In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? - urinary incontinence Applying a topical antiseptic to the skin on the evening before surgery The most appropriate nursing action would be to: Use a needle thats a least 1 long injections; and a 25G needle, for I.M. 8. A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation.Question 38Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?AChest painBHemoglobinuriaCDistended neck veins DUrticariaQuestion 38 Explanation: Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). A natural body defense that plays an active role in preventing infection is: Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Get Results 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. C. Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. 48. Tub bathing might transfer organisms to another body site rather than rinse them away.Question 11Thrombophlebitis typically develops in patients with which of the following conditions?AChronic Obstructive Pulmonary Disease (COPD) BIncreases partial thromboplastin timeCAcute pulsus paradoxusDAn impaired or traumatized blood vessel wallQuestion 11 Explanation: 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. A patient with no known allergies is to receive penicillin every 6 hours. Choose the letter of the correct answer. Planning RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. - maintain skin integrity around stoma 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). Hypoxia: lack of oxygen at the cellular level Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. 30. Provide increased ventilation fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that Treatment: Capsules whole contents are dissolve in water Time allowed D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. 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 30The physician orders gr 10 of aspirin for a patient. 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. Discuss chest tubes. Eating, drinking, and medications are allowed before this test The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove. Frank bleeding at the insertion site recognize that Have the patient repeat the nurses instructions using her own words or added to a solution and given I.V. Which of the following types of medications can be administered via gastrostomy tube? Urinary catheterization - inability to concentrate Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. 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. Early in the morning It cannot be administered subcutaneously or intradermally.Question 7Effective skin disinfection before a surgical procedure includes which of the following methods?AShaving the site on the day before surgeryBHaving the patient take a tub bath on the morning of surgeryCApplying a topical antiseptic to the skin on the evening before surgeryDHaving the patient shower with an antiseptic soap on the evening v=before and the morning of surgery Question 7 Explanation: Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. - neuromuscular disease 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. Feedings VS. GI/GU: A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. - consists of easily digestible foods that do not leave undigested residue in the intestinal tract - significant cause of illness, death, and excessive cost Failing to wear gloves when administering a bed bath Bruises too easily The purpose of increasing urine acidity through dietary means is to: injection. Normal: - let your genuine "caring" self show through - headache Pain Hint - a catheter places through the thorax to remove air and fluids from the pleural space This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. 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. Normal Saline Enema: Inside of the gown - oral health An effect of medication Also, this page requires javascript. Palpate a 1 circular area anterior to the umbilicus Synergism 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. Study Fundamentals Of Nursing Flashcards for Free. Please wait while the activity loads. Anorexia is another symptom of hypokalemia. Ongoing Monitoring: injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. Initial vasoconstriction may cause skin to feel cold to the touch. Distended neck veins are an indication of hypervolemia.Question 25The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BTest blood to be used for transfusion for HIV antibodiesCAll of the above DAid in diagnosing a patient with AIDSQuestion 25 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). - monitor patient Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. Choose the letter of the correct answer. Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? A red streak exiting the IV insertion site Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. An 18G, 1 needle is usually used for I.M. Normal: Aid in diagnosing a patient with AIDS Please wait while the activity loads. We have made considerable efforts to provide you with the most informative rationale, so be sure to read them. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water Please visit using a browser with javascript enabled. 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). B. - diet of liquids, foods that are considered liquids, and foods that turn into liquids at room temperature Once you are finished, click the button below. - live for 120 days. 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 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 37All of the following statement are true about donning sterile gloves except:AThe first glove should be picked up by grasping the inside of the cuff.BThe gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wristCThe inside of the glove is considered sterile DThe second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.Question 37 Explanation: The inside of the glove is always considered to be clean, but not sterile.Question 38Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?ATouching the outside wrapper of sterilized material without sterile glovesBUsing sterile forceps, rather than sterile gloves, to handle a sterile itemCPlacing a sterile object on the edge of the sterile fieldDPouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. 9. If this activity does not load, try refreshing your browser. 10,000/mm After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. fluids may be necessary. Mode of transmission Attempted Questions Correct If loading fails, click here to try again Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. - transport oxygen in their hemoglobin Your score is Increased urine acidity and relaxation of the perineal muscles, causing incontinence 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. Which of the following types of medications can be administered via gastrostomy tube? 33. injections; and a 25G needle, for subcutaneous insulin injections. An antitussive drug inhibits coughing. Exam Mode Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. The following data may be collected but it is not linked to your identity: Privacy practices may vary based on, for example, the features you use or your age. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Which element in the circular chain of infection can be eliminated by preserving skin integrity? A patient has returned to his room after femoral arteriography. B. You Selected The patient can be in a supine or sitting position for an injection into this site. - diet Fundamentals of Nursing Practice Test Bank (600 Questions - Nurseslabs Describe the nursing care of chest tubes. Which of the following statements about chest X-ray is false? A patient with no known allergies is to receive penicillin every 6 hours. Screen blood donors for antibodies to human immunodeficiency virus (HIV) - once urine reaches the bladder, it begins to fill and stretch based on the amount of urine present Your answers are highlighted below. D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. All of the following are appropriate nursing interventions except: 36. All of the following measures are recommended to prevent pressure ulcers except: 14. - smoking If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. 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. injections of oil-based medications; a 22G needle for I.M. insertion site, and a red streak going up the arm or leg from the I.V. - place body on back with head/shoulders elevated 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. A 20G needle is usually used for I.M. 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. Score TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) TEST BANK - FUNDAMENTALS OF NURSING (9TH EDITION BY TAYLOR) Table of Contents Table of Contents 1 Chapter 01: Introduction to Nursing Chapter 02: Theory, Research, and Evidence-Based Practice Chapter 03: Health, Well. When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: Waist tie and neck tie at the back of the gown. Chest pain However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. - anxiety D. Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. Distended neck veins are an indication of hypervolemia. or added to a solution and given I.V. Pictures on slide show (in order): C. The edges of a sterile field are considered contaminated. 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. Apply iced alcohol sponges 17. A. LearnMore. Cap all used needles before removing them from their syringes 2. 50. The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBAdminister the medication and notify the physicianCAdminister the medication with an antihistamineDApply corn starch soaks to the rash Which of the following procedures always requires surgical asepsis? - 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 Urinalysis: Choose the letter of the correct answer. 13. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. A signed consent is not required because a chest X-ray is not an invasive examination. Urine retention, bladder distention, and infection Presence of cardiac enzymes questions Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.Question 18Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?A10,000/mmB4,500/mmC7,000/mmD25,000/mm Question 18 Explanation: Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Shaded items are complete. NR222 Exam 3 Final. Prepare the injection site with alcohol Fundamentals of Nursing 100 Questions Practice Exam The reaction can range from a rash or hives to anaphylactic shock. Cuffs of the gown 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. Get Results Which of the following nursing interventions is considered the most effective form or universal precautions? Hiccupping Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. - decrease in nutrient demand Differentiate between hospice and palliative care. Student-Pain Management- Fundamental Reasoning, Clinical Replacement Packet - Jared Griffin, Assessment & Reasoning Respiratory System, Introductory Biology: Cell And Developmental Biology (BIOMG 1350), Advanced Care of the Adult/Older Adult (N566), Organizational Systems and Quality Leadership (NURS 4210), Community Health and Population-Focused Nursing Field Experience (C229), Medical/Surgical Nursing Concepts (NUR242), Primary Concepts Of Adult Nursing (NUR 3180), Advanced Concepts in Applied Behavior Analysis (PSY7709), Managing Organizations & Leading People (C200), Early Childhood Foundations and the Teaching Profession (ECE-120), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lecture notes, lecture all lectures - lecture notes from professor alan klein, Kami Export - Madeline Gordy - Paramecium Homeostasis, Lesson 6 Plate Tectonics Geology's Unifying Theory Part 2, Final Exams - Selection of my best coursework, TB-Chapter 21 Peripheral Vascular System and Lymphatic System, 1010 - Summary Worlds Together Worlds Apart, Skill IVTherapy - Active Learning Template, Logica proposicional ejercicios resueltos, WK Number 2 Atomic Structure Chemistry 1 Worksheet Assignment with answers, Toaz - importance of kartilya ng katipunan, Conversation Concept Lab Transcript Shadow Health, 1-2 Problem Set Module One - Income Statement, Chapter 2 - Summary Give Me Liberty! 4) Properly secure indwelling catheters after insertion to prevent movement and urethral traction - may be prescribed for clients recovering from surgery, clients with swallowing difficulty due to medications, dysphagia, etc. Diuresis, natriuresis, and decreased urine specific gravity Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. Test your knowledge by answering the questions from our nursing test bank about the fundamentals of nursing (located under each . - musculoskeletal abnormalities Correct - observe for bubbling (continuous bubbling in the water seal is a sign of an air leak) Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. These symptoms probably indicate that the patient is experiencing: Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. 3. is directed at the individual client only. 100 cards Kiki V. Emergency equipment. Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin. Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm - irregular breathing Screen blood donors for antibodies to human immunodeficiency virus (HIV), Test blood to be used for transfusion for HIV antibodies, The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). The appropriate needle size for insulin injection is: Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. Question Details 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. 39. Discuss the significance of carbohydrates. 8) Following aseptic insertion of the urinary catheter, maintain a closed drainage system The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. The appropriate needle gauge for intradermal injection is: - Question content is constantly updated for FREE, so you don't have to worry about outdated questions.This app is a practice test on the fundamentals of nursing that can help you think critically and complete your NCLEX review. After the patient eats a light breakfast However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. Question Text Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. Because of this, limiting the patients intake of oral and I.V. - process of moving gases into and out of the lungs Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Potential for clot formation 21. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated.Question 39The most appropriate time for the nurse to obtain a sputum specimen for culture is:AAfter aerosol therapyBAfter chest physiotherapy CAfter the patient eats a light breakfastDEarly in the morningQuestion 39 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 40A natural body defense that plays an active role in preventing infection is:ARapid eye movements BHiccuppingCYawningDBody hairQuestion 40 Explanation: Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. Assessment Discuss the basic components of "My Plate". 2) Adolescents: 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. 35. 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. 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. The equivalent dose in milligrams is: 28. - dizziness What are their indications? Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Presence of an antigen-antibody response This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets.
Armenian Drinks Non Alcoholic, Compra La Verdad Y No La Vendas Power Point, Articles F