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UAB Nursing 321L Skills Final
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UAB Nursing 321L Skills Final
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UAB Nursing 321L Skills Final50 mL of an IV solution to infuse over the next 20 minutes. What rate should the nurse
set the electronic controller to deliver? - ANS-150 mL/hr
A client with urine retention related to a complete prostatic obstruction requires a urinary
catheter to drain the bladder. Which type of catheter is most appropriate for an
obstructed urethra?
A) Indwelling urinary catheter
B) Suprapubic catheter
C) Straight catheter
D) Intermittent urethral catheter - ANS-B) Suprapubic catheter
A nurse follows surgical asepsis techniques for inserting an indwelling urinary catheter
in a client. Which of the following is an accurate guideline for using this technique?
A) Open sterile packages so that the first edge of the wrapper is directed towards you
B) Consider the outside of the sterile package to be sterile
C) Hold sterile objects above waist level to prevent accidental contamination
D) Consider the outer 3-inch edge of a sterile field to be contaminated - ANS-C) Hold
sterile objects above waist level to prevent accidental contamination
A nurse is caring for an elderly client at his home. The client his had a condom catheter
applied. Which of he following describes a condom catheter?
A) A bag attached by adhesive backing the skin around the genitalia
B) A urine drainage tube that is left in place over a period of time
C) A flexible sheath that is rolled around the penis
D) A urine drainage tube inserted but not left in place - ANS-C) A flexible sheath that is
rolled around the penis
A nurse is carrying out an order to remove an indwelling catheter What is the first step
of this skill?
A) Ask the client to take several deep breathes.
B) Wash hands and put on gloves
C) Tell the client burning may initially occur
D) Deflate the balloon by aspirating the fluid - ANS-B) Wash hands and put on gloves
A nurse is preparing to administer a unit of packed RBCs to a patient. The transfusion
begins on Tuesday at 2015. The infusion should be completed by what time? -
ANS-Wednesday at 0015
, A nurse is preparing to catharize a female client What ill the nurse consider when
comparing the anatomy of the female urethra with that of the male urethra?
A) Shorter length
B) Has different innervation
C) Longer in length
D) No connection to bladder - ANS-A) Shorter length
A nurse needs to administer medications to a client through an IV port. How should the
nurse ascertain that the IV catheter is in the vein? - ANS-Aspirate and observe the
tubing near the insertion device
A patient has been ordered to begin an insulin infusion. Other than glucose, what lab
factor should the nurse pay particular attention to? - ANS-Potassium Level
A patient is receiving IV therapy and the nurse notices swelling and coolness at the site
along with an absent blood return. What would the nurse suspect? - ANS-Infiltration
A patient with a large infected wound needs negative-pressure wound therapy and asks
the nurse how the technique works. Which statement by the nurse is most accurate? -
ANS-A measured foam pad is placed over the open area along with an occlusive
dressing. Negative pressure removes drainage and contracts the wound bed.
A student nurse is performing urinary catheterization for the first time and inadvertently
contaminates the catheter by touching the bed linens. What should the nurse do to
maintain surgical asepsis?
A) Complete the procedure and report what happened
B) Gather new sterile supplies and start over
C) Nothing, because the client is on antibiotics
D) Apologize to the client and complete the procedure - ANS-B) Gather new sterile
supplies and start over
As the nasogastric tube is passed into the oropharynx, the client begins to gag. What is
the correct nursing action?
A) Remove the tube and attempt reinsertion.
B) Give the client a few sips of water.
C) Use firm pressure to pass the tube through the glottis.
D) Have the client tilt the head back to open the passage. - ANS-B) Give the client a few
sips of water.
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