. Attempted Questions Correct A patient who develops hives after receiving an antibiotic is exhibiting drug: 35. The purpose of increasing urine acidity through dietary means is to: Microorganisms usually do not grow in an acidic environment. This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. - decreased LOC; coma Which of the following will probably result in a break in sterile technique for respiratory isolation? Hot water may lead to skin irritation or burns.Question 21When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:AInside of the gown BWaist tie and neck tie at the back of the gownCCuffs of the gownDWaist tie in front of the gownQuestion 21 Explanation: The back of the gown is considered clean, the front is contaminated. - to create the effect of intestinal irritation to stimulate peristalsis - significant cause of illness, death, and excessive cost - low levels of protein in urine are normal A red streak exiting the IV insertion site - a catheter places through the thorax to remove air and fluids from the pleural space 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. - smoking 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.Question 5After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. 5) healthy heart, renal (renal = low sodium; avoid processed foods) Inhibit the growth of microorganisms - does not create the danger of excess fluid absorption The normal count ranges from 150,000 to 350,000/mm3. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Interventions: D. Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. - May include the use of laxatives to assist with bowel stimulation The normal count ranges from 150,000 to 350,000/mm3. The middle third of the muscle is recommended as the injection site. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. Been certified by the National League for Nursing Describe the assessment, diagnosis, intervention, and evaluation of clients with alterations in oxygenation (pneumonia, COPD, etc). Which of the following types of medications can be administered via gastrostomy tube? If loading fails, click here to try again 21. CO can increase to 25 L/min with strenuous activity, Erythrocytes = Red Blood Cells (RBC) After the patient eats a light breakfast insertion site.Question 2Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?AMaintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity BIrrigate the patient with 1% Neosporin solution three times a dailyCMaintain the drainage tubing and collection bag level with the patients bladderDClamp the catheter for 1 hour every 4 hours to maintain the bladders elasticityQuestion 2 Explanation: Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney.
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