Fever B. - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. - airway management. 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. - low levels of protein in urine are normal Anorexia Fundamentals of Nursing Practice Exam 3 - RNpedia 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. - popping and crackling sound - disturbed sleeping patterns 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. 20. Diuresis, natriuresis, and decreased urine specific gravity 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.. - low LOC Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? Providing meticulous skin care What would the flow rate be if the drop factor is 15 gtt = 1 ml? She found a passion in the ER and has stayed in this department for 30 years. - position the patient upright or elevate the head of the bed a minimum of 30 (preferably 45) degrees These symptoms probably indicate that the patient is experiencing: Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. 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. DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. Chronic Obstructive Pulmonary Disease - hallucinations D. Bile colors the stool brown. - decreased O2 capacity (anemia) Lh Layla12 days ago awsome! The correct method for determining the vastus lateralis site for I.M. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. - pneumonia or infection However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. Chapter 01 - Fundamentals of Nursing 9th edition - test bank Fundamentals of Nursing 9th edition - test bank University Rowan College of South Jersey Course Nursing I (NUR 131) 54 Documents Academic year:2017/2018 Uploaded byTimothy Robert Helpful? Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Differentiate between wheezing, crackles, and rhonchi. 30. 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. Muscles of the abdomen, back, and upper arms may be easily injured. - medications (barbiturates, narcotics, benzodiazepines) After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. Return - pain - secure the tube to the patient's nose or cheek and to their gown Maintain the drainage tubing and collection bag level with the patients bladder Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest - place body on back with head/shoulders elevated Also, this page requires javascript. Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? - foods that are soft and smooth 22G, 1 long C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. There are 600+ NCLEX-style practice questions partitioned into four sets in this nursing test bank. 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. List the steps appropriate for urinary catheter insertion. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. A patient has returned to his room after femoral arteriography. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region.Question 16All of the following are good sources of vitamin A except:ACarrotsBApricotsCEgg yolks DWhite potatoesQuestion 16 Explanation: 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). - medications that decrease respiratory rate When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: We and our partners use cookies to Store and/or access information on a device. ; beets turn stool red. The normal count ranges from 150,000 to 350,000/mm3. - consists of easily digestible foods that do not leave undigested residue in the intestinal tract All of the following are common signs and symptoms of phlebitis except: 32. Wearing gloves is not always necessary when administering an I.M. Muscles of the abdomen, back, and upper arms may be easily injured. It cannot be administered subcutaneously or intradermally.Question 45Which element in the circular chain of infection can be eliminated by preserving skin integrity? Once you are finished, click the button below. Correct Answer Correct Answer In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? Graduated from an associate degree program and is a registered professional nurse The physician orders gr 10 of aspirin for a patient. Splinting the abdomen supports the abdominal muscles when a patient coughs.Question 35Effective hand washing requires the use of:AAll of the above BA disinfectant to increase surface tensionCSoap or detergent to promote emulsificationDHot water to destroy bacteriaQuestion 35 Explanation: 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. Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Protective isolation is necessary 2. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. Full Liquid Diet: - use sterile technique when placing catheter You Selected - impaired cough In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? Hypertonic Enema: - a measure of concentration that shows how concentrated particles are in your urine Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 41Which of the following patients is at greater risk for contracting an infection?AA postoperative patient who has undergone orthopedic surgeryBA patient with leukopeniaCA patient receiving broad-spectrum antibioticsDA newly diagnosed diabetic patient Question 41 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. fluids may be necessary. 6) clear liquid, Clear Liquid Diet: - psychological factors - allow the family to participate in post-mortem care 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 29The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:ADemonstrate the procedure to the patient and encourage to ask questionsBAsk the patient to demonstrate the procedure CAsk the patient if he/she has used ear drops beforeDHave the patient repeat the nurses instructions using her own wordsQuestion 29 Explanation: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.Question 30Which of the following blood tests should be performed before a blood transfusion?AProthrombin and coagulation timeBBleeding and clotting timeCBlood typing and cross-matchingDComplete blood count (CBC) and electrolyte levels. Opening the door of the patients room leading into the hospital corridor 27. Care of Urinary Stomas: Evaluation: How would you evaluate if your interventions have worked? Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container Leg muscles Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Shaving the site on the day before surgery All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. 37. 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. Good luck! Impending constipation Questions Not Attempted Assessment: How would you assess a patient's nutritional status. Decompression: D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. 47. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Time used 2) to prevent air and fluids from re-entering the pleural space - perform dressing changes per agency policy. Compare and contrast the different types of enemas (water, hypertonic, saline, soapsud). Bruises too easily This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. You have completed - medication Decrease burning sensations Chegg Prep has millions of flashcards to help students learn faster with an interactive card flipper and scoring to measure your progress. Fundamentals Exam 3 study guide - A group of nurses talking are The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: 33. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. *exam 3 Chapter 14 Potter Perry Fundamentals Of Nursing - Cram.com If you leave this page, your progress will be lost. 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. Presence of an antigen-antibody response 28. - poor meal choices Appneustic breathing, atypical pneumonia and respiratory alkalosis - smoking Fundamentals of Nursing Exam 3 Overview of Exam 3: - 40 Questions - 60 minutes to take - multiple choice, select all that apply, fill in the blank - on Canvas Click the card to flip . injections; and a 25G needle, for I.M. The primary purpose of a platelet count is to evaluate the: Platelets are disk-shaped cells that are essential for blood coagulation. The inside of the glove is considered sterile The physician orders gr 10 of aspirin for a patient. - gently wash body, gently close eyelids 4) Older Adults: Adhering to a schedule for positioning and turning 26. 0 cards. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist A signed consent is not required because a chest X-ray is not an invasive examination. D. Microorganisms usually do not grow in an acidic environment. Partial-Credit Palliative Care: Choose the letter of the correct answer. 45. Vaginal instillation of conjugated estrogen. Using a water or air mattress 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. Pureed Diet: - patients can receive palliative care while also pursuing curative treatment options. Answer Choice(s) Selected Developmental Factors: Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls.Question 48The appropriate needle gauge for intradermal injection is:A26G B25GC20GD22GQuestion 48 Explanation: Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. 47. 3) Young/Middle Adults: injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. - concerns of body image Be sure to include color, odor, and clarity. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage.
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