Rapid eye movement marks the stage of sleep during which dreaming occurs.Question 41Which of the following patients is at greater risk for contracting an infection?AA postoperative patient who has undergone orthopedic surgeryBA patient with leukopeniaCA patient receiving broad-spectrum antibioticsDA newly diagnosed diabetic patient Question 41 Explanation: Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. - difficulty breathing - numbness and tingling in the fingers Aspirate for blood before injection Test blood to be used for transfusion for HIV antibodies - dizziness - regulates levels of electrolytes, produces hormones that are important for blood pressure regulation, develops red blood cells, and helps to keep bones strong D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Urinalysis: Decreased calcium and phosphate levels in the urine - musculoskeletal abnormalities In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his 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. 47. An 18G, 1 needle is usually used for I.M. - consists of easily digestible foods that do not leave undigested residue in the intestinal tract - after loved ones have completed their visit, place ID tags on patient and place patient in morgue bag fluids may be necessary. An effect of medication - patients can receive palliative care while also pursuing curative treatment options. Effective skin disinfection before a surgical procedure includes which of the following methods? 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. The correct method for determining the vastus lateralis site for I.M. All of the following measures are recommended to prevent pressure ulcers except: 14. - Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. - always assess for placement Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Nursing . - 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.). D. Microorganisms usually do not grow in an acidic environment. The purpose of protective (reverse)isolation is to prevent a person with seriously impaired resistance from coming into contact who potentially pathogenic organisms. 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. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Touching the outside wrapper of sterilized material without sterile gloves The best nursing intervention is to:AApply iced alcohol spongesBProvide increased cool liquidsCProvide additional bedclothesDProvide increased ventilation Question 14 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. - pharmacological, - always provide dignity and respect after death If this activity does not load, try refreshing your browser. Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. 1,2, and 3 Terms in this set (61) Florence nightingale is also known as? Why are these interventions effective? 47. When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: Waist tie and neck tie at the back of the gown. injection technique in which the patients skin is pulled in such a way that the needle track is sealed off after the injection. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. 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 - pulmonary congestions ("death rattle" 10 mg - work schedules - NG tubes can be used to feed an individual who can't get nutrition by mouth Developmental Factors: Normal Saline Enema: - anxiety - includes foods that are typically bland: well-cooked vegetables, low-fiber cereals, east-to-chew proteins 29. - the colon fills with fluid, and the resultant distention promotes defacation 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. All of the following statement are true about donning sterile gloves except: Differentiate between a urinalysis and a urine culture. - position the patient upright or elevate the head of the bed a minimum of 30 (preferably 45) degrees It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Fundamentals of Nursing Practice Exam 1 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. Answer Choice(s) Selected [Show more] Preview 4 out of 412 pages The primary purpose of a platelet count is to evaluate the: Platelets are disk-shaped cells that are essential for blood coagulation. Any items you have not completed will be marked incorrect. Presence of an antigen-antibody response injections, which are typically administered in the vastus lateralis or ventrogluteal site.Question 13The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:AAsk the patient to demonstrate the procedure BAsk the patient if he/she has used ear drops beforeCDemonstrate the procedure to the patient and encourage to ask questionsDHave the patient repeat the nurses instructions using her own wordsQuestion 13 Explanation: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.Question 14When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury?ALeg musclesBBack musclesCUpper arm muscles DAbdominal musclesQuestion 14 Explanation: The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. A. Fundamentals of Nursing Nursing Test Bank This section is the practice quiz for fundamentals of nursing that can help you think critically and augment your review for the NCLEX. A colostomy is a fecal diversion in which part of the colon is used to form a stoma through the abdominal wall, allowing for passage of body waste A nasogastric tube is a thin, soft tube that goes through the nose, down the throat, and into the stomach Please wait while the activity loads. All of the following are common signs and symptoms of phlebitis except: - primary function is to eliminate waste and excess fluid from the body in the form of urine Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities. Which of the following patients is at greater risk for contracting an infection? A postoperative patient who has undergone orthopedic surgery A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. - patient should initially extend the neck, then flex the neck forward once the tube is in the back of the throat Have the patient repeat the nurses instructions using her own words It cannot be administered subcutaneously or intradermally. Rubbing the injection site is contraindicated because it may cause the medication to extravasate into the skin. 3) to re-establish normal intra-pleural and intra-pulmonary pressures Palpate a 1 circular area anterior to the umbilicus Prevention: Final Score on Quiz The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. If loading fails, click here to try again
- relief from anxiety and pain is essential - can be maintained for short or long term 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. insertion site. - infused into the bowel exert osmotic pressure that pulls fluids out of the interstitial spaces Get Results Wear gloves when administering IM injections 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. Chest Tubes: injection is to: 23. fundamentals of nursing 9th edition test bank potter and quizlet web a nurse assesses a patient s fluid status and decides that the patient needs to drink more fluids the nurse then encourages the . Invasive procedures are performed - Question content is constantly updated for FREE, so you don't have to worry about outdated questions.This app is a practice test on the fundamentals of nursing that can help you think critically and complete your NCLEX review. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. A. Good luck! Upper GI bleeding results in black or tarry stool. Palliative Care: Return - fluid intake 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. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water Which element in the circular chain of infection can be eliminated by preserving skin integrity? This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. 25. 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. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter. A. - the specimen needs to be a clean collected specimen, - A fecal occult blood test checks stool samples for traces of blood that cannot be seen with the naked eye Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. - if autopsy needed, follow policy, Fundamentals of Nursing: Chapter 32 (Exam 4), Fundamentals - Exam 3: Ch. fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that Questions Not Attempted The normal count ranges from 150,000 to 350,000/mm3. Which of the following blood tests should be performed before a blood transfusion? PRIORITY Patient Activity Part I: Who does the nurse see first? The nurse should seek an alternate physicians order when an ordered medication is inappropriate for delivery by tube. - may be prescribed if client is postoperative, experiencing dysphagia, or prior to certain procedures med surg II final. - hallucinations - anemia List If this activity does not load, try refreshing your browser. Treatment: Urine Culture: Tap Water Enema: - Cheyenne-Stokes respirations Return A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. Differentiate between water and fat soluble vitamins. Nasogastric tube insertion - surgery and anesthesia Parenteral penicillin can be administered as an: Parenteral penicillin can be administered I.M. Ethics. Causes: - a catheter places through the thorax to remove air and fluids from the pleural space In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. Analysis The Z-track method is an I.M. Be sure to include the concepts of digestion, absorption, metabolism, and elimination. Living Will: states specific types of medical care that a person wishes to receive if the person can no longer make those decisions - rapid growth/dietary needs The equivalent dose in milligrams is: - process of moving gases into and out of the lungs N76. - airway management. Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. 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. However, if a chest X-ray is necessary, the patient can wear a lead apron to protect the pelvic region from radiation. Attempts to cool the body result in further shivering, increased metabloism, and thus increased heat production. 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. If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. - personal habits 26G Diagnosis: Describe the assessment, diagnosis, intervention, and evaluation of clients with alterations in oxygenation (pneumonia, COPD, etc). 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. 20. 31. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Total Questions on Quiz The physician orders an IV solution of dextrose 5% in water at 100ml/hour. B. - fad diets/risk of eating disorders Decompression: Which of the following nursing interventions is considered the most effective form or universal precautions? - maintain underwater seal Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. The equivalent dose in milligrams is: Which element in the circular chain of infection can be eliminated by preserving skin integrity? Answer Choice(s) Selected 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. Continue with Recommended Cookies, Fundamentals of Nursing 100 Questions Practice Exam F1A, Anna Curran. The Urinary Tract - education on breathing techniques She received her RN license in 1997. Planning EXAMPLES: ice cream, juices, pudding, milkshakes, tea, strained soups, protein shakes, gelatin - closed system Effective hand washing requires the use of: 5. Muscles of the abdomen, back, and upper arms may be easily injured.Question 15Which of the following statements about chest X-ray is false?AEating, drinking, and medications are allowed before this test BA signed consent is not requiredCNo contradictions exist for this testDBefore the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waistQuestion 15 Explanation: Pregnancy or suspected pregnancy is the only contraindication for a chest X-ray. Which of the following blood tests should be performed before a blood transfusion? A patient with leukopenia If you leave this page, your progress will be lost. If loading fails, click here to try again
Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity Constipation is characterized by small, hard masses. - May include the use of laxatives to assist with bowel stimulation injection. - mottling. 33. - typically opaque and smaller in diameter A natural body defense that plays an active role in preventing infection is: 10. 241 cards. Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. EXAMPLES: plain cake, fruit juices, tender cuts of beef, creamy nut butters, cooked fruit Time used Care of Urinary Stomas: Cap all used needles before removing them from their syringes Thrombophlebitis typically develops in patients with which of the following conditions? Discuss the significance of carbohydrates. 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. Which of the following statements about chest X-ray is false? LearnMore. Fundamentals of Nursing Exam Ch. After routine patient contact, hand washing for 30 seconds effectively minimizes the risk of pathogen transmission. Opening the door of the patients room leading into the hospital corridor, Opening the patients window to the outside environment, Failing to wear gloves when administering a bed bath. The American Nurses Association identifies requirements for certification and offers examinations for certification in many areas of nursing., such as medical surgical nursing. Thrombophlebitis typically develops in patients with which of the following conditions? Upper GI bleeding results in black or tarry stool. Any items you have not completed will be marked incorrect. Abnormal: insertion site, and a red streak going up the arm or leg from the I.V. The patient can be in a supine or sitting position for an injection into this site.Question 23A clinical nurse specialist is a nurse who has:ABeen certified by the National League for NursingBCompleted a masters degree in the prescribed clinical area and is a registered professional nurse. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. A clinical nurse specialist is a nurse who has: 39. - smoking Compare and contrast the different types of enemas (water, hypertonic, saline, soapsud). A patient who develops hives after receiving an antibiotic is exhibiting drug: Jewelry, metallic objects, and buttons would interfere with the X-ray and thus should not be worn above the waist. 13. Impending constipation 1. All invasive procedures, including surgery, catheter insertion, and administration of parenteral therapy, require sterile technique to maintain a sterile environment. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. - educate client about their stoma and how to care for it They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours Splinting the abdomen supports the abdominal muscles when a patient coughs. Muscles of the abdomen, back, and upper arms may be easily injured. Renal Diet: - effectively communicate This type of injection is used primarily to administer antigens to evaluate reactions for allergy or sensitivity studies. - transport oxygen in their hemoglobin - monitor tubing for patency Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. - removes stomach contents/secretions and gas from the stomach via wall suction Discuss the anatomy and physiology of the digestive system. - dizziness - irregular breathing After routine patient contact, hand washing should last at least: Tub bathing might transfer organisms to another body site rather than rinse them away.Question 8The correct method for determining the vastus lateralis site for I.M. 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. Which of the following patients is at greater risk for contracting an infection? Good luck! - may be auscultated in clients with asthma and COPD. Start A patient has returned to his room after femoral arteriography. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. Animal sources include liver, kidneys, cream, butter, and egg yolks. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. Practice materials Date Attempted Questions Wrong - anxiety attacks 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. Differentiate between hospice and palliative care. - after placement is verified via x-ray, do secondary verification by aspiration (check pH) Does not readily parenteral medication Normal WBC counts range from 5,000 to 100,000/mm3. Chronic Obstructive Pulmonary Disease (COPD) Administer the medication and notify the physician In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBApply corn starch soaks to the rash Purpose: After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. - use with caution in pregnant women and older adults because they cause electrolyte imbalance or damage to the intestinal mucosa, Stoma = surgically created opening 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. Normal: Adhering to a schedule for positioning and turning Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. 50. 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. Diagnosis: 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. injections of oil-based medications; a 22G needle for I.M. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool. - medications, laxatives, and cathartics A signed consent is not required because a chest X-ray is not an invasive examination. Once you are finished, click the button below. - does not create the danger of excess fluid absorption A collection of all our articles and study guides for the fundamentals of nursing. the oldest psychosocial theory, states that aging individuals withdraw from customary roles and engage in more introspective, self-focused activities. Discuss nursing measures to reduce urinary tract infections (UTIs) and CAUTIs. - agitated The appropriate needle size for insulin injection is: A 25G, 5/8 needle is the recommended size for insulin injection because insulin is administered by the subcutaneous route. Many medications and foods will discolor stool for example, drugs containing iron turn stool black. Thrombophlebitis typically develops in patients with which of the following conditions? The immobilized patient commonly suffers from urine retention caused by decreased muscle tone in the perineum. recognize that Identify the clinical outcomes as a result of hyperventilation. 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. - diet consisting of only liquids that are clear and offers little daily calories and nutrients
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