A patient with no known allergies is to receive penicillin every 6 hours. Eating, drinking, and medications are allowed before this test 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. 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. Urinary catheterization Time allowed ; beets turn stool red. Can accommodate only 1 ml or less of medication 45. Follow enteric precautions - primary function is to eliminate waste and excess fluid from the body in the form of urine 4,500/mm Fundamentals of Nursing Ch. 1,2, and 3 Flashcards _ Quizlet.pdf However, research has shown that massage only increases the likelihood of cellular ischemia and necrosis to the area. Your answers are highlighted below. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Soap or detergent to promote emulsification 2) Ensure that only properly trained persons who know the correct technique of aseptic catheter insertion and maintenance are given this responsibility No contradictions exist for this test Attempted Questions Correct 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. The patient can be in a supine or sitting position for an injection into this site. 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. 32. Wrong If you leave this page, your progress will be lost. - position the patient upright or elevate the head of the bed a minimum of 30 (preferably 45) degrees A signed consent is not required because a chest X-ray is not an invasive examination. Question Text Describe the structure and function of the cardiopulmonary system. D. The Z-track method is an I.M. Rhonchi: Because of the danger of anaphylactic shock, he nurse should withhold the drug and notify the physician, who may choose to substitute another drug. 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 primary purpose of a platelet count is to evaluate the: Platelets are disk-shaped cells that are essential for blood coagulation. 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). 30. A topical antiseptic would not remove microorganisms and would be beneficial only after proper cleaning and rinsing. This procedure seals medication deep into the muscle, thereby minimizing skin staining and irritation. Cap all used needles before removing them from their syringes 30 seconds The most appropriate time for the nurse to obtain a sputum specimen for culture is: 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. Interpret the features of normal vs. abnormal stool and urine. - usually ordered in addition to a urinalysis 44. - may be prescribed due to the client's inability to safely eat/drink, dysphagia, a scheduled surgery, or an upcoming diagnostic test. 26. Pureed Diet: 3. is directed at the individual client only. Which element in the circular chain of infection can be eliminated by preserving skin integrity? Choose the letter of the correct answer. - chronic disease Interventions: What interventions would you provide to promote adequate nutrition? - carry oxygen and carbon dioxide injection. Is a protective response to clear the respiratory tract of irritants In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory complications as: Kussmails respirations and hypoventilation, Appneustic breathing, atypical pneumonia and respiratory alkalosis, Cheyne-Strokes respirations and spontaneous pneumothorax, Respiratory acidosis, ateclectasis, and hypostatic pneumonia. Because of this, limiting the patients intake of oral and I.V. Withhold the moderation and notify the physician 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. - minutes Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Why? Question 29 Explanation: Platelets are disk-shaped cells that are essential for blood coagulation. The most appropriate time for the nurse to obtain a sputum specimen for culture is: 20. Soapsud Enema: Hiccupping Complete blood count (CBC) and electrolyte levels. Which of the following blood tests should be performed before a blood transfusion? Effective skin disinfection before a surgical procedure includes which of the following methods? The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography. Autorsko pravo 2023 Apple Inc. Sva prava pridrana. The immobilized patient commonly suffers from urine retention caused by decreased muscle tone in the perineum. - stressfchest. or added to a solution and given I.V. Using sterile forceps, rather than sterile gloves, to handle a sterile item Abnormal: 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. Normal Saline Enema: Abdominal muscles Answer Choice(s) Selected When sterile items are allowed to come in contact with the edges of the field, the sterile items also become contaminated. S & S: 50. Why? A patient who develops hives after receiving an antibiotic is exhibiting drug: 28. Back muscles - the primary goal is to help patients and families achieve the best quality of life Interventions: What interventions would you provide to promote oxygenation and/or maintain a patient's airway? 15 cards. Initial sensitivity to penicillin is commonly manifested by a skin rash, even in individuals who have not been allergic to it previously. 4. is provided by nurses with a graduate degree in community health nursing. Upper GI bleeding results in black or tarry stool. Maintain the drainage tubing and collection bag level with the patients bladder 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. Your score is A. Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary; however it can be voluntary, as when a patient is taught to perform coughing exercises. Nursing process is a way of thinking and performing nursing care; it is not a purpose of a health care record. The middle third of the muscle is recommended as the injection site. - the net movement of water is low D. Leukocytosis is any transient increase in the number of white blood cells (leukocytes) in the blood. A platelet count determines the number of thrombocytes in blood available for promoting hemostasis and assisting with blood coagulation after injury. 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. Ongoing Monitoring: 26G 7,000/mm - hypovolemia (dehydration and hemorrhage) The 3 major psychosocial theories of aging are Disengagement theory, Activity theory, and Continuity theory. Apply iced alcohol sponges 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 D. Microorganisms usually do not grow in an acidic environment. The physician usually orders supplemental potassium to prevent hypokalemia in patients receiving diuretics. Also, this page requires javascript. LearnMore. Protective isolation is necessary - place body on back with head/shoulders elevated A 22G, 1 needle is usually used for adult I.M. Maintaing the drainage tubing and collection bag level with the patients bladder could result in reflux of urine into the kidney. 22G, 1 long 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. - low levels of protein in urine are normal C. 100ml/60 min X 15 gtt/ 1 ml = 25 gtt/minute 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. 4) pureed EXAMPLES: pudding, broths, ice cream The correct method for determining the vastus lateralis site for I.M. The physician orders an IV solution of dextrose 5% in water at 100ml/hour. - temperature changes - typically opaque and smaller in diameter - popping and crackling sound - numbness and tingling in the fingers fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that IM injection or an IV solution Thrombophlebitis typically develops in patients with which of the following conditions? Results 31. - does not create the danger of excess fluid absorption insertion site, and a red streak going up the arm or leg from the I.V.
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