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B. - inability to concentrate Your answers are highlighted below. 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. The middle third of the muscle is recommended as the injection site. Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. A. Leukopenia is a decreased number of leukocytes (white blood cells), which are important in resisting infection. If you leave this page, your progress will be lost. Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Leg muscles injections in children, typically in the vastus lateralis. Once you are finished, click the button below. Appneustic breathing, atypical pneumonia and respiratory alkalosis As an Amazon Associate I earn from qualifying purchases. 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. Durable Power of Attorney: gives another person the authority to make medical decisions, must be a family member. Dysphagia means difficulty swallowing. 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). 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. Fundamentals of Nursing Exam 1 A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. Time used Apply iced alcohol sponges 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 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. 3. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. 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 questions The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove. - do not repeat tap water enemas because water toxicity or circulatory develops if the body absorbs large amounts of water This leads to bladder distention and urine stagnation, which provide an excellent medium for bacterial growth leading to infection. 9) Use standard precautions (gloves and gown) A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS)Question 43Which of the following types of medications can be administered via gastrostomy tube?ACapsules whole contents are dissolve in waterBAny oral medicationsCMost tablets designed for oral use, except for extended-duration compounds DEnteric-coated tablets that are thoroughly dissolved in waterQuestion 43 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. Good luck! A 22G, 1 needle is usually used for adult I.M. Describe the risk factors for alterations in nutrition. - hospice services are available in home, hospital, extended care, or nursing home settings injections; and a 25G needle, for subcutaneous insulin injections. 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. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist Which of the following will probably result in a break in sterile technique for respiratory isolation? Rhonchi: CO can increase to 25 L/min with strenuous activity, Erythrocytes = Red Blood Cells (RBC) - proper hygiene - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. The correct method for determining the vastus lateralis site for I.M. 1) regular, heart healthy, renal Question 30 Explanation: Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Capsules whole contents are dissolve in water NPO: - may be auscultated in clients with asthma and COPD. 1 minute However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area. Ethics. - to create the effect of intestinal irritation to stimulate peristalsis - dyspnea 17. EXAMPLES: ice cream, juices, pudding, milkshakes, tea, strained soups, protein shakes, gelatin 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. - pulmonary congestions ("death rattle" It also is used to evaluate the patients potential for bleeding; however, this is not its primary purpose. 60 mg injections; and a 25G needle, for subcutaneous insulin injections.Question 49A patient has returned to his room after femoral arteriography. injections of oil-based medications; a 22G needle for I.M. A. APortal of entry BHostCReservoirDMode of transmissionQuestion 45 Explanation: 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.Question 46The most appropriate time for the nurse to obtain a sputum specimen for culture is:AAfter the patient eats a light breakfastBAfter aerosol therapyCEarly in the morningDAfter chest physiotherapy Question 46 Explanation: 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.Question 47A patient has returned to his room after femoral arteriography. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. She must successfully complete the licensing examination to become a registered professional nurse. - poor tissue perfusion All of the following are appropriate nursing interventions except: 36. The appropriate needle gauge for intradermal injection is: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Planning 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) Hot water may lead to skin irritation or burns. The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBApply corn starch soaks to the rash 28. Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change? - poor meal choices - securement device Bile colors the stool brown. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.Question 50Which of the following procedures always requires surgical asepsis?ANasogastric tube insertionBVaginal instillation of conjugated estrogenCColostomy irrigation DUrinary catheterizationQuestion 50 Explanation: The urinary system is normally free of microorganisms except at the urinary meatus. Muscles of the abdomen, back, and upper arms may be easily injured. 22. A nasogastric tube is a thin, soft tube that goes through the nose, down the throat, and into the stomach A patient who develops hives after receiving an antibiotic is exhibiting drug: Check the pressure dressing for sanguineous drainage Treatment: Describe the nursing care of chest tubes. - anxiety attacks Care of Bowel Stomas: Synergism 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 10Which of the following types of medications can be administered via gastrostomy tube?AEnteric-coated tablets that are thoroughly dissolved in waterBAny oral medicationsCCapsules whole contents are dissolve in waterDMost tablets designed for oral use, except for extended-duration compounds Question 10 Explanation: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. - place clean gown or clothes and cover with clean sheet Renal Failure A collection of all our articles and study guides for the fundamentals of nursing. - diabetic ketoacidosis Which of the following statements about chest X-ray is false? Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Urinalysis: Animal sources include liver, kidneys, cream, butter, and egg yolks. You Selected Chest pain and urticaria may be symptoms of impending anaphylaxis. - evaluates overall appearance for color, clarity, and odor - the primary goal is to help patients and families achieve the best quality of life The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: Ask the patient to demonstrate the procedure, Ask the patient if he/she has used ear drops before, Demonstrate the procedure to the patient and encourage to ask questions, Have the patient repeat the nurses instructions using her own words.