fundamentals of nursing quizlet exam 3

- patients can receive palliative care while also pursuing curative treatment options. We and our partners use cookies to Store and/or access information on a device. Describe the structure and function of the cardiopulmonary system. 7/16/2021 Fundamentals of Nursing Ch. Specific Gravity (SG): All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. injections; and a 25G needle, for subcutaneous insulin injections.Question 18All of the following are common signs and symptoms of phlebitis except:APain or discomfort at the IV insertion siteBFrank bleeding at the insertion site CA red streak exiting the IV insertion siteDEdema and warmth at the IV insertion siteQuestion 18 Explanation: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. - exchange of respiratory gases in the alveoli and capillaries, Cardiac Output: amount of blood ejected from the left ventricle each minute However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Hot water may lead to skin irritation or burns. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? ; beets turn stool red. 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.. The two blood vessels most commonly used for TPN infusion are the: 4. - anxiety Identify the clinical outcomes as a result of hypoxemia. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? 1. 22G, 1 long A disinfectant to increase surface tension Applying additional bed clothes helps to equalize the body temperature and stop the chills. Hot water may lead to skin irritation or burns.Question 21When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:AInside of the gown BWaist tie and neck tie at the back of the gownCCuffs of the gownDWaist tie in front of the gownQuestion 21 Explanation: The back of the gown is considered clean, the front is contaminated. A patient who develops hives after receiving an antibiotic is exhibiting drug: 35. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. Answer Choice(s) Selected Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours - the net movement of water is low IV or an intradermal injection The appropriate needle size for insulin injection is: Final Score on Quiz Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. - difficulty breathing Many medications and foods will discolor stool for example, drugs containing iron turn stool black. 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. Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. 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. Differentiate between hospice and palliative care. - decreased diffusion This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. The primary purpose of a platelet count is to evaluate the: 50. Prothrombin and coagulation time Acute pulsus paradoxus If loading fails, click here to try again - decrease in nutrient demand Hypertonic Enema: A patient who develops hives after receiving an antibiotic is exhibiting drug: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Enteric precautions prevent the transfer of pathogens via feces. She received her RN license in 1997. 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. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. Attempted Questions Wrong The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: - constipation Urine retention, bladder distention, and infection Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 42The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BAll of the above CTest blood to be used for transfusion for HIV antibodiesDAid in diagnosing a patient with AIDSQuestion 42 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). injections because it: Can accommodate only 1 ml or less of medication, Can be used only when the patient is lying down. Constipation is characterized by small, hard masses. GI/GU: Diagnosis: - low RBC - record output Dysphagia means difficulty swallowing. - as with sugar, any amount of ketones detected in your urine could be a sign of diabetes and requires follow-up testing. 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. You scored %%SCORE%% out of %%TOTAL%%. A. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). injections of oil-based medications; a 22G needle for I.M. - hospice services are available in home, hospital, extended care, or nursing home settings : 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. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. D. 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. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. Administer the medication with an antihistamine - pain 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. Splinting the abdomen supports the abdominal muscles when a patient coughs. The equivalent dose in milligrams is: Which element in the circular chain of infection can be eliminated by preserving skin integrity? Good luck! Urine Enteric precautions prevent the transfer of pathogens via feces.Question 24Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?AChest painBUrticariaCDistended neck veins DHemoglobinuriaQuestion 24 Explanation: Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. 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. Describe the assessment, diagnosis, intervention, and evaluation of clients with alterations in oxygenation (pneumonia, COPD, etc). Results - used to evaluate urine for presence of bacteria and yeast that may cause a UTI Parenteral penicillin can be administered as an: 27. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. 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. An impaired or traumatized blood vessel wall The nurse explains to a patient that a cough: Is a protective response to clear the respiratory tract of irritants, Is induced by the administration of an antitussive drug, Can be inhibited by splinting the abdomen. The middle third of the muscle is recommended as the injection site. - significant cause of illness, death, and excessive cost The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Identify the clinical outcomes as a result of hyperventilation. The first glove should be picked up by grasping the inside of the cuff. - position during defecation All of the following are appropriate nursing interventions except:AAssess femoral, popliteal, and pedal pulses every 15 minutes for 2 hoursBCheck the pressure dressing for sanguineous drainageCOrder a hemoglobin and hematocrit count 1 hour after the arteriography DAssess a vital signs every 15 minutes for 2 hoursQuestion 49 Explanation: A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. 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. - may be prescribed if client is postoperative, experiencing dysphagia, or prior to certain procedures A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS). 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. [Show more] Preview 3 out of 27 pages Change the urines color Carrots This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. - untapped courage, wisdom, and personal knowledge may be discovered - mottling. - poor meal choices 600 mg 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. Attempt to explain changes in behavior, roles, and relationships that come with aging. - apprehensive Can accommodate only 1 ml or less of medication Capsules whole contents are dissolve in water - hypotonic - may be prescribed for clients recovering from surgery, clients with swallowing difficulty due to medications, dysphagia, etc. All of the following are appropriate nursing interventions except: If you leave this page, your progress will be lost. - can be maintained for short or long term 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. fundamentals of nursing 9th edition test bank potter and quizlet web a nurse assesses a patient s fluid status and decides that the patient needs to drink more fluids the nurse then encourages the . - 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. Hot water may lead to skin irritation or burns. An infected patient has chills and begins shivering. Which of the following statements about chest X-ray is false? Presence of cardiac enzymes Chronic Obstructive Pulmonary Disease The lady of the lamp Who were the original nurses before the profession became more profound? The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. - pneumonia or infection - restricts the client from eating or drinking anything until the diet is advanced We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Use these nursing practice questions as an alternative to Quizlet or ATI.Application features: Mode "Preparation" Mode "Exam" Mode "Marathon" Questions search Advantages: The application does not require an Internet connection; Tests are always "Available". Many modes of work with tests.This test simulator will help you prepare for the Fundamentals of Nursing2023 exam.The app is free with in-app purchases! Order a hemoglobin and hematocrit count 1 hour after the arteriography The physician orders gr 10 of aspirin for a patient. A. Platelets are disk-shaped cells that are essential for blood coagulation. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. An antitussive drug inhibits coughing. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Pictures on slide show (in order): 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. 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. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. The inside of the glove is considered sterile 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). - small increases in protein usually aren't a cause for concern, but larger amounts may indicate a kidney problem A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Normal: Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. 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. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Your performance has been rated as %%RATING%% It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. 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. D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. Does not readily parenteral medication To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. 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. Mode of transmission 11. Time allowed Which element in the circular chain of infection can be eliminated by preserving skin integrity? - diagnostic tests. Hospice: However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. 25,000/mm Good luck! Host Palpate a 1 circular area anterior to the umbilicus solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. All of the following nursing interventions are correct when using the Z-track method of drug injection except: 22. Touching the outside wrapper of sterilized material without sterile gloves - patients accepted into hospice usually have less than 6-12 months to live A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Question Text 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. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Medcomic Book - nursing fundamentals illustrated book, Chapter 46 Urinary Elimination Nursing Test Banks, #1- Otterness-COPD-Pneumonia-Recognizing Relevance, Learning Outcomes Chapter 49 - Fecal Elimination, Fundamentals Chapters one, three and twelve, Concept Map NUR 1022C Fundamentals of Nursing, "What Brought Me Closer to My Fmaily" English Composition narrative. Your score is 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. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects.Question 40Which of the following patients is at greater risk for contracting an infection?AA patient with leukopeniaBA newly diagnosed diabetic patient CA patient receiving broad-spectrum antibioticsDA postoperative patient who has undergone orthopedic surgeryQuestion 40 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. Been certified by the National League for Nursing Apply iced alcohol sponges 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. An antitussive drug inhibits coughing. Cerebral Aneurysm Nursing Diagnosis and Nursing Care Plan. Which of the following statements about chest X-ray is false? Brachial and subclavian veins Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm - alternatives (external and intermittent catheterization). Discuss the anatomy and physiology of the digestive system. Intradermal or subcutaneous injection Once you are finished, click the button below. 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. 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. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. The mid-deltoid injection site is seldom used for I.M. - educate client about their stoma and how to care for it A red streak exiting the IV insertion site D. A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. Which of the following procedures always requires surgical asepsis? Because of this, limiting the patients intake of oral and I.V. Hypoxia: lack of oxygen at the cellular level The best nursing intervention is to:AApply iced alcohol spongesBProvide increased cool liquidsCProvide additional bedclothesDProvide increased ventilation Question 14 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. - medications that decrease respiratory rate Start - airway management. Protein: 3) full liquid A 20G needle is usually used for I.M. Normal WBC counts range from 5,000 to 100,000/mm3. Invasive procedures are performed 2) to prevent air and fluids from re-entering the pleural space - Clients must consume a diet high in fiber and be adequately hydrated to promote proper bowel elimination, Describe what is included in each step of the nursing process for patients with alterations in urinary and/or bowel elimination (UTI, constipation, etc.). The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. fluids may be necessary. She must successfully complete the licensing examination to become a registered professional nurse.Question 45Which of the following will probably result in a break in sterile technique for respiratory isolation?AOpening the door of the patients room leading into the hospital corridorBTurning on the patients room ventilatorCOpening the patients window to the outside environmentDFailing to wear gloves when administering a bed bath Question 45 Explanation: Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. 1 minute This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. An 18G, 1 needle is usually used for I.M. Describe and differentiate between urine collection methods (clean catch vs. indwelling catheter). The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. 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. All of the following statement are true about donning sterile gloves except: Waist tie in front of the gown - a higher than normal concentration often is a result of not drinking enough fluids Splinting the abdomen supports the abdominal muscles when a patient coughs. 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. Correct Answer Initial vasoconstriction may cause skin to feel cold to the touch. LearnMore. Evaluation 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. - diet of liquids, foods that are considered liquids, and foods that turn into liquids at room temperature 3. - maintain secure, airtight dressing (vaseline dressing with dry gauze taped over top) question - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces What would the flow rate be if the drop factor is 15 gtt = 1 ml?A50 gtt/minute B5 gtt/minuteC25 gtt/minuteD13 gtt/minuteQuestion 16 Explanation: 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minuteQuestion 17The appropriate needle gauge for intradermal injection is:A22GB20GC26G D25GQuestion 17 Explanation: Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. D. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood.

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