fundamentals of nursing quizlet exam 3

injections; and a 25G needle, for I.M. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. injections of oil-based medications; a 22G needle for I.M. 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. Upper GI bleeding results in black or tarry stool. Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. Evaluation: How would you evaluate if your interventions are effective? Can be used only when the patient is lying down Parenteral penicillin can be administered as an: Parenteral penicillin can be administered I.M. or added to a solution and given I.V. A natural body defense that plays an active role in preventing infection is: 10. The Digestive System consists of the liver, pancreas, gallbladder. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. 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. 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. - dyspnea - use sterile technique when placing catheter Aspirate for blood before injection Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? - primary function is to eliminate waste and excess fluid from the body in the form of urine Turning on the patients room ventilator In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. A. 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. - dyspnea After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. 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. 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. - mottling. Evaluation Planning 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. Pictures on slide show (in order): - clear or light yellow in color All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. B. D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. 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). injections; and a 25G needle, for I.M. 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. All of the following are good sources of vitamin A except: Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. Answer Choice(s) Selected - normally the amount of sugar in urine is too low to be detected Shaving the site on the day before surgery - diarrhea. Return Analysis 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. D. A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. 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. - effectively communicate - decreased O2 capacity (anemia) Full Liquid Diet: Immobility impairs bladder elimination, resulting in such disorders as - low RBC Many medications and foods will discolor stool for example, drugs containing iron turn stool black. A patient has returned to his room after femoral arteriography. Presence of an antigen-antibody response A signed consent is not required because a chest X-ray is not an invasive examination. Tolerance - pregnancy and lactation - medications, laxatives, and cathartics Can be inhibited by splinting the abdomen Application features: Mode "Preparation" Mode "Exam" Hypoventilation: shallow breathing with a lower than expected respiratory rate Wheezing: The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBApply corn starch soaks to the rash Discuss the significance of carbohydrates. Question 1All of the following are common signs and symptoms of phlebitis except:AFrank bleeding at the insertion site BA red streak exiting the IV insertion siteCEdema and warmth at the IV insertion siteDPain or discomfort at the IV insertion siteQuestion 1 Explanation: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. Which of the following procedures always requires surgical asepsis? Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Rapid eye movement marks the stage of sleep during which dreaming occurs. Bile obstruction Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. injections of oil-based medications; a 22G needle for I.M. Placement: injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. NPO: To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. injections of oil-based medications; a 22G needle for I.M. - energy needs - set to LIS (low intermittent suction) - nutrition 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. Decrease burning sensations The edges of a sterile field are considered contaminated. 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. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. - process of moving gases into and out of the lungs 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. D. A clinical nurse specialist must have completed a masters degree in a clinical specialty and be a registered professional nurse. Because of this, limiting the patients intake of oral and I.V. - securement device Palliative Care: The correct method for determining the vastus lateralis site for I.M. The consent submitted will only be used for data processing originating from this website. Cap all used needles before removing them from their syringes, Discard all used uncapped needles and syringes in an impenetrable protective container, Wear gloves when administering IM injections. [Show more] Preview 3 out of 27 pages You got 50 minutes to finish the exam .Good luck! Wrong The appropriate needle gauge for intradermal injection is: 26. We and our partners use cookies to Store and/or access information on a device. Attempted Questions Correct - assess continued need and remove promptly 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. Protein: All of the following measures are recommended to prevent pressure ulcers except: 14. When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? 3 minutes 0.6 mg Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. 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! Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. - attach a syringe and one way valve prior to insertion Effective skin disinfection before a surgical procedure includes which of the following methods? DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. Urine When administering the medication, the nurse observes a fine rash on the patients skin. 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. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation.Question 46All of the following measures are recommended to prevent pressure ulcers except:AAdhering to a schedule for positioning and turningBMassaging the reddened are with lotionCProviding meticulous skin care DUsing a water or air mattressQuestion 46 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. Administer the medication and notify the physician 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End - difficulty breathing 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. - diet insertion site. Thrombophlebitis typically develops in patients with which of the following conditions? injections, which are typically administered in the vastus lateralis or ventrogluteal site.Question 13All of the following nursing interventions are correct when using the Z-track method of drug injection except:AUse a needle thats a least 1 longBAspirate for blood before injectionCPrepare the injection site with alcoholDRub the site vigorously after the injection to promote absorption Question 13 Explanation: The Z-track method is an I.M. - supplemental oxygenation. Inside of the gown The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. S & S: The ELISA test is used to: In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. seconds 25. 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. Fundamentals Exam 3 study guide - A group of nurses talking are overheard using jargon that is - Studocu study guide for exam 3 group of nurses talking are overheard using jargon that is consistent with the nursing profession. Differentiate between water and fat soluble vitamins. Parenteral penicillin can be administered as an: 27. Please wait while the activity loads. - psychological factors Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Hyperkalemia The most appropriate nursing action would be to: Withhold the moderation and notify the physician, Administer the medication and notify the physician, Administer the medication with an antihistamine. Make sure to include insertion, placement, checks, feedings, decompression, and ongoing monitoring. 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). Hot water may lead to skin irritation or burns. The physician orders gr 10 of aspirin for a patient. 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. Fundamentals of Nursing (NUR100) Foundational Literacy Skills and Phonics (ELM-305) multidimensional care 3 (NUR2502) Nursing Process IV: Medical-Surgical Nursing (NUR 411) biology (bio 111) Intermed Algebra (MTH 101) Physics II (PHY 220) Principles of Marketing (proctored course) (BUS 2201) Maternal-Child Nursing (NR-327) Nursing LVN (VN 200) - monitor patient Potential for clot formation Provide increased ventilation 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. Text Mode Text version of the exam Rapid eye movement marks the stage of sleep during which dreaming occurs. 43. Initial vasoconstriction may cause skin to feel cold to the touch. - a catheter places through the thorax to remove air and fluids from the pleural space Presence of cardiac enzymes solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. 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. - contradicted for patients who are dehydrated and for young infants 16. A clinical nurse specialist must have completed a masters degree in a clinical specialty and be a registered professional nurse. injections because it:ABruises too easilyBCan accommodate only 1 ml or less of medicationCDoes not readily parenteral medication DCan be used only when the patient is lying downQuestion 35 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 36Immobility impairs bladder elimination, resulting in such disorders asAIncreased urine acidity and relaxation of the perineal muscles, causing incontinenceBDiuresis, natriuresis, and decreased urine specific gravityCDecreased calcium and phosphate levels in the urine DUrine retention, bladder distention, and infectionQuestion 36 Explanation: The immobilized patient commonly suffers from urine retention caused by decreased muscle tone in the perineum. - stomach pH is normally <3.5 The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. Causes: Interventions: Many medications and foods will discolor stool for example, drugs containing iron turn stool black. - pregnancy - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag Nasogastric tube insertion When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. 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. 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. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated.Question 22The correct method for determining the vastus lateralis site for I.M. Yawning Fundamentals of Nursing Add to My Courses Documents (326) Questions Students (625) Book related documents Kozier and Erb's Fundamentals of Nursing Volume 1-3 Barbara Kozier; Glenora Erb; Audrey Berman; Shirlee Snyder; Tracy Levett-jones Lecture notes Date Rating year Ratings Show 8 more documents Show all 96 documents. - a high-pitched noise creating a whistling sound due to air going through the narrowed airways 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 Opening the door of the patients room leading into the hospital corridor The purpose of increasing urine acidity through dietary means is to: 41. - let the patient know what is happenings, and what you and others are doing You have completed Study Fundamentals Of Nursing Flashcards for Free. 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. When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: Waist tie and neck tie at the back of the gown. - provided for patients who cant swallow and have a functioning GI tract - dizziness Get Results Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. - maintain skin integrity around stoma - inability to concentrate - maintain secure, airtight dressing (vaseline dressing with dry gauze taped over top) question Please visit using a browser with javascript enabled. The primary purpose of a platelet count is to evaluate the: 16. Normal WBC counts range from 5,000 to 100,000/mm3. Decompression: Identify the clinical outcomes as a result of hypoxemia. Which of the following conditions may require fluid restriction? B. Describe the assessment, diagnosis, intervention, and evaluation of clients with alterations in oxygenation (pneumonia, COPD, etc). - ability of the CV system to pump oxygenated blood to the tissues and return deoxygenated blood to the lungs Why? Get paid to shop at over 2,500 stores! - 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 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. 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. Time used Cap all used needles before removing them from their syringes The most appropriate time for the nurse to obtain a sputum specimen for culture is: injections; and a 25G needle, for subcutaneous insulin injections.Question 49A patient has returned to his room after femoral arteriography. - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces Increases partial thromboplastin time The two blood vessels most commonly used for TPN infusion are the: 46. - behavioral changes injections, which are typically administered in the vastus lateralis or ventrogluteal site. Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (PM). CAUTI: Catheter Associated Urinary Tract Infection The mid-deltoid injection site is seldom used for I.M. 45. Discuss the anatomy and physiology of the digestive system. You scored %%SCORE%% out of %%TOTAL%%. The back of the gown is considered clean, the front is contaminated. 17. In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase. Bruises too easily - observe for bubbling (continuous bubbling in the water seal is a sign of an air leak) Fever - important for clients to receive proper nutrients Graduated from an associate degree program and is a registered professional nurse

Google Sheets Query Not Matches, John Deere Mower Height Control Knob Replacement, Rick Roll Text Art Copy And Paste, What Is The Strongest Loomian In Loomian Legacy, Alternative Polytunnel Covers, Articles F