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NSG 3100 EXAM 3 GALEN COLLEGE
NEWEST EXAM 3 VERSIONS WITH
QUESTIONS WITH 100% CORRECT
VERIFIED ANSWERS ALREADY
GRADED A+/ NSG 3100 EXAM 3
(FUNDAMENTAL CONCEPTS &
SKILLS FOR NURSING PRACTICE I)
Obtaining a capillary blood specimen to measure blood glucose, you should - CORRECT ANSWERS>>>ensure there is good blood flow at the puncture site True or False When testing for fecal occult blood, a green color indicates a guaiac positive result. - CORRECT ANSWERS>>>False A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: - CORRECT ANSWERS>>>Void a small amount of urine before collecting the specimen
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by - CORRECT ANSWERS>>>using a syringe to withdraw urine from the catheter tubing port An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - CORRECT ANSWERS>>>KUB What is an echocardiogram? - CORRECT ANSWERS>>>Visualization of the structures of the heart by using ultrasound What does MRI stand for? - CORRECT ANSWERS>>>Magnetic Resonance Imaging Thoracentesis is removal of fluid from: - CORRECT ANSWERS>>>pleural space While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - CORRECT ANSWERS>>>Have the patient cough periodically during the procedure A noninvasive method of estimating bladder volume would be: - CORRECT ANSWERS>>>Bladder Scanner Your urine should smell - CORRECT ANSWERS>>>aromatic
The purpose of a three way Foley after a TURP is to - CORRECT ANSWERS>>>Irrigation A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - CORRECT ANSWERS>>>Advance the catheter another 2 inches (5 cm) Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? - CORRECT ANSWERS>>>Lower than the level of the bladder What are the causes of constipation? - CORRECT ANSWERS>>>poor bowel habits diet low in fiber chronic use of laxatives What indicates a correct understanding of the use of laxatives for constipation? - CORRECT ANSWERS>>>Laxatives should only be taken for a few days. Which position is the patient placed in for the administration of an enema? - CORRECT ANSWERS>>>Sims When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False? - CORRECT ANSWERS>>>True
When changing the colostomy appliance, cut the opening in the skin barrier no more than ____ larger than the stoma. - CORRECT ANSWERS>>>1/8 inch The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True or False - CORRECT ANSWERS>>>True An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced coughing and choking when swallowing. The client states, "It feels like the food is stuck in my throat." What does the nurse suspect is happening with this client? - CORRECT ANSWERS>>>The client is having dysphagia. While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The nurse should: - CORRECT ANSWERS>>>lower the bag The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: - CORRECT ANSWERS>>>syringe to withdraw from cath port limiting fluids has what effect on urine? - CORRECT ANSWERS>>>raises specific gravity
nurse should record the fluid intake as: - CORRECT ANSWERS>>>660 mLs 24 hour urine needs to be restarted in the event that: - CORRECT ANSWERS>>>client voids in the toilet Which interventions prevent or minimize the risk factors in clients at risk for spiration? - CORRECT ANSWERS>>>Feeding the patient small bites. Keeping suction equipment nearby. Positioning the client upright at 90 degrees. Providing liquids with a thickening agent. The client receiving a tube feeding develops diarrhea. The nurse should:
- CORRECT ANSWERS>>>adjust rate of infusion Critical care element for clients with ileostemy - CORRECT ANSWERS>>>skin care Why would a nurse order a guaiac test - CORRECT ANSWERS>>>blood in stool most important question for MRI - CORRECT ANSWERS>>>Any metal in body?
considerations for diagnostic procedures - CORRECT ANSWERS>>>what type of sample? NPO? Contrast? Medications? Duration of test consent? what is included in the CBC - CORRECT ANSWERS>>>Hgb Hct Erythrocytes RBC Leukocytes diff wbc Components of BMP (basic metabolic panel) - CORRECT ANSWERS>>>BUN Creatinine Potassium Sodium Calcium Chloride
steatorrhea - CORRECT ANSWERS>>>fat in the feces rules for dietary fecal testing - CORRECT ANSWERS>>>whole sample rules for bacterial fecal testing - CORRECT ANSWERS>>>notify lab if pt is on abics clean-voided sample - CORRECT ANSWERS>>>1st morning void clean catch sample - CORRECT ANSWERS>>>mid stream clean perineum with antiseptic begin stream-pause-put cup under stream what does specific gravity of urine measure? - CORRECT ANSWERS>>># of solutes present normal urine pH - CORRECT ANSWERS>>> 6 anoscopy - CORRECT ANSWERS>>>visualizing the anus proctoscopy - CORRECT ANSWERS>>>rectum
proctosigmoidoscopy - CORRECT ANSWERS>>>the viewing of the rectum and sigmoid colon colonoscopy - CORRECT ANSWERS>>>large intestine IV pyelography - CORRECT ANSWERS>>>contrast medium injected IV to visualize the kidney and ureters retrograde pyelography - CORRECT ANSWERS>>>contrast medium injected directly into the kidneys via the urethra cytoscopy - CORRECT ANSWERS>>>lighted instrument inserted into the urethra xray - CORRECT ANSWERS>>>bone ct scan - CORRECT ANSWERS>>>soft tissue mri - CORRECT ANSWERS>>>soft tissue magnetic field tattoos can become warm during procedure
muscle tone pathologic conditions surgical/diagnostic procedures polyuria - CORRECT ANSWERS>>>large amounts of urine oliguria - CORRECT ANSWERS>>>decreased urinary output anuria - CORRECT ANSWERS>>>lack of urine production frequency - CORRECT ANSWERS>>>voiding at frequent intervals nocturia - CORRECT ANSWERS>>>voiding 2+ times per night urgency - CORRECT ANSWERS>>>strong desire to void dysuria - CORRECT ANSWERS>>>painful urination enuresis - CORRECT ANSWERS>>>involuntary urination past age of potty training urinary incontinence - CORRECT ANSWERS>>>inability to control the passage of urine
urge incontinence - CORRECT ANSWERS>>>a sudden strong urge to void, followed by rapid bladder contraction mixed incontinence - CORRECT ANSWERS>>>combination of stress and urge incontinence overflow incontinence - CORRECT ANSWERS>>>continuous leaking from the bladder either because it is full or because it does not empty completely CAUTI - CORRECT ANSWERS>>>catheter associated urinary tract infection constipation - CORRECT ANSWERS>>>fewer than 3 bowel movements per week patient teaching for constipation - CORRECT ANSWERS>>>exercise fiber fluids do not ignore urge to defecate avoid certain meds tx for constipation - CORRECT ANSWERS>>>stool softeners
psychological dependence - CORRECT ANSWERS>>>emotional reliance on a drug drug habituation - CORRECT ANSWERS>>>mild form of psychological dependence pharmacodynamics - CORRECT ANSWERS>>>what the drug does to the body Pharmacokinetics - CORRECT ANSWERS>>>The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. absorbtion - CORRECT ANSWERS>>>how drug enters bloodstream route of admin matters distribution - CORRECT ANSWERS>>>transportation of a drug from site of absorption to site of action Where does biotransformation occur? - CORRECT ANSWERS>>>liver start order - CORRECT ANSWERS>>>give meds immediately
single order - CORRECT ANSWERS>>>one time order standing order - CORRECT ANSWERS>>>may or may not have a termination date prn order - CORRECT ANSWERS>>>as needed essential parts of a drug order - CORRECT ANSWERS>>>-Full name of the client
- Date and time the order is written
- Name of the drug to be administered
- Dosage of the drug
- Frequency of administration
- Route of administration
- Signature of the person writing the order when should medication reconciliation take place - CORRECT ANSWERS>>>admission, transfer, discharge 10 rights of medication administration - CORRECT ANSWERS>>>Right medication Right dose
site for subcutaneous injections - CORRECT ANSWERS>>>Abdomen Upper arm Thigh Scapular Upper ventrodorsal gluteal Site for IM injections - CORRECT ANSWERS>>>Ventrogluteal Vastus lateralis Deltoid transdermal patch administration - CORRECT ANSWERS>>>Wear gloves, remove old patch, choose new site, clean and dry skin, apply new patch, avoid applying to broken skin, fold patch inwards when removing otic med administration rules - CORRECT ANSWERS>>>up and back for over age of 3 down and back for under age of 3 retain meds for 5 mins in side laying position hypertonic enema - CORRECT ANSWERS>>>Osmotic pressure Isotonic enema - CORRECT ANSWERS>>>Expands the colon
Main job of cleansing enemas - CORRECT ANSWERS>>>Empty bowels by stimulating peristalsis oil retention enema - CORRECT ANSWERS>>>Feces absorbs oil and becomes softer and easier to pass Pt teaching for oil retention enema - CORRECT ANSWERS>>>Must retain for 1-3 hours Main job of oil retention enema - CORRECT ANSWERS>>>Lubricate rectum and colon hypertonic enema - CORRECT ANSWERS>>>Osmotic pressure draws fluid into colon isotonic enema - CORRECT ANSWERS>>>Expands the colon to promote peristalsis How much fluid for a cleansing enema - CORRECT ANSWERS>>> 120 - 1000 mLs oil retention enema - CORRECT ANSWERS>>>feces absorb the oil and become softer and easier to pass
