questions No contradictions exist for this test The reaction can range from a rash or hives to anaphylactic shock. injection. The correct method for determining the vastus lateralis site for I.M. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. Applying additional bed clothes helps to equalize the body temperature and stop the chills. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 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. The mid-deltoid injection site is seldom used for I.M. 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. Pain injections of oil-based medications; a 22G needle for I.M. 18. Which of the following conditions may require fluid restriction? Abnormal: - small increases in protein usually aren't a cause for concern, but larger amounts may indicate a kidney problem After routine patient contact, hand washing should last at least: 6. - medications that decrease respiratory rate They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. 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. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Please wait while the activity loads. 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. 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 - pregnancy and lactation 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. - set to LIS (low intermittent suction) Attempted Questions Wrong - normally the amount of sugar in urine is too low to be detected Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. All of the following are appropriate nursing interventions except:AAssess a vital signs every 15 minutes for 2 hoursBOrder a hemoglobin and hematocrit count 1 hour after the arteriography CCheck the pressure dressing for sanguineous drainageDAssess femoral, popliteal, and pedal pulses every 15 minutes for 2 hoursQuestion 47 Explanation: A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. Abnormal: Wear gloves when administering IM injections 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. Discuss the anatomy and physiology of the digestive system. - supplemental oxygenation. 31. Renal Failure You scored %%SCORE%% out of %%TOTAL%%. Bile obstruction good and fantastic web site to learning all students, i hope you are all team member maake a good website for all students. - let your genuine "caring" self show through Final Score on Quiz - untapped courage, wisdom, and personal knowledge may be discovered Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? 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. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Upper arm muscles Parenteral penicillin can be administered as an: Discuss the basic components of "My Plate". 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. However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening injections; and a 25G needle, for subcutaneous insulin injections. 3. - low RBC The mid-deltoid injection site is seldom used for I.M. minutes Because of this, limiting the patients intake of oral and I.V. questions Splinting the abdomen supports the abdominal muscles when a patient coughs. - place clean gown or clothes and cover with clean sheet 3 minutes - medication A collection of all our articles and study guides for the fundamentals of nursing. 1,2, and 3 Terms in this set (61) Florence nightingale is also known as? 10 mg 17. Please visit using a browser with javascript enabled. - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty Apricots In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: Kussmails respirations and hypoventilation, Appneustic breathing, atypical pneumonia and respiratory alkalosis, Cheyne-Strokes respirations and spontaneous pneumothorax, Respiratory acidosis, ateclectasis, and hypostatic pneumonia. A. 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. C. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. The appropriate needle gauge for intradermal injection is: 26. The most appropriate nursing action would be to: 21. Average Cardiac Output (CO) = 5-8 L/min Upper GI bleeding results in black or tarry stool. Choose the letter of the correct answer. 9) Use standard precautions (gloves and gown) Which of the following blood tests should be performed before a blood transfusion? IM injection or an IV solution Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 17Which of the following conditions may require fluid restriction?AChronic Obstructive Pulmonary DiseaseBDehydration CRenal FailureDFeverQuestion 17 Explanation: In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. - assess family wishes for the patient after death; consider cultural/spiritual preferences Evaluation: How would you evaluate if your interventions are effective? Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? The purpose of increasing urine acidity through dietary means is to: - a high-pitched noise creating a whistling sound due to air going through the narrowed airways Wrong Practice Mode Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Factors Affecting Elimination: The respiratory system is comprised of the nose, oropharynx, larynx, trachea, bronchi, bronchioles, and lungs D. The Z-track method is an I.M. 4) Properly secure indwelling catheters after insertion to prevent movement and urethral traction Frank bleeding at the insertion site A. Parenteral penicillin can be administered I.M. Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Blood typing and cross-matching Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? Please visit using a browser with javascript enabled. Start Tub bathing might transfer organisms to another body site rather than rinse them away. Treatment: A patient who develops hives after receiving an antibiotic is exhibiting drug: - brain injury Have the patient repeat the nurses instructions using her own words When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? Exam Mode When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: 12. 45. fluids may be necessary. Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container Also, this page requires javascript. Question Details The best nursing intervention is to: 13. - observe for bubbling (continuous bubbling in the water seal is a sign of an air leak) DNR: "do not resuscitate" recognize that 4. Clay colored stools indicate: Discard all used uncapped needles and syringes in an impenetrable protective container 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. The National League of Nursing accredits educational programs in nursing and provides a testing service to evaluate student nursing competence but it does not certify nurses.