17. A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS). 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 . Autorsko pravo 2023 Apple Inc. Sva prava pridrana. injections, which are typically administered in the vastus lateralis or ventrogluteal site. All of the following are common signs and symptoms of phlebitis except: - significant cause of illness, death, and excessive cost - dizziness 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. Interventions: What interventions would you provide to promote adequate nutrition? 14. - neuromuscular disease 241 cards. Not Attempted Fundamentals of Nursing Practice Test Bank (600 Questions - Nurseslabs NUR 102 Fundamentals of Nursing Exam 1 Test Bank,Complete answers. - Stuvia The most appropriate nursing action would be to:AWithhold the moderation and notify the physicianBApply corn starch soaks to the rash Completed a masters degree in the prescribed clinical area and is a registered professional nurse. Colostomy irrigation N76. - place clean gown or clothes and cover with clean sheet What would the flow rate be if the drop factor is 15 gtt = 1 ml? Congratulations - you have completed Fundamentals of Nursing Practice Exam 3 (EM). When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. 47. Soap or detergent to promote emulsification In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? - diet of foods that do not require chewing - It is a simple chemical test of a stool sample that involves about five minutes of preparation time. Order a hemoglobin and hematocrit count 1 hour after the arteriography 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. Your performance has been rated as %%RATING%% Causes: Having the patient shower with an antiseptic soap on the evening v=before and the morning of surgery The most appropriate nursing action would be to: Withhold the moderation and notify the physician, Administer the medication and notify the physician, Administer the medication with an antihistamine. Received credentials from the Philippine Nurses Association 6. Soft Diet: ; 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. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. Provide additional bedclothes Wrong Study Fundamentals Of Nursing Flashcards for Free. 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. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. Idiosyncrasy is an individuals unique hypersensitivity to a drug, food, or other substance; it appears to be genetically determined. 2) Adolescents: Which of the following nursing interventions is considered the most effective form or universal precautions? Evaluation All of the following statement are true about donning sterile gloves except: The urinary system is normally free of microorganisms except at the urinary meatus. Purpose: 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. Immobility impairs bladder elimination, resulting in such disorders as. D. Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. 3 minutes - place body on back with head/shoulders elevated The mid-deltoid injection site is seldom used for I.M. Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. Tolerance to a drug means that the patient experiences a decreasing physiologic response to repeated administration of the drug in the same dosage. - dehydration - contains foods that are soft, easy to digest, low in fiber, and easy to swallow without difficulty - urinary incontinence 7. - from the kidneys, urine is transported to the bladder by the ureters All of the following statement are true about donning sterile gloves except: 11. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.Question 3In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?AAssessmentBEvaluation CPlanningDAnalysisQuestion 3 Explanation: 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.Question 4A patient who develops hives after receiving an antibiotic is exhibiting drug:ASynergismBToleranceCAllergy DIdiosyncrasyQuestion 4 Explanation: A drug-allergy is an adverse reaction resulting from an immunologic response following a previous sensitizing exposure to the drug. Text Mode Text version of the exam 11 cards. Which of the following will probably result in a break in sterile technique for respiratory isolation? If loading fails, click here to try again Which of the following blood tests should be performed before a blood transfusion? The correct method for determining the vastus lateralis site for I.M. 8) Following aseptic insertion of the urinary catheter, maintain a closed drainage system Pureed Diet: - relief from anxiety and pain is essential 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; and a 25G needle, for I.M. Attempted Questions Correct We have made considerable efforts to provide you with the most informative rationale, so be sure to read them. - 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. A 22G, 1 needle is usually used for adult I.M. - assist client with dressing changes and troubleshooting issues that clients commonly have as they adjust, Stoma = surgically created opening 9) Use standard precautions (gloves and gown) Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. A patient has returned to his room after femoral arteriography. Back muscles Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? Capsules whole contents are dissolve in water - lung disease (COPD, asthma) - dizziness A. injection is to: 23. Wrong - Allows for clients to gain control of their bowel movement schedule to avoided unexpected accidents and the embarrassment associated with such events Evaluation: How would you evaluate if your interventions have worked? An antitussive drug inhibits coughing. 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 gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back injury? - 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 Question Details Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged. - medication 25. 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. 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. Edema and warmth at the IV insertion site Hot water may lead to skin irritation or burns.Question 21When removing a contaminated gown, the nurse should be careful that the first thing she touches is the:AInside of the gown BWaist tie and neck tie at the back of the gownCCuffs of the gownDWaist tie in front of the gownQuestion 21 Explanation: The back of the gown is considered clean, the front is contaminated. Parenteral penicillin can be administered as an: Fundamentals of Nursing: Exam 3 Flashcards | Quizlet There are 50 questions to complete. - impaired cough When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: 1) Infants-School Age: Bile obstruction After routine patient contact, hand washing should last at least: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. It cannot be administered subcutaneously or intradermally. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. - does not create the danger of excess fluid absorption C. 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute Differentiate between hospice and palliative care. Prevention: - maintain skin integrity around stoma Revise data in the assessment column to reflect the patient's current status, revise the nursing diagnosis, goals and outcomes, select or revise specific interventions that correspond to the new nursing diagnoses or that are necessary for existing diagnoses, choose methods of evaluation that will be used to determine whether the patient . Adhering to a schedule for positioning and turning Body hair - hypotonic Many medications and foods will discolor stool for example, drugs containing iron turn stool black. These symptoms probably indicate that the patient is experiencing:AHyperkalemiaBHypokalemiaCDysphagia DAnorexiaQuestion 42 Explanation: Fatigue, muscle cramping, and muscle weaknesses are symptoms of hypokalemia (an inadequate potassium level), which is a potential side effect of diuretic therapy. Presence of cardiac enzymes insertion site, and a red streak going up the arm or leg from the I.V. 2) to prevent air and fluids from re-entering the pleural space Final Score on Quiz Fundamentals Exam 3 study guide - A group of nurses talking are NCLEX Fundamentals 2023 on the App Store 5) Unless otherwise clinically indicated, consider using the smallest bore catheter possible, consistent with good drainage, to minimize bladder neck and urethral trauma - a higher than normal concentration often is a result of not drinking enough fluids 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). Get paid to shop at over 2,500 stores! Brachial and femoral veins C. The leg muscles are the strongest muscles in the body and should bear the greatest stress when lifting. Any items you have not completed will be marked incorrect. Anorexia is another symptom of hypokalemia. 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. Use a needle thats a least 1 long The patient can be in a supine or sitting position for an injection into this site. Wear gloves when administering IM injections injection is to:APalpate the lower edge of the acromion process and the midpoint lateral aspect of the armBPalpate a 1 circular area anterior to the umbilicusCDivide the area between the greater femoral trochanter and the lateral femoral condyle into thirds, and select the middle third on the anterior of the thigh DLocate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crestQuestion 8 Explanation: 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. Effective hand washing requires the use of: ; beets turn stool red. Glucose: - decreased urine output Chronic Obstructive Pulmonary Disease (COPD), An impaired or traumatized blood vessel wall. -. This test bank for nurses has over 595 NCLEX-style practice questions divided into four sets. 2 minute Attempted Questions Wrong fluids may be necessary. 1) Feeding:
