- weakness Anorexia A count of 100,000/mm3 or less indicates a potential for bleeding; count of less than 20,000/mm3 is associated with spontaneous bleeding.Question 5After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. - may be prescribed due to the client's inability to safely eat/drink, dysphagia, a scheduled surgery, or an upcoming diagnostic test. - effectively communicate - can be maintained for short or long term 49. Palliative Care: Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? 1) regular, heart healthy, renal All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. Hypoventilation: shallow breathing with a lower than expected respiratory rate [Show more] Preview 3 out of 27 pages She must successfully complete the licensing examination to become a registered professional nurse.Question 24Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?AIrrigate the patient with 1% Neosporin solution three times a dailyBMaintain the drainage tubing and collection bag level with the patients bladderCMaintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity DClamp the catheter for 1 hour every 4 hours to maintain the bladders elasticityQuestion 24 Explanation: Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. - securement device - typically opaque and smaller in diameter - work schedules Discard all used uncapped needles and syringes in an impenetrable protective container 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950End - let the patient know what is happenings, and what you and others are doing - fluid intake Urine Culture: When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. Planning solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. - primary function is to eliminate waste and excess fluid from the body in the form of urine Good luck! - dizziness Choose the letter of the correct answer. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. Urticaria 12. which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Which of the following statements about chest X-ray is false? Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Why are these interventions effective? 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). 31. A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS) If loading fails, click here to try again 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. - low LOC Effective hand washing requires the use of: 5. Administer the medication and notify the physician Get Results IV or an intradermal injection 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. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. 25. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. All of the following are good sources of vitamin A except: - NG tubes can be used to feed an individual who can't get nutrition by mouth - untapped courage, wisdom, and personal knowledge may be discovered Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls.Question 12The appropriate needle size for insulin injection is:A22G, 1 longB18G, 1 longC25G, 5/8 long D22G, 1 longQuestion 12 Explanation: A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. Yawning All of the following nursing interventions are correct when using the Z-track method of drug injection except: Rub the site vigorously after the injection to promote absorption. APortal of entry BHostCReservoirDMode of transmissionQuestion 45 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 46The most appropriate time for the nurse to obtain a sputum specimen for culture is:AAfter the patient eats a light breakfastBAfter aerosol therapyCEarly in the morningDAfter chest physiotherapy Question 46 Explanation: 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.Question 47A patient has returned to his room after femoral arteriography. Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. - decreased inspired oxygen concentrations (high altitude) Be sure to include the concepts of digestion, absorption, metabolism, and elimination. A. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Central Nervous System: recognize that EXAMPLES: pudding, broths, ice cream 33, 34, 35, 36, 37, Adaptive Processes Exam 1 Medications and Lab, Julie S Snyder, Linda Lilley, Shelly Collins. The Digestive System consists of the liver, pancreas, gallbladder. 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. Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. - use sterile technique when placing catheter 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. Graduated from an associate degree program and is a registered professional nurse Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. Question 9 Explanation: Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. Start - poor tissue perfusion - observe for bubbling (continuous bubbling in the water seal is a sign of an air leak) Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. A patient has returned to his room after femoral arteriography. You Selected - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag - safest solution to use because it exerts the same osmotic pressure as fluids in interstitial spaces surrounding the bowel Answer Choice(s) Selected Rapid eye movement marks the stage of sleep during which dreaming occurs. ; beets turn stool red.Question 35The mid-deltoid injection site is seldom used for I.M. Upper arm muscles The appropriate needle gauge for intradermal injection is: 26. The purpose of increasing urine acidity through dietary means is to: - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty Maintain the drainage tubing and collection bag level with the patients bladder Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity Upper GI bleeding results in black or tarry stool. 49. Tolerance Immobility impairs bladder elimination, resulting in such disorders as. Shaded items are complete. seconds - pain Any oral medications However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. A red streak exiting the IV insertion site Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. 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. - perform dressing changes per agency policy. Allergy - sedentary lifestyle Most tablets designed for oral use, except for extended-duration compounds This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. 15. Discuss the significance of carbohydrates. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. - dehydration Not Attempted 20. - oral health Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Hot water may lead to skin irritation or burns. 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. 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. The best nursing intervention is to: 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. 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. The Urinary Tract - exercise C. In real failure, the kidney loses their ability to effectively eliminate wastes and fluids. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water Question Text 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. - a high-pitched noise creating a whistling sound due to air going through the narrowed airways Causes: If you want to check your ability to succeed as a nurse, try to excel in these trivia questions and answers. - confusion However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area.Question 47Thrombophlebitis typically develops in patients with which of the following conditions?AChronic Obstructive Pulmonary Disease (COPD) BAcute pulsus paradoxusCIncreases partial thromboplastin timeDAn impaired or traumatized blood vessel wallQuestion 47 Explanation: 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. 34. -. injection. - anorexia Muscles of the abdomen, back, and upper arms may be easily injured. - difficulty breathing - diagnostic tests. - normally the amount of sugar in urine is too low to be detected Chest Tubes: Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. - symptom control and management is very important in the end of life process Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Distended neck veins are an indication of hypervolemia. - should be restricted to no more than a few days due to limited calorie and nutrients it offers 2) Ensure that only properly trained persons who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.Question 7When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:ACuffs of the gownBInside of the gown CWaist tie and neck tie at the back of the gownDWaist tie in front of the gownQuestion 7 Explanation: The back of the gown is considered clean, the front is contaminated. An 18G, 1 needle is usually used for I.M. - odorless The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. 29. injections, which are typically administered in the vastus lateralis or ventrogluteal site. - record output Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Prothrombin and coagulation time The normal count ranges from 150,000 to 350,000/mm3. It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. Evaluation: How would you evaluate if your interventions are effective? - patient should initially extend the neck, then flex the neck forward once the tube is in the back of the throat The appropriate needle gauge for intradermal injection is: Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production.Question 15The mid-deltoid injection site is seldom used for I.M. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Apply corn starch soaks to the rash Discuss how psychological and physiological factors may alter after the elimination process. 1. provides direct care to subpopulations who make up the community as a whole. Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. 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. - impaired cough Waist tie and neck tie at the back of the gown Your answers are highlighted below. 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. 1) Infants-School Age: Analysis Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Use these nursing practice questions as an alternative to Quizlet or ATI. Rub the site vigorously after the injection to promote absorption We have made considerable efforts to provide you with the most informative rationale, so be sure to read them. - monitor and secure all connections 30 seconds Discuss the physiological alterations at the end of life. What would the flow rate be if the drop factor is 15 gtt = 1 ml? All of the following are good sources of vitamin A except: 43. Discuss the basic components of "My Plate". - concerns of body image The most appropriate nursing action would be to: - anxiety - perform every 3 days or when the ostomy appliance is leaking or accidentally Text Mode - urinary retention A. The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. Opening the patients window to the outside environment 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. - ability of the CV system to pump oxygenated blood to the tissues and return deoxygenated blood to the lungs -trauma - lack of access (grocery stores, healthy foods) A natural body defense that plays an active role in preventing infection is: 10. 6. Tub bathing might transfer organisms to another body site rather than rinse them away.Question 11Thrombophlebitis typically develops in patients with which of the following conditions?AChronic Obstructive Pulmonary Disease (COPD) BIncreases partial thromboplastin timeCAcute pulsus paradoxusDAn impaired or traumatized blood vessel wallQuestion 11 Explanation: 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. ; beets turn stool red. 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. Enhancing my Professional Caregiving course to Nursing Aid Course, To achieve more knowledge in general nursing, This is very helpful to students academia. Anorexia is another symptom of hypokalemia. Fundamentals of Nursing Practice Exam 3 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. List - typically clear and usually has an anti-reflux valve 1 minute Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. Why are these interventions effective? - headache Attempted Questions Wrong - fad diets/risk of eating disorders 32. Kussmails respirations and hypoventilation Date If you leave this page, your progress will be lost. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. NR222 Exam 3 Final. A signed consent is not required because a chest X-ray is not an invasive examination. - 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 primary purpose of a platelet count is to evaluate the: 11) Do not clean the area with antiseptics to prevent CAUTI while the catheter is in place.