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Need to Know & SAM Exam UPDATED Exam Questions and CORRECT Answers only

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Need to Know & SAM Exam UPDATED Exam Questions and CORRECT Answers only Name the steps of the nursing process in sequence - Correct Answer- Assessment, diagnosis, planning, implementation, and evaluation What is the minimum frequency that a bedridden patient should be turned? - Correct Answe...

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  • August 8, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • SAM
  • SAM
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MGRADES
Need to Know & SAM Exam UPDATED
Exam Questions and CORRECT Answers
only

Name the steps of the nursing process in sequence - Correct Answer- Assessment, diagnosis,
planning, implementation, and evaluation


What is the minimum frequency that a bedridden patient should be turned? - Correct Answer-
every 2 hours


What part of the gloves are sterile/nonsterile? - Correct Answer-


When using the incentive spirometer, describe what you would teach the patient regarding
how to make it operate? - Correct Answer- deep inhalation


How high above the patient do you elevate a cleansing enema bag? - Correct Answer- 18
inches; higher causes too rapid distension of the intestines resulting in rapid expulsion of
solution, poor defecation or damage to mucous membrane


Your pt. has a foley catheter and you are monitoring the hourly output. It is considered
critical when urinary output falls below __________? - Correct Answer- 30 mL/hr


How do you position the patient, who is receiving tube feedings and why? - Correct Answer-
At least 30 degrees; to minimize the risk of aspiration


Before instilling liquids or medicines into a nasogastric feeding tube, what essential action is
to be taken? How is it done? And why? - Correct Answer- Verification that placement of the
tube is in the stomach; by checking pH; to prevent fluid from entering the lungs/aspiration


What is the rationale for restrictions on the use of restraints? - Correct Answer- Research has
shown that restraints do not guarantee safety and in fact they are associated with more lethal
injuries. it may cause physiological and psychological harm, loss of dignity and even death.

, When physical restraints are used where and how are they attached to the bed? - Correct
Answer- use a quick release knot; does not tighten when pulled and security to bed frame


The most effective way to help prevent the spread of organisms is by - Correct Answer- hand
washing


__________ asepsis or clean technique involves procedures and practices that ___________
the number and _____________ of pathogens. __________ asepsis or sterile technique
includes practices used to render and keep objects and areas free of microorganisms - Correct
Answer- medical; reduce; transfer; surgical


During the process of administering medications winners checks the name band for the
client's name. What should this nurse's next action be? - Correct Answer- Double check the
clients identification using a second method.


before administering a medication to a client the nurse checks the client's pulse, blood
pressure, and laboratory values. The nurse is performing which right of medication
administration? - Correct Answer- right assessment


the nurse is to administer for oral medications to the client via a nasogastric tube. One of the
medications is a tablet that has been crushed, one is a capsule that has been opened and the
powder removed, and two are supplied in liquid form how should the nurse administer these
medications? - Correct Answer- mix the crushed tablet and capsule powder individually in
warm water. Administer each medication separately, flushing the tube before and after each
administration


a client weighing 220 pounds is prescribed to receive 25 MG/ KG of a medication, divided
over 4 equal doses. How many MG of the medication should the nurse provide for each dose?
- Correct Answer- 625 MG


the nurse is preparing a small amount of liquid medication for oral administration; which
nursing action is essential? - Correct Answer- label the syringe with the medication name,
amount, and route


the hospitalized client has an order for Tylenol 325 mg two tablets every four hours PRN
temperature over 101 degrees Fahrenheit. Client complaints of a headache. Can the nurse
legally administer Tylenol to treat the headache? - Correct Answer- no not almost the client
also has a temperature over 101 degrees f

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