med surg II final. The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. 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. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.Question 50Which of the following procedures always requires surgical asepsis?ANasogastric tube insertionBVaginal instillation of conjugated estrogenCColostomy irrigation DUrinary catheterizationQuestion 50 Explanation: The urinary system is normally free of microorganisms except at the urinary meatus. Waist tie and neck tie at the back of the gown Eating, drinking, and medications are allowed before this test The back of the gown is considered clean, the front is contaminated. 30 seconds D. Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. The mid-deltoid injection site is seldom used for I.M. Interventions: What interventions would you provide to promote adequate nutrition? Developmental Factors: The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. - small increases in protein usually aren't a cause for concern, but larger amounts may indicate a kidney problem - behavioral changes Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. If you leave this page, your progress will be lost. Brachial and femoral veins 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. seconds 3 minutes - choking concerns 37. Animal sources include liver, kidneys, cream, butter, and egg yolks. injections of oil-based medications; a 22G needle for I.M. - agitated Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 34The nurse explains to a patient that a cough:AIs primarily a voluntary actionBCan be inhibited by splinting the abdomen CIs induced by the administration of an antitussive drugDIs a protective response to clear the respiratory tract of irritantsQuestion 34 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. The appropriate needle gauge for intradermal injection is: A. Platelets are disk-shaped cells that are essential for blood coagulation. If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. The best nursing intervention is to:AProvide additional bedclothesBProvide increased ventilation CApply iced alcohol spongesDProvide increased cool liquidsQuestion 33 Explanation: 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. 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.Question 22Sterile technique is used whenever:AStrict isolation is requiredBProtective isolation is necessary CInvasive procedures are performedDTerminal disinfection is performedQuestion 22 Explanation: All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. Attempted Questions Wrong 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. List the steps appropriate for urinary catheter insertion. - May include the use of laxatives to assist with bowel stimulation injections; and a 25G needle, for I.M. 2) Decompression: A. Complete blood count (CBC) and electrolyte levels. Synergism The edges of a sterile field are considered contaminated. Which of the following conditions may require fluid restriction? 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute. Start - patients and families may find meaning 15. - diarrhea. Constipation is characterized by small, hard masses. The consent submitted will only be used for data processing originating from this website. The purpose of increasing urine acidity through dietary means is to: Microorganisms usually do not grow in an acidic environment. The appropriate needle gauge for intradermal injection is: Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. When administering the medication, the nurse observes a fine rash on the patients skin. The correct method for determining the vastus lateralis site for I.M. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. D. gr 10 x 60mg/gr 1 = 600 mg Hint : an American History, Greek god program by alex eubank pdf free, MCQs Leadership & Management in Nursing-1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Kozier and Erb's Fundamentals of Nursing Volume 1-3, Study Guide FE10 Ch 37 38 39 40 FALL 2022, Learning Outcomes Chapter 52 - Fluid, Electrolyte, and Acid-Base Balance, Fundamentals- Week 8; v Sim Josephine Morrow Step 6 Guided Reflection Questions- Alyssa Ely, ATI Engage Fundamentals-infection control and isolation test, ATI Engage Fundamentals-priority setting frameworks, Fundamentals- Week 8; v Sim Josephine Morrow Step 5 Documentation Assignment- Alyssa Ely, ATIShadowhealth tutorial List Cohort 10 Winter 2022, PRIORITY Patient Activity Part III: New Orders/Evaluation/Problem Recognition, PRIORITY Patient Activity Part II: Initial Assessment/Interprofessional Communication. Constipation is characterized by small, hard masses. - diagnostic tests. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. - musculoskeletal abnormalities injections of oil-based medications; a 22G needle for I.M. Parenteral penicillin can be administered as an: 27. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. 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. 15 cards. List Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. 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. - place body on back with head/shoulders elevated Thus, a count of 25,000/mm3 indicates leukocytosis. A. - record output Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Irrigate the patient with 1% Neosporin solution three times a daily The purpose of increasing urine acidity through dietary means is to: 41. NR222 Exam 3 Final. 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? - decrease in nutrient demand An infected patient has chills and begins shivering. This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. 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. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Use these nursing practice questions as an alternative to Quizlet or ATI. Shaded items are complete. - patients can receive palliative care while also pursuing curative treatment options. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. An infected patient has chills and begins shivering. - obstruction of the airway that sounds like rattling Chegg Prep has millions of flashcards to help students learn faster with an interactive card flipper and scoring to measure your progress. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Question 29 Explanation: Platelets are disk-shaped cells that are essential for blood coagulation. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. Date - COPD or asthma Completed a masters degree in the prescribed clinical area and is a registered professional nurse. A 20G needle is usually used for I.M. EXAMPLES: ice cream, juices, pudding, milkshakes, tea, strained soups, protein shakes, gelatin Soapsud Enema: Interventions: What interventions would you provide to promote adequate elimination? Which of the following will probably result in a break in sterile technique for respiratory isolation? What would the flow rate be if the drop factor is 15 gtt = 1 ml? Choose the letter of the correct answer. A red streak exiting the IV insertion site - exerts an osmotic pressure lower than fluid in the interstitial spaces Fundamentals of Nursing Exam 1 Flashcards Quizlet.pdf - regulates levels of electrolytes, produces hormones that are important for blood pressure regulation, develops red blood cells, and helps to keep bones strong The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.Question 23Which of the following nursing interventions is considered the most effective form or universal precautions?AFollow enteric precautions BCap all used needles before removing them from their syringesCDiscard all used uncapped needles and syringes in an impenetrable protective containerDWear gloves when administering IM injectionsQuestion 23 Explanation: 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. However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. She must successfully complete the licensing examination to become a registered professional nurse.Question 24Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?AIrrigate the patient with 1% Neosporin solution three times a dailyBMaintain the drainage tubing and collection bag level with the patients bladderCMaintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity DClamp the catheter for 1 hour every 4 hours to maintain the bladders elasticityQuestion 24 Explanation: Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. The reaction can range from a rash or hives to anaphylactic shock. Discuss how psychological and physiological factors may alter after the elimination process. - untapped courage, wisdom, and personal knowledge may be discovered After chest physiotherapy After routine patient contact, hand washing should last at least: 6. Body hair - disturbed sleeping patterns 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. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. Attempted Questions Wrong The appropriate needle gauge for intradermal injection is: 26. Fundamentals of Nursing - Exam #3 Flashcards | Quizlet - process of moving gases into and out of the lungs 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. The normal count ranges from 150,000 to 350,000/mm3. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist 22G How do you interpret a urinalysis (S.G, protein, glucose, nitrates, ketones). Initial vasoconstriction may cause skin to feel cold to the touch. She must successfully complete the licensing examination to become a registered professional nurse. - any detection of sugar on this test usually calls for follow-up testing for diabetes 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. The first glove should be picked up by grasping the inside of the cuff. 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 3 out of 27 pages AHostBPortal of entry CReservoirDMode of transmissionQuestion 31 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 32The physician orders an IV solution of dextrose 5% in water at 100ml/hour. 100 cards Kiki V. Emergency equipment. Chronic Obstructive Pulmonary Disease Which of the fol. A. Cerebral Aneurysm Nursing Diagnosis and Nursing Care Plan. An example of data being processed may be a unique identifier stored in a cookie. A patient has returned to his room after femoral arteriography. - a catheter places through the thorax to remove air and fluids from the pleural space 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 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. - apprehensive Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Insertion: 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.Question 8In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as:AKussmails respirations and hypoventilation BCheyne-Strokes respirations and spontaneous pneumothoraxCRespiratory acidosis, ateclectasis, and hypostatic pneumoniaDAppneustic breathing, atypical pneumonia and respiratory alkalosisQuestion 8 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 9The two blood vessels most commonly used for TPN infusion are the:ASubclavian and jugular veinsBBrachial and subclavian veinsCFemoral and subclavian veinsDBrachial and femoral veins Question 9 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.
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