Any items you have not completed will be marked incorrect. - oral health Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. A postoperative patient who has undergone orthopedic surgery, A patient receiving broad-spectrum antibiotics. - agitated Is primarily a voluntary action Any procedure that involves entering this system must use surgically aseptic measures to maintain a bacteria-free state. Which of the following procedures always requires surgical asepsis? Autorsko pravo 2023 Apple Inc. Sva prava pridrana. The nurse explains to a patient that a cough: 37. 3) Young/Middle Adults: An antitussive drug inhibits coughing. The urinary system is normally free of microorganisms except at the urinary meatus. 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. Question 1All of the following are common signs and symptoms of phlebitis except:AFrank bleeding at the insertion site BA red streak exiting the IV insertion siteCEdema and warmth at the IV insertion siteDPain or discomfort at the IV insertion siteQuestion 1 Explanation: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. - offer silence - primary function is to eliminate waste and excess fluid from the body in the form of urine 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. - foods that are soft and smooth Choose the letter of the correct answer. Lippincott Fundamentals Of Nursing Test Bank Pdf Eventually, you will very discover a further experience and endowment by spending more cash. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. Return 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. Synergism, is a drug interaction in which the sum of the drugs combined effects is greater than that of their separate effects. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Text Mode Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. Graduated from an associate degree program and is a registered professional nurse 600 mg Pictures on slide show (in order): 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. Assessment: How would you assess for alterations in oxygenation? D. Bile colors the stool brown. 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). Perfusion: Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? 29. Which of the following conditions may require fluid restriction? Chest Tubes: A patient receiving broad-spectrum antibiotics injections in children, typically in the vastus lateralis. 1) Infants-School Age: The consent submitted will only be used for data processing originating from this website. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. 41. 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. An infected patient has chills and begins shivering. A 20G needle is usually used for I.M. 11. The nurse does not need to wear gloves for respiratoryisolation, but good hand washing is important for all types of isolation. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. Get paid to shop at over 2,500 stores! Upper GI bleeding results in black or tarry stool. fluids may be necessary. - exerts an osmotic pressure lower than fluid in the interstitial spaces Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? All of the following are appropriate nursing interventions except: Administering an antihistamine is a dependent nursing intervention that requires a written physicians order. 34. Vision and Hearing: Why are these interventions effective? fundamentals of nursing exam 1 flashcards quizlet web what are the 5 steps in the nursing process 1 assessment 2 nursing diagnosis 3 planning 4 . Ventilation: After routine patient contact, hand washing should last at least: 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. Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. 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). 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. - urinary incontinence Normal: Many medications and foods will discolor stool for example, drugs containing iron turn stool black. D. Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching. Exam Mode Any oral medications Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin.Question 20Effective hand washing requires the use of:ASoap or detergent to promote emulsificationBHot water to destroy bacteriaCAll of the above DA disinfectant to increase surface tensionQuestion 20 Explanation: 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. Fundamentals of Nursing - Exam #3 Flashcards | Quizlet Presence of cardiac enzymes Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. - from the kidneys, urine is transported to the bladder by the ureters A. Parenteral penicillin can be administered I.M. Describe the nursing care of chest tubes. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. 42. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. You have not finished your quiz. Which of the following nursing interventions is considered the most effective form or universal precautions? Which of the following nursing pioneers established the Red Cross in the United States in 1882? An example of data being processed may be a unique identifier stored in a cookie. A clinical nurse specialist is a nurse who has: 39. Been certified by the National League for Nursing, Received credentials from the Philippine Nurses Association, Graduated from an associate degree program and is a registered professional nurse. The nurse explains to a patient that a cough: - a higher than normal concentration often is a result of not drinking enough fluids 20. The appropriate needle size for insulin injection is: Which of the following blood tests should be performed before a blood transfusion? 3) In the acute care hospital setting, insert urinary catheters using aseptic technique and sterile equipment 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. You scored %%SCORE%% out of %%TOTAL%%. The lady of the lamp Who were the original nurses before the profession became more profound? 2. is administered to a collection of individuals who have in common one or more personal or enviromental characteristics. - a catheter places through the thorax to remove air and fluids from the pleural space Care of Bowel Stomas: Sterile technique is used whenever: 31. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. You have not finished your quiz. - 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.). Full Liquid Diet: You scored %%SCORE%% out of %%TOTAL%%. Fundamentals of Nursing [Study Guides for Nurses] - Nurseslabs Total Questions on Quiz Providing meticulous skin care Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Be sure to include color, odor, and clarity. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. - low RBC The ELISA test is used to: Dysphagia means difficulty swallowing. After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag D. 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. Chapter 01 - Fundamentals of Nursing 9th edition - test bank If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. 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 reaction can range from a rash or hives to anaphylactic shock. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. - supplemental oxygenation. - decreased inspired oxygen concentrations (high altitude) A patient who develops hives after receiving an antibiotic is exhibiting drug: - place body on back with head/shoulders elevated Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. Immobility impairs bladder elimination, resulting in such disorders as - hospice services are available in home, hospital, extended care, or nursing home settings The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: 33. - poor meal choices Applying additional bed clothes helps to equalize the body temperature and stop the chills. Idiosyncrasy In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? 5. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. - to create the effect of intestinal irritation to stimulate peristalsis Animal sources include liver, kidneys, cream, butter, and egg yolks.Question 42The ELISA test is used to:AScreen blood donors for antibodies to human immunodeficiency virus (HIV)BAll of the above CTest blood to be used for transfusion for HIV antibodiesDAid in diagnosing a patient with AIDSQuestion 42 Explanation: The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). Correct If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. Using sterile forceps, rather than sterile gloves, to handle a sterile item Which of the following procedures always requires surgical asepsis? 1,2, and 3 Terms in this set (61) Florence nightingale is also known as? Irrigate the patient with 1% Neosporin solution three times a daily The equivalent dose in milligrams is: 25. - as the patient's death comes closer, the hospice team provides intensive support to the patient and family fluids may be necessary. 10) Change catheters drainage bags based on clinical indication such as infection, obstruction, or when the closed system is compromised You have completed Distended neck veins are an indication of hypervolemia.Question 39A patient who develops hives after receiving an antibiotic is exhibiting drug:AAllergy BSynergismCToleranceDIdiosyncrasyQuestion 39 Explanation: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. - alternatives (external and intermittent catheterization). Hot water may lead to skin irritation or burns.Question 36Which of the following conditions may require fluid restriction?ARenal FailureBDehydration CChronic Obstructive Pulmonary DiseaseDFeverQuestion 36 Explanation: In real failure, the kidney loses their ability to effectively eliminate wastes and fluids.
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