0 cards. Evaluation: How would you evaluate if your interventions are effective? All of the above injection is to: 23. - therapeutic diets, Describe what is included in each step of the nursing process for clients with impaired nutrition (dysphagia, malnutrition, etc.). - amount and frequency depends on fluid intake 46. After chest physiotherapy - may be prescribed due to the client's inability to safely eat/drink, dysphagia, a scheduled surgery, or an upcoming diagnostic test. - oral health An 18G, 1 needle is usually used for I.M. Which of the following blood tests should be performed before a blood transfusion? 10 mg 1) regular, heart healthy, renal Differentiate between hospice and palliative care. Interpret the features of normal vs. abnormal stool and urine. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. An infected patient has chills and begins shivering. Shaving the site on the day before surgery 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. - significant cause of illness, death, and excessive cost In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? 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. Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (PM). solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Because of this, limiting the patients intake of oral and I.V. Tub bathing might transfer organisms to another body site rather than rinse them away. 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. Arterial blood disorders (such as pulsus paradoxus) and lung diseases (such as COPD) do not necessarily impede venous return of injure vessel walls. Wearing gloves is not always necessary when administering an I.M. insertion site. D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. An antitussive drug inhibits coughing. 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 37All of the following statement are true about donning sterile gloves except:AThe first glove should be picked up by grasping the inside of the cuff.BThe gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wristCThe inside of the glove is considered sterile DThe second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.Question 37 Explanation: The inside of the glove is always considered to be clean, but not sterile.Question 38Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?ATouching the outside wrapper of sterilized material without sterile glovesBUsing sterile forceps, rather than sterile gloves, to handle a sterile itemCPlacing a sterile object on the edge of the sterile fieldDPouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container The best nursing intervention is to:AProvide additional bedclothesBProvide increased ventilation CApply iced alcohol spongesDProvide increased cool liquidsQuestion 33 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. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? Is primarily a voluntary action Which of the following nursing interventions is considered the most effective form or universal precautions? - decreased O2 capacity (anemia) Good luck! - trauma If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur.Question 31The physician orders gr 10 of aspirin for a patient. Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? Administer the medication with an antihistamine 9. - poor tissue perfusion Tolerance Respiratory acidosis, ateclectasis, and hypostatic pneumonia 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. 45. D. The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). Waist tie in front of the gown - neuromuscular disorders (muscular dystrophy, Guillain-Barre Syndrome) Attempted Questions Correct Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. Urinalysis: - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, - Assists clients with gaining control of their elimination schedule Describe how to assess for the risk factors affecting a patient's oxygenation. - hospice services are available in home, hospital, extended care, or nursing home settings If you leave this page, your progress will be lost. Constipation is characterized by small, hard masses. Questions Not Attempted 16. Yawning - 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. 4. - impaired hearing/vision Partial-Credit 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. Diuresis, natriuresis, and decreased urine specific gravity Urine retention, bladder distention, and infection If loading fails, click here to try again Causes: 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. Any items you have not completed will be marked incorrect. minutes No contradictions exist for this test A. 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. - record output Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. Autorsko pravo 2023 Apple Inc. Sva prava pridrana. Fundamentals Of Nursing Flashcards | Chegg.com Enhancing my Professional Caregiving course to Nursing Aid Course, To achieve more knowledge in general nursing, This is very helpful to students academia. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. Rapid eye movement marks the stage of sleep during which dreaming occurs. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Test your knowledge by answering the questions from our nursing test bank about the fundamentals of nursing (located under each . Choose the letter of the correct answer. Your score is 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. A 20G needle is usually used for I.M. 7,000/mm Any items you have not completed will be marked incorrect. - urinary retention Pureed Diet: Be sure to include color, odor, and clarity. - the volume of infused saline stimulates peristalsis 1. Applying additional bed clothes helps to equalize the body temperature and stop the chills. - airway management. All of the following are appropriate nursing interventions except:AAssess a vital signs every 15 minutes for 2 hoursBOrder a hemoglobin and hematocrit count 1 hour after the arteriography CCheck the pressure dressing for sanguineous drainageDAssess femoral, popliteal, and pedal pulses every 15 minutes for 2 hoursQuestion 47 Explanation: A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. The primary purpose of a platelet count is to evaluate the: 16. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! 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 back of the gown is considered clean, the front is contaminated. 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 After aerosol therapy - includes foods that are typically bland: well-cooked vegetables, low-fiber cereals, east-to-chew proteins Upper GI bleeding results in black or tarry stool. - 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.). CO can increase to 25 L/min with strenuous activity, Erythrocytes = Red Blood Cells (RBC) Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours - may feel clammy/damp Because of this, limiting the patients intake of oral and I.V. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. Initial vasoconstriction may cause skin to feel cold to the touch. Follow enteric precautions You got 50 minutes to finish the exam .Good luck! 1) Infants-School Age: If loading fails, click here to try again However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Pain Management: The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms.Question 23Which of the following nursing interventions is considered the most effective form or universal precautions?AFollow enteric precautions BCap all used needles before removing them from their syringesCDiscard all used uncapped needles and syringes in an impenetrable protective containerDWear gloves when administering IM injectionsQuestion 23 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. - diagnostic tests. Hint 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. Therefore, used needles should never be recapped; instead they should be inserted in a specially designed puncture resistant, labeled container. Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (EM). [Show more] Preview 4 out of 412 pages The mid-deltoid injection site is seldom used for I.M. 48. Effective hand washing requires the use of: 5. A patient receiving broad-spectrum antibiotics Correct Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? 43. Early in the morning Invasive procedures are performed B. C. The edges of a sterile field are considered contaminated. - anxiety attacks Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. 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. Be sure to include the concepts of digestion, absorption, metabolism, and elimination. 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. If this activity does not load, try refreshing your browser. Lh Layla12 days ago awsome! Sterile technique is used whenever: You have completed 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). 2) soft 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. 2) Decompression: 38. - lung disease (COPD, asthma) fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that injections because it: Can accommodate only 1 ml or less of medication, Can be used only when the patient is lying down. 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. - personal growth can occur Perfusion: Brachial and subclavian veins 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. - physical activity - dehydration Fundamentals of Nursing: Exam 3 Flashcards | Quizlet CPlacing a sterile object on the edge of the sterile fieldDTouching the outside wrapper of sterilized material without sterile glovesQuestion 21 Explanation: The edges of a sterile field are considered contaminated. - pulmonary congestions ("death rattle" - process of moving gases into and out of the lungs Thus, a count of 25,000/mm3 indicates leukocytosis.Question 19All of the following nursing interventions are correct when using the Z-track method of drug injection except:APrepare the injection site with alcoholBUse a needle thats a least 1 longCRub the site vigorously after the injection to promote absorption DAspirate for blood before injectionQuestion 19 Explanation: The Z-track method is an I.M. - decreased inspired oxygen concentrations (high altitude) 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.Question 42After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. Anorexia is another symptom of hypokalemia. - breastfeeding and formula The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis.Question 6Parenteral penicillin can be administered as an:AIM injection or an IV solutionBIV or an intradermal injectionCIntradermal or subcutaneous injectionDIM or a subcutaneous injection Question 6 Explanation: Parenteral penicillin can be administered I.M. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. injections; and a 25G needle, for subcutaneous insulin injections.Question 49A patient has returned to his room after femoral arteriography. Renal Diet: Upper arm muscles Hypertonic Enema: Which of the following nursing interventions is considered the most effective form or universal precautions? - typically opaque and smaller in diameter 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. Hyperventilation: increase in rate and depth of breathing 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. 3. - decreased diffusion In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. D. Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. NCLEX Fundamentals 2023 on the App Store Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. Glucose: 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. All of the following nursing interventions are correct when using the Z-track method of drug injection except: 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. Fundamentals Of Nursing Quizzes & Trivia - ProProfs A 20G needle is usually used for I.M. Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. Parenteral penicillin can be administered as an: IV or an intradermal injection Eating, drinking, and medications are allowed before this test 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. When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: insertion site. 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. - once urine reaches the bladder, it begins to fill and stretch based on the amount of urine present - from the kidneys, urine is transported to the bladder by the ureters - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water : 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.