2) soft - rapid growth/dietary needs In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? The middle third of the muscle is recommended as the injection site. 4. - offer silence Question 29 Explanation: Platelets are disk-shaped cells that are essential for blood coagulation. Manage Settings 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) They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. 2) Ensure that only properly trained persons who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility 14. Opening the door of the patients room leading into the hospital corridor 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. However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area. - chronic disease Change the urines color - mottling. Intradermal or subcutaneous injection 3. is directed at the individual client only. The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist, The inside of the glove is considered sterile. Fundamentals of Nursing Exam 1 Flashcards Quizlet.pdf - restlessness -. 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. Get Results NUR 102 Fundamentals of Nursing Exam 1 Test Bank,Complete answers. - Stuvia - headache Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Care of Urinary Stomas: Synergism - may be prescribed for clients recovering from surgery, clients with swallowing difficulty due to medications, dysphagia, etc. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation.Question 38Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?AChest painBHemoglobinuriaCDistended neck veins DUrticariaQuestion 38 Explanation: Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donors and recipients blood). Distended neck veins NPO: Heart-Healthy Diet: 45. Blood typing and cross-matching 10) Change catheters drainage bags based on clinical indication such as infection, obstruction, or when the closed system is compromised All of the following measures are recommended to prevent pressure ulcers except: 14. Decompression: A collection of all our articles and study guides for the fundamentals of nursing. 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma Which of the following nursing interventions is considered the most effective form or universal precautions? Withhold the moderation and notify the physician Hospice: B. - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. A. A. 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 disinfectant to increase surface tension The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. 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 Urinary Tract 5 gtt/minute The mid-deltoid injection site is seldom used for I.M. - lack of access to safe places to play/exercise Administer the medication with an antihistamine Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? An 18G, 1 needle is usually used for I.M. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Which element in the circular chain of infection can be eliminated by preserving skin integrity? If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. Fundamentals of Nursing Practice Exam 1 - RNpedia 31. 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. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBAdminister the medication and notify the physicianCAdminister the medication with an antihistamineDApply corn starch soaks to the rash If you want to check your ability to succeed as a nurse, try to excel in these trivia questions and answers. - medications, laxatives, and cathartics The middle third of the muscle is recommended as the injection site. - "nothing by mouth" Fundamentals of Nursing 100 Questions Practice Exam Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. 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. Thrombophlebitis typically develops in patients with which of the following conditions? Brachial and femoral veins Treatment: Interventions: Not Attempted Egg yolks 67864 Report Document Comments Please sign inor registerto post comments. Distended neck veins are an indication of hypervolemia.Question 25The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BTest blood to be used for transfusion for HIV antibodiesCAll of the above DAid in diagnosing a patient with AIDSQuestion 25 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). A 20G needle is usually used for I.M. - maintain secure, airtight dressing (vaseline dressing with dry gauze taped over top) Impending constipation 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. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. - popping and crackling sound Analysis All of the following are appropriate nursing interventions except: Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours, Check the pressure dressing for sanguineous drainage, Order a hemoglobin and hematocrit count 1 hour after the arteriography, Assess a vital signs every 15 minutes for 2 hours. She must successfully complete the licensing examination to become a registered professional nurse. injections of oil-based medications; a 22G needle for I.M. An antitussive drug inhibits coughing. - lung diseases (COPD, pneumonia, asthma) Hint Assessment: How would you assess for alterations in oxygenation? She received her RN license in 1997. 15. If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. 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). Because of this, limiting the patients intake of oral and I.V. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. A 22G, 1 needle is usually used for adult I.M. - inability to concentrate Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Demonstrate the procedure to the patient and encourage to ask questions Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician. Wrong - amount and frequency depends on fluid intake 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. 50 gtt/minute Good luck! However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Vaginal instillation of conjugated estrogen. ; beets turn stool red.Question 29The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:ADemonstrate the procedure to the patient and encourage to ask questionsBAsk the patient to demonstrate the procedure CAsk the patient if he/she has used ear drops beforeDHave the patient repeat the nurses instructions using her own wordsQuestion 29 Explanation: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.Question 30Which of the following blood tests should be performed before a blood transfusion?AProthrombin and coagulation timeBBleeding and clotting timeCBlood typing and cross-matchingDComplete blood count (CBC) and electrolyte levels. 0 cards. 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). 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. Palpate a 1 circular area anterior to the umbilicus 1. 47. Criminals,widows, and orphans AD SPONSORED BY RAKUTEN $10 Welcome Bonus! Time allowed Autorsko pravo 2023 Apple Inc. Sva prava pridrana. 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. Which of the following nursing interventions is considered the most effective form or universal precautions? Initial vasoconstriction may cause skin to feel cold to the touch. Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Because of this, limiting the patients intake of oral and I.V. 3) Young/Middle Adults: Discuss how psychological and physiological factors may alter after the elimination process. Which of the following procedures always requires surgical asepsis? insertion site. Splinting the abdomen supports the abdominal muscles when a patient coughs.Question 29The primary purpose of a platelet count is to evaluate the:APotential for bleedingBPresence of an antigen-antibody responseCPotential for clot formationDPresence of cardiac enzymes Which of the following types of medications can be administered via gastrostomy tube? Failing to wear gloves when administering a bed bath 1,2, and 3 Flashcards | Quizlet Fundamentals of Nursing Ch. 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. The most appropriate nursing action would be to: 21. Enteric-coated tablets that are thoroughly dissolved in water - normally the amount of sugar in urine is too low to be detected 6) If intermittent catheterization is used, perform it at regular intervals to prevent bladder over-distension Correct Some of our partners may process your data as a part of their legitimate business interest without asking for consent. A. Be sure to include the concepts of digestion, absorption, metabolism, and elimination. Describe and differentiate between urine collection methods (clean catch vs. indwelling catheter). solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. - assess family wishes for the patient after death; consider cultural/spiritual preferences Hot water may lead to skin irritation or burns. When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? - to create the effect of intestinal irritation to stimulate peristalsis Early in the morning 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. You have completed N76. - significant cause of illness, death, and excessive cost If loading fails, click here to try again - neuromuscular disorders (muscular dystrophy, Guillain-Barre Syndrome)
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