- set to LIS (low intermittent suction) You scored %%SCORE%% out of %%TOTAL%%. - monitor patient 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. All of the following statement are true about donning sterile gloves except: 11. Make sure to include the concepts of ventilation, perfusion, and the exchange of gases. Hot water may lead to skin irritation or burns. Pain Applying a topical antiseptic to the skin on the evening before surgery 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. Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. 1) Infants-School Age: A 22G, 1 needle is usually used for adult I.M. Apply iced alcohol sponges 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. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. If loading fails, click here to try again Enteric precautions prevent the transfer of pathogens via feces. Correct injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. The mid-deltoid injection site is seldom used for I.M. A newly diagnosed diabetic patient Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production.Question 34Clay colored stools indicate:AUpper GI bleedingBAn effect of medicationCImpending constipationDBile obstruction Question 34 Explanation: Bile colors the stool brown. - carry oxygen and carbon dioxide - medication Vision and Hearing: 6. 25G Heart-Healthy Diet: Manage Settings - intended to decrease strain on the digestive system while keeping the body hydrated These symptoms probably indicate that the patient is experiencing: 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. 7,000/mm 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. Because of this, limiting the patients intake of oral and I.V. The equivalent dose in milligrams is: 35. - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening - transport oxygen in their hemoglobin This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. 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. If this activity does not load, try refreshing your browser. Total Questions on Quiz 0 cards. Is induced by the administration of an antitussive drug All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. - medications (barbiturates, narcotics, benzodiazepines) Immobility impairs bladder elimination, resulting in such disorders as Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest Constipation is characterized by small, hard masses. 1,2, and 3 Terms in this set (61) Florence nightingale is also known as? which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Been certified by the National League for Nursing, Received credentials from the Philippine Nurses Association, Graduated from an associate degree program and is a registered professional nurse. The physician orders gr 10 of aspirin for a patient. 3 minutes A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. - anxiety attacks Having the patient take a tub bath on the morning of surgery A signed consent is not required The mid-deltoid injection site is seldom used for I.M. Describe nursing management of NG tubes. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Parenteral penicillin can be administered as an: Parenteral penicillin can be administered I.M. Effective hand washing requires the use of: - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, - Assists clients with gaining control of their elimination schedule An antitussive drug inhibits coughing. injections, which are typically administered in the vastus lateralis or ventrogluteal site. 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. 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. A postoperative patient who has undergone orthopedic surgery, A patient receiving broad-spectrum antibiotics. The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.Question 7When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:ACuffs of the gownBInside of the gown CWaist tie and neck tie at the back of the gownDWaist tie in front of the gownQuestion 7 Explanation: The back of the gown is considered clean, the front is contaminated. - temperature changes Answers and Rationales seconds injections because it: 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. - low RBC . A patient with leukopenia 29. 13. Dysphagia means difficulty swallowing. 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). She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. The appropriate needle size for insulin injection is: A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty Care of Bowel Stomas: Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.Question 25Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?A25,000/mm B4,500/mmC7,000/mmD10,000/mmQuestion 25 Explanation: Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. question Prevention: 22G, 1 long Which element in the circular chain of infection can be eliminated by preserving skin integrity? A patient receiving broad-spectrum antibiotics - nutrition - alternatives (external and intermittent catheterization). Why are these interventions effective? Which of the following procedures always requires surgical asepsis? In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? NCLEX Fundamentals 2023 on the App Store 47. In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: 50. Start A 22G, 1 needle is usually used for adult I.M. 4) Older Adults: 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). 25,000/mm 30 seconds The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis.Question 10Effective skin disinfection before a surgical procedure includes which of the following methods?AApplying a topical antiseptic to the skin on the evening before surgeryBHaving the patient shower with an antiseptic soap on the evening v=before and the morning of surgery CHaving the patient take a tub bath on the morning of surgeryDShaving the site on the day before surgeryQuestion 10 Explanation: Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. - may be auscultated in clients with asthma and COPD. An infected patient has chills and begins shivering. 1. provides direct care to subpopulations who make up the community as a whole. - personal growth can occur After the patient eats a light breakfast Order a hemoglobin and hematocrit count 1 hour after the arteriography Which of the following conditions may require fluid restriction? 30. There are 50 questions to complete. 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. - neuromuscular disease If loading fails, click here to try again. The two blood vessels most commonly used for TPN infusion are the: 46. Invasive procedures are performed The Z-track method is an I.M. Return A 22G, 1 needle is usually used for adult I.M. - concerns of body image Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin. - widespread availability of unhealthy/fast food A clinical nurse specialist is a nurse who has: - record output - high altitudes If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur.Question 27The purpose of increasing urine acidity through dietary means is to:AInhibit the growth of microorganisms BChange the urines concentrationCChange the urines colorDDecrease burning sensationsQuestion 27 Explanation: Microorganisms usually do not grow in an acidic environment.Question 28The nurse explains to a patient that a cough:AIs a protective response to clear the respiratory tract of irritantsBIs induced by the administration of an antitussive drugCCan be inhibited by splinting the abdomen DIs primarily a voluntary actionQuestion 28 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. Chronic Obstructive Pulmonary Disease (COPD), An impaired or traumatized blood vessel wall. 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. - hypovolemia (dehydration and hemorrhage) Animal sources include liver, kidneys, cream, butter, and egg yolks. We and our partners use cookies to Store and/or access information on a device. Causes: 48. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. 17. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. An impaired or traumatized blood vessel wall - proper hygiene All of the following nursing interventions are correct when using the Z-track method of drug injection except: minutes RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. - increased HR - a higher than normal concentration often is a result of not drinking enough fluids 4. - the primary goal is to help patients and families achieve the best quality of life Change the urines concentration - diet Enteric precautions prevent the transfer of pathogens via feces. Massaging the reddened are with lotion Fundamentals of Nursing Nursing Test Bank This section is the practice quiz for fundamentals of nursing that can help you think critically and augment your review for the NCLEX. - patients unable to tolerate large volumes of fluid benefit most from this type of enema, which is by design low volume education, research, and auditing/monitoring. 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 A. - place clean gown or clothes and cover with clean sheet Choose the letter of the correct answer. 47. Your answers are highlighted below. - age This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. Prothrombin and coagulation time ; beets turn stool red. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist 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. Can be used only when the patient is lying down 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. The primary purpose of a platelet count is to evaluate the: - does not create the danger of excess fluid absorption Anorexia is another symptom of hypokalemia. - inability to concentrate For more information, see the developers privacy policy. Wheezing: - lung disease (COPD, asthma) Shaving the site on the day before surgery 67864 Report Document Comments Please sign inor registerto post comments. injections; and a 25G needle, for I.M. 45. In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? Use these nursing practice questions as an alternative to Quizlet or ATI. 24. - a high-pitched noise creating a whistling sound due to air going through the narrowed airways - typically opaque and smaller in diameter 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.Question 15Which of the following statements about chest X-ray is false?AEating, drinking, and medications are allowed before this test BA signed consent is not requiredCNo contradictions exist for this testDBefore the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waistQuestion 15 Explanation: Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Have the patient repeat the nurses instructions using her own words injections because it has relatively few major nerves and blood vessels. Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity 49. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. - the net movement of water is low
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