- obesity The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS). 2 minute If you leave this page, your progress will be lost. NR222 Exam 3 Final. You scored %%SCORE%% out of %%TOTAL%%. Any items you have not completed will be marked incorrect. Pureed Diet: Your performance has been rated as %%RATING%% Autorsko pravo 2023 Apple Inc. Sva prava pridrana. 7,000/mm Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. The middle third of the muscle is recommended as the injection site. Fundamentals of Nursing Exam 3 Flashcards | Quizlet Diffusion: Fundamentals of Nursing Practice Exam 1 - RNpedia 5 gtt/minute N76. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Partial-Credit In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? ; beets turn stool red.Question 35The mid-deltoid injection site is seldom used for I.M. The reaction can range from a rash or hives to anaphylactic shock. -. Because of this, limiting the patients intake of oral and I.V. Text Mode - monitor tubing for patency A. Parenteral penicillin can be administered I.M. S & S: - used to evaluate urine for presence of bacteria and yeast that may cause a UTI Analysis Your answers are highlighted below. - significant cause of illness, death, and excessive cost Fundamentals Of Nursing Flashcards | Chegg.com The purpose of increasing urine acidity through dietary means is to: Microorganisms usually do not grow in an acidic environment. Correct - diabetic ketoacidosis Fundamentals of Nursing Practice Test Bank (600 Questions - Nurseslabs When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? - patients and families may find meaning 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. Discuss interventions for symptom management in patients at the end of life. Divide 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 Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation.Question 10Which of the following types of medications can be administered via gastrostomy tube?AEnteric-coated tablets that are thoroughly dissolved in waterBAny oral medicationsCCapsules whole contents are dissolve in waterDMost tablets designed for oral use, except for extended-duration compounds Question 10 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. 7/16/2021 Fundamentals of Nursing Ch. - the most important risk factor for developing a CAUTI is prolonged use of the urinary catheter Egg yolks PDF Lippincott Fundamentals Of Nursing Test Bank Pdf , (PDF) Chest Tubes: Does not readily parenteral medication 37. 4,500/mm 31. After aerosol therapy - pregnancy question Bowel and Urinary Elimination (11-13 Questions): Explain the function and role of the urinary system and bowel structures in urine and stool formation and elimination. - neurological disorders Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. or added to a solution and given I.V. CAdminister the medication with an antihistamineDAdminister the medication and notify the physicianQuestion 32 Explanation: Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. D. A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. 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. List the steps appropriate for urinary catheter insertion. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist Please visit using a browser with javascript enabled. 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. The mid-deltoid injection site is seldom used for I.M. A signed consent is not required because a chest X-ray is not an invasive examination. A patient who develops hives after receiving an antibiotic is exhibiting drug: 35. - infections (pneumonia) 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. Maintain the drainage tubing and collection bag level with the patients bladder Back muscles Return Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. injections in children, typically in the vastus lateralis. Choose the letter of the correct answer. Portal of entry Cap all used needles before removing them from their syringes - untapped courage, wisdom, and personal knowledge may be discovered - process of moving gases into and out of the lungs What would the flow rate be if the drop factor is 15 gtt = 1 ml? - alternatives (external and intermittent catheterization). Please wait while the activity loads. ; beets turn stool red. 11. Time allowed The most appropriate time for the nurse to obtain a sputum specimen for culture is: 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. Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. 21. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Prevention: 2) Ensure that only properly trained persons who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility Specific Gravity (SG): Which of the following nursing interventions is considered the most effective form or universal precautions? Ongoing Monitoring: An antitussive drug inhibits coughing. Subclavian and jugular veins An infected patient has chills and begins shivering. 47. - amount and frequency depends on fluid intake - low LOC When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: 12. 18G, 1 long The normal count ranges from 150,000 to 350,000/mm3. 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 - difficulty breathing Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. insertion site, and a red streak going up the arm or leg from the I.V. [Show more] Preview 4 out of 412 pages Apply iced alcohol sponges All of the following are appropriate nursing interventions except: If you leave this page, your progress will be lost. 67864 Report Document Comments Please sign inor registerto post comments. - anxiety The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. - oral health 45. Discard all used uncapped needles and syringes in an impenetrable protective container Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. 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. The middle third of the muscle is recommended as the injection site. 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. Your score is 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). 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. 17. 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. What would the flow rate be if the drop factor is 15 gtt = 1 ml? . Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. Start A postoperative patient who has undergone orthopedic surgery, A patient receiving broad-spectrum antibiotics. - may be prescribed due to the client's inability to safely eat/drink, dysphagia, a scheduled surgery, or an upcoming diagnostic test. The normal count ranges from 150,000 to 350,000/mm3. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. If you leave this page, your progress will be lost. - patients unable to tolerate large volumes of fluid benefit most from this type of enema, which is by design low volume Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. Upper GI bleeding results in black or tarry stool. The purpose of increasing urine acidity through dietary means is to: Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Question Text 60 mg - nutrition - weakness Presence of an antigen-antibody response Fundamentals of Nursing Practice Exam 1 Practice Mode Exam Mode Text Mode 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. You Selected This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. Decrease burning sensations Bruises too easily - hypotonic - can be maintained for short or long term Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.Question 37Which of the following will probably result in a break in sterile technique for respiratory isolation?ATurning on the patients room ventilatorBOpening the door of the patients room leading into the hospital corridorCOpening the patients window to the outside environmentDFailing to wear gloves when administering a bed bath Question 37 Explanation: Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. - relief from anxiety and pain is essential Urinalysis: Is primarily a voluntary action - carry oxygen and carbon dioxide questions Demonstrate the procedure to the patient and encourage to ask questions All of the following are appropriate nursing interventions except: Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours, Check the pressure dressing for sanguineous drainage, Order a hemoglobin and hematocrit count 1 hour after the arteriography, Assess a vital signs every 15 minutes for 2 hours. Assessment: How would you assess a patient's elimination. Learn how your comment data is processed. - decreased diffusion Respiratory: - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma The equivalent dose in milligrams is: Which element in the circular chain of infection can be eliminated by preserving skin integrity? 50. injections, which are typically administered in the vastus lateralis or ventrogluteal site.Question 13The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:AAsk the patient to demonstrate the procedure BAsk the patient if he/she has used ear drops beforeCDemonstrate the procedure to the patient and encourage to ask questionsDHave the patient repeat the nurses instructions using her own wordsQuestion 13 Explanation: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.Question 14When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?ALeg musclesBBack musclesCUpper arm muscles DAbdominal musclesQuestion 14 Explanation: The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. All of the following statement are true about donning sterile gloves except: 11. Attempt to explain changes in behavior, roles, and relationships that come with aging. 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. Thus, a count of 25,000/mm3 indicates leukocytosis.Question 26Which of the following nursing interventions is considered the most effective form or universal precautions?ADiscard all used uncapped needles and syringes in an impenetrable protective containerBFollow enteric precautions CWear gloves when administering IM injectionsDCap all used needles before removing them from their syringesQuestion 26 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. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. - supplemental oxygenation. Return Applying additional bed clothes helps to equalize the body temperature and stop the chills. The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: Ask the patient to demonstrate the procedure, Ask the patient if he/she has used ear drops before, Demonstrate the procedure to the patient and encourage to ask questions, Have the patient repeat the nurses instructions using her own words. Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams). Reservoir Because of this, limiting the patients intake of oral and I.V. injections because it: After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. 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 All of the following measures are recommended to prevent pressure ulcers except: recognize that - maintain secure, airtight dressing (vaseline dressing with dry gauze taped over top) A newly diagnosed diabetic patient 3. is directed at the individual client only. 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.Question 41All of the following are good sources of vitamin A except:AApricotsBWhite potatoesCCarrotsDEgg yolks Question 41 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). Providing meticulous skin care Results Prothrombin and coagulation time You Selected 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. A patient with leukopenia - diet of foods that do not require chewing 42. 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. 48. Evaluation: How would you evaluate if your interventions have worked? Wheezing: It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. 2) Adolescents: The correct method for determining the vastus lateralis site for I.M. 15. Applying additional bed clothes helps to equalize the body temperature and stop the chills. Because of this, limiting the patients intake of oral and I.V. The equivalent dose in milligrams is:A0.6 mgB10 mgC600 mg D60 mgQuestion 31 Explanation: gr 10 x 60mg/gr 1 = 600 mgQuestion 32A patient with no known allergies is to receive penicillin every 6 hours. Initial vasoconstriction may cause skin to feel cold to the touch. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. - once urine reaches the bladder, it begins to fill and stretch based on the amount of urine present A graduate of an associate degree program is not a clinical nurse specialist: however, she is prepared to provide bed side nursing with a high degree of knowledge and skill. 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). Kussmails respirations and hypoventilation The reaction can range from a rash or hives to anaphylactic shock. Test Bank - Fundamentals of Nursing (9th Edition by Taylor) This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. 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. Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm It cannot be administered subcutaneously or intradermally. Irrigate the patient with 1% Neosporin solution three times a daily The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. seconds Fundamentals of Nursing Practice Exam 3 (EM) This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. 27. 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. Impending constipation D. 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. - assess family wishes for the patient after death; consider cultural/spiritual preferences 20. Chest pain and urticaria may be symptoms of impending anaphylaxis. 10,000/mm Synergism Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? A patient with no known allergies is to receive penicillin every 6 hours. There are 50 questions to complete. - diet of liquids, foods that are considered liquids, and foods that turn into liquids at room temperature Studies have shown that showering with an antiseptic soap before surgery is the most effective method of removing microorganisms from the skin. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. Withhold the moderation and notify the physician Correct Answer Stool Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. 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. 14. - 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 Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Treatment: Which of the following nursing interventions is considered the most effective form or universal precautions? 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 . 18. 3. Explain the role of the nurse in end of life care. 25G Administer the medication and notify the physician 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. injections of oil-based medications; a 22G needle for I.M. A. 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. Palliative Care: 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. Questions Not Attempted She received her RN license in 1997. injections because it:ACan be used only when the patient is lying downBBruises too easilyCCan accommodate only 1 ml or less of medicationDDoes not readily parenteral medication Question 15 Explanation: 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).Question 16The physician orders an IV solution of dextrose 5% in water at 100ml/hour. which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Bleeding and clotting time Rub the site vigorously after the injection to promote absorption - urine travels through the urinary system or urinary tract, which consists of kidneys, ureters, bladder, and urethra Fundamentals of Nursing: Exam 3 Flashcards | Quizlet A clinical nurse specialist is a nurse who has: 39. injection. C. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. Distended neck veins are an indication of hypervolemia. Wearing gloves is not always necessary when administering an I.M. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Normal WBC counts range from 5,000 to 10,000/mm3. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. 3) to re-establish normal intra-pleural and intra-pulmonary pressures - assess continued need and remove promptly Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Ask the patient to demonstrate the procedure A disinfectant to increase surface tension Please visit using a browser with javascript enabled. Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Assessment All of the following are good sources of vitamin A except: - decreased LOC; coma - trauma 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. - set to LIS (low intermittent suction) Which element in the circular chain of infection can be eliminated by preserving skin integrity? 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. Clay colored stools indicate: Hot water may lead to skin irritation or burns.Question 36Which of the following conditions may require fluid restriction?ARenal FailureBDehydration CChronic Obstructive Pulmonary DiseaseDFeverQuestion 36 Explanation: In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. Animal sources include liver, kidneys, cream, butter, and egg yolks. - numbness and tingling in the fingers 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. An 18G, 1 needle is usually used for I.M. It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. *exam 3 Chapter 14 Potter Perry Fundamentals Of Nursing - Cram.com
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