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. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist The back of the gown is considered clean, the front is contaminated. A patient with no known allergies is to receive penicillin every 6 hours. - agitated 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. Ventilation: Pictures on slide show (in order): Also, this page requires javascript. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. Screen blood donors for antibodies to human immunodeficiency virus (HIV), Test blood to be used for transfusion for HIV antibodies, The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). insertion site, and a red streak going up the arm or leg from the I.V. - if autopsy needed, follow policy, Fundamentals of Nursing: Chapter 32 (Exam 4), Fundamentals - Exam 3: Ch. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? - patients accepted into hospice usually have less than 6-12 months to live questions injections in children, typically in the vastus lateralis. Touching the outside wrapper of sterilized material without sterile gloves, Using sterile forceps, rather than sterile gloves, to handle a sterile item, Placing a sterile object on the edge of the sterile field, Pouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container. When administering the medication, the nurse observes a fine rash on the patients skin. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. D. Because an intradermal injection does not penetrate deeply into the skin, a small-bore 25G needle is recommended. - work schedules 46. Irrigate the patient with 1% Neosporin solution three times a daily 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. Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin. 27. Criminals,widows, and orphans AD SPONSORED BY RAKUTEN $10 Welcome Bonus! B. 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). Sterile technique is used whenever: 2. Please wait while the activity loads. Which of the following nursing interventions is considered the most effective form or universal precautions? - significant cause of illness, death, and excessive cost - allow for time with loved ones Learn how your comment data is processed. IM or a subcutaneous injection D. A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. 12. - low levels of protein in urine are normal - record output - widespread availability of unhealthy/fast food 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. 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. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. The back of the gown is considered clean, the front is contaminated. - odorless If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur.Question 31The physician orders gr 10 of aspirin for a patient. 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. 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. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. The edges of a sterile field are considered contaminated. 1. provides direct care to subpopulations who make up the community as a whole. - 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 routine patient contact, hand washing should last at least: 6. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. 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 -trauma - small increases in protein usually aren't a cause for concern, but larger amounts may indicate a kidney problem Hypoxia: lack of oxygen at the cellular level Evaluation: How would you evaluate if your interventions have worked? You scored %%SCORE%% out of %%TOTAL%%. fluids may be necessary. Respiratory: An impaired or traumatized blood vessel wall Aid in diagnosing a patient with AIDS Any items you have not completed will be marked incorrect. Which of the following types of medications can be administered via gastrostomy tube? Perfusion: - pain Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.Question 25Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?A25,000/mm B4,500/mmC7,000/mmD10,000/mmQuestion 25 Explanation: Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. - psychological factors Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm Assessment: How would you assess a patient's nutritional status. IM injection or an IV solution - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, - Assists clients with gaining control of their elimination schedule However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. 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. 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. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. 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. Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. Analysis Average Cardiac Output (CO) = 5-8 L/min Leg muscles Chest pain Brachial and femoral veins 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). Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. Assess a vital signs every 15 minutes for 2 hours Failing to wear gloves when administering a bed bath 30. Return Screen blood donors for antibodies to human immunodeficiency virus (HIV) - diet for individuals with kidney disease that limits intake of sodium, potassium, and phosphorous An antitussive drug inhibits coughing. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. The middle third of the muscle is recommended as the injection site. - mottling. - numbness and tingling in the fingers Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. You Selected 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. 6) clear liquid, Clear Liquid Diet: Hint - oral health All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. Applying additional bed clothes helps to equalize the body temperature and stop the chills. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Enteric precautions prevent the transfer of pathogens via feces.Question 27In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?AAnalysisBEvaluation CAssessmentDPlanningQuestion 27 Explanation: 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.Question 28Clay colored stools indicate:AImpending constipationBUpper GI bleedingCAn effect of medicationDBile obstruction Question 28 Explanation: Bile colors the stool brown. The reaction can range from a rash or hives to anaphylactic shock. Enteric precautions prevent the transfer of pathogens via feces. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! 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. questions education, research, and auditing/monitoring. 4. is provided by nurses with a graduate degree in community health nursing. Egg yolks 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. A patient receiving broad-spectrum antibiotics 36. - pregnancy - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag injections of oil-based medications; a 22G needle for I.M. Discuss how psychological and physiological factors may alter after the elimination process. If loading fails, click here to try again. 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. . 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. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. These symptoms probably indicate that the patient is experiencing: 18. Study Fundamentals Of Nursing Flashcards for Free. injection. If this activity does not load, try refreshing your browser. When administering the medication, the nurse observes a fine rash on the patients skin. Adhering to a schedule for positioning and turning Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Portal of entry 100 cards Kiki V. Emergency equipment. All of the following measures are recommended to prevent pressure ulcers except: 14. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis. GI/GU: 26G Increases partial thromboplastin time 2. Test your knowledge by answering the questions from our nursing test bank about the fundamentals of nursing (located under each . In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. - educate client about their stoma and how to care for it Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. 7. insertion site.Question 2Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?AMaintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity BIrrigate the patient with 1% Neosporin solution three times a dailyCMaintain the drainage tubing and collection bag level with the patients bladderDClamp the catheter for 1 hour every 4 hours to maintain the bladders elasticityQuestion 2 Explanation: Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. Enhancing my Professional Caregiving course to Nursing Aid Course, To achieve more knowledge in general nursing, This is very helpful to students academia. - apprehensive - contradicted for patients who are dehydrated and for young infants Feedings VS. It cannot be administered subcutaneously or intradermally. Allergy Which of the following types of medications can be administered via gastrostomy tube? - perform dressing changes per agency policy. Revise data in the assessment column to reflect the patient's current status, revise the nursing diagnosis, goals and outcomes, select or revise specific interventions that correspond to the new nursing diagnoses or that are necessary for existing diagnoses, choose methods of evaluation that will be used to determine whether the patient . The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. - patients and families may find meaning - regulates levels of electrolytes, produces hormones that are important for blood pressure regulation, develops red blood cells, and helps to keep bones strong : 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. 1) Infants-School Age: - urinary incontinence They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Choose the letter of the correct answer. Cap all used needles before removing them from their syringes Frank bleeding at the insertion site Which of the following conditions may require fluid restriction? - consists of easily digestible foods that do not leave undigested residue in the intestinal tract Developmental Factors: Maintain the drainage tubing and collection bag level with the patients bladder Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Thus, a count of 25,000/mm3 indicates leukocytosis. Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? Applying additional bed clothes helps to equalize the body temperature and stop the chills. 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. 1. Discuss the significance of carbohydrates. List Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. 25 gtt/minute Completed a masters degree in the prescribed clinical area and is a registered professional nurse. - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces Be sure to include color, odor, and clarity. 50. 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. There are 50 questions to complete. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production.Question 34Clay colored stools indicate:AUpper GI bleedingBAn effect of medicationCImpending constipationDBile obstruction Question 34 Explanation: Bile colors the stool brown. Constipation is characterized by small, hard masses. -. Treatment: 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. The middle third of the muscle is recommended as the injection site. 20G Touching the outside wrapper of sterilized material without sterile gloves It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. 18G, 1 long Bile colors the stool brown. - medication Diffusion: Care of Bowel Stomas: - after placement is verified via x-ray, do secondary verification by aspiration (check pH) Choose the letter of the correct answer. Complete blood count (CBC) and electrolyte levels. Having the patient take a tub bath on the morning of surgery A. Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Attempted Questions Correct Question 29 Explanation: Platelets are disk-shaped cells that are essential for blood coagulation. Practice Mode The equivalent dose in milligrams is: Which element in the circular chain of infection can be eliminated by preserving skin integrity? Final Score on Quiz Demonstrate the procedure to the patient and encourage to ask questions 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. Animal sources include liver, kidneys, cream, butter, and egg yolks. Distended neck veins Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? which behaviors are the nurses Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Which of the following patients is at greater risk for contracting an infection? Once you are finished, click the button below. - a measure of concentration that shows how concentrated particles are in your urine CBlood typing and cross-matchingDBleeding and clotting timeQuestion 26 Explanation: Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. An 18G, 1 needle is usually used for I.M. However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. - pregnancy and lactation 8. - restricts the client from eating or drinking anything until the diet is advanced Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity Anorexia The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. Is induced by the administration of an antitussive drug We and our partners use cookies to Store and/or access information on a device. Assessment: How would you assess for alterations in oxygenation? All of the following are good sources of vitamin A except: 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). Your performance has been rated as %%RATING%% A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. All of the following are good sources of vitamin A except: 43. Inside of the gown - impaired cough The developer, Andrey Andreyev, indicated that the apps privacy practices may include handling of data as described below. A. 39. 8. Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin.Question 14An infected patient has chills and begins shivering. Effective hand washing requires the use of: 5. Parenteral penicillin can be administered as an: A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (EM). Immobility also results in more alkaline urine with excessive amounts of calcium, sodium and phosphate, a gradual decrease in urine production, and an increased specific gravity.Question 4The primary purpose of a platelet count is to evaluate the:APresence of an antigen-antibody responseBPotential for bleedingCPresence of cardiac enzymes 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. Cuffs of the gown DNR: "do not resuscitate" Tolerance DIF:Understand (comprehension) REF:356-357 OBJ:Identify purposes of a health care record. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. The purpose of increasing urine acidity through dietary means is to: Upper arm muscles 38. 49. - the net movement of water is low Which of the following nursing interventions is considered the most effective form or universal precautions? Decrease burning sensations Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. - used to evaluate urine for presence of bacteria and yeast that may cause a UTI Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? - anorexia The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. 37. Your answers are highlighted below. 3. Identify the clinical outcomes as a result of hyperventilation. 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. Protective isolation is necessary Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Clamp the catheter for 1 hour every 4 hours to maintain the bladders elasticity To move forward on my career. - to create the effect of intestinal irritation to stimulate peristalsis - nutrients that fuel the body and protect against diseases, - inorganic elements essential to the body as catalysts in biochemical reactions, - inorganic substances in small amounts in foods that are essential to normal metabolism. injection. Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container.

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