Assessment: How would you assess a patient's nutritional status. Assessment: How would you assess a patient's elimination. - important for clients to receive proper nutrients Aspirate for blood before injection Constipation is characterized by small, hard masses. - heard on exhalation - secure the tube to the patient's nose or cheek and to their gown 3 minutes Correct Answer These symptoms probably indicate that the patient is experiencing: Complete blood count (CBC) and electrolyte levels. 45. 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. - When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: Vaginal instillation of conjugated estrogen Get Results - relief from anxiety and pain is essential - untapped courage, wisdom, and personal knowledge may be discovered Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. A colostomy is a fecal diversion in which part of the colon is used to form a stoma through the abdominal wall, allowing for passage of body waste injections; and a 25G needle, for subcutaneous insulin injections. Eating, drinking, and medications are allowed before this test, Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist. Lippincott Fundamentals Of Nursing Test Bank Pdf Eventually, you will very discover a further experience and endowment by spending more cash. Dehydration injection. injections in children, typically in the vastus lateralis. The lady of the lamp Who were the original nurses before the profession became more profound? 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. Completed a masters degree in the prescribed clinical area and is a registered professional nurse. - Allows for clients to gain control of their bowel movement schedule to avoided unexpected accidents and the embarrassment associated with such events Hypertonic Enema: Effective skin disinfection before a surgical procedure includes which of the following methods? The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. - agitated What would the flow rate be if the drop factor is 15 gtt = 1 ml?A25 gtt/minuteB13 gtt/minuteC5 gtt/minuteD50 gtt/minute Question 32 Explanation: 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minuteQuestion 33An infected patient has chills and begins shivering. 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. A. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. The most appropriate time for the nurse to obtain a sputum specimen for culture is: Thrombophlebitis typically develops in patients with which of the following conditions? Adhering to a schedule for positioning and turning - typically clear and usually has an anti-reflux valve Which of the following conditions may require fluid restriction? 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. In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. C. All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. - low LOC Normal WBC counts range from 5,000 to 100,000/mm3. - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty 15. The middle third of the muscle is recommended as the injection site. Intradermal or subcutaneous injection They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. - diet for individuals with kidney disease that limits intake of sodium, potassium, and phosphorous C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. - pregnancy and lactation Causes: Hint Strictisolation requires the use of clean gloves, masks, gowns and equipment to prevent the transmission of highly communicable diseases by contact or by airborne routes. - decreased O2 capacity (anemia) Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. 18. A 22G, 1 needle is usually used for adult I.M. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). 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. which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew - disturbed sleeping patterns 42. 24. If this activity does not load, try refreshing your browser. There are 50 questions to complete. 2 minute 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. Perfusion: When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. Apply iced alcohol sponges The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Hyperventilation: increase in rate and depth of breathing 13 gtt/minute Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Describe the nursing care of chest tubes. The equivalent dose in milligrams is: Which element in the circular chain of infection can be eliminated by preserving skin integrity? Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Which of the following blood tests should be performed before a blood transfusion? Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. Urine Culture: injections because it: Why are these interventions effective? - attach a syringe and one way valve prior to insertion solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Final Score on Quiz 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. - work schedules Any items you have not completed will be marked incorrect. All of the following statement are true about donning sterile gloves except: The first glove should be picked up by grasping the inside of the cuff. injections of oil-based medications; a 22G needle for I.M. Make sure to include the concepts of ventilation, perfusion, and the exchange of gases. - diet A. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. D. The inside of the glove is always considered to be clean, but not sterile. - the volume of infused saline stimulates peristalsis insertion site. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Describe the three major types of advanced directives (DNR, living will, durable power of attorney). - psychological factors The correct method for determining the vastus lateralis site for I.M. 5. The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove. The first glove should be picked up by grasping the inside of the cuff. - coolness of extremities Discuss the anatomy and physiology of the digestive system. Date Once you are finished, click the button below. Upper GI bleeding results in black or tarry stool. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. - supplemental oxygenation. Applying additional bed clothes helps to equalize the body temperature and stop the chills. 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 33A natural body defense that plays an active role in preventing infection is:AHiccuppingBBody hairCYawningDRapid eye movements Question 33 Explanation: Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Compare and contrast the different types of enemas (water, hypertonic, saline, soapsud). 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. 2) to prevent air and fluids from re-entering the pleural space Please wait while the activity loads. - safest solution to use because it exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel - pharmacological, - always provide dignity and respect after death - dyspnea - a catheter places through the thorax to remove air and fluids from the pleural space 1,2, and 3 Terms in this set (61) Florence nightingale is also known as? The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube.Question 11After routine patient contact, hand washing should last at least:A2 minuteB3 minutes C1 minuteD30 secondsQuestion 11 Explanation: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. - nutrient dense foods 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. Why are these interventions effective? 3. is directed at the individual client only. Is induced by the administration of an antitussive drug - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, - Assists clients with gaining control of their elimination schedule Opening the patients window to the outside environment - gently wash body, gently close eyelids The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. microbiology creative project ideas,
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