NSG 212 Exam 1
Which medication causes constipation? - ANS iron supplements
The nurse measures a client's residual urine by catheterization after the client voids. Which condition
would this test verify? - ANS urinary retention
When assisting a client from the bed into a wheelchair, the nurse assesses the client for signs of
dizziness upon standing. For what adverse condition is the nurse assessing the client? - ANS orthrostatic
hypotension
The loss of urine without any identifiable pattern or warning is called... - ANS urinary incontinence
_________ is a condition in which an inadequate amount of oxygen is available to cells. This results in
difficulty breathing, increased respiratory and pulse rates, and pale skin with regions of cyanosis. - ANS
hypoxia
If there is decreased cardiac output, respiration rate will... - ANS increase
What does pulse oximetry test? - ANS the amount of oxygen saturation in the blood
The nurse schedules a pulmonary function test to measure the amount of air left in a client's lungs at
maximal expiration. What test does the nurse order? - ANS Residual Volume
the total amount of air inhaled and exhaled with one breath is referred to as.... - ANS Tidal volume
the amount of air contained within the lungs at maximum inspiration is referred to as... - ANS Total lung
capacity
,________ is used to increase the turbulence of exhaled air and loosen secretions from the lungs - ANS
vibration
can be done before or after percussion
Define evisceration. - ANS Evisceration occurs when contents of the body come out through a
wound/surgical incision site.
Define dehiscence. - ANS Dehiscence occurs when a surgical incision site starts to "open at the seams,"
usually occurs due to obesity.
While using the braden scale, the __________ the number, the higher the risk. - ANS lower
think: the lower you're funtioning, the higher the risk
What are the 3 fundamental characteristics of wound assessment? - ANS Age
Depth
Color
What two age populations are at an increased risk for illness and injury? - ANS Elderly and newborn
babies
Which of the following categories of health promotion is aimed at preventing illness?
A. primary
, B. secondary
C. tertiary
D. restorative - ANS A: primary.
Primary prevention aims to prevent a disease/complications as a whole. This would include a healthy
diet, exercise, and vaccinations/immunizations.
A nurse is working at a health fair that is offering blood screenings for diabetes and high cholesterol.
What level of health promotion is she helping to achieve? - ANS Secondary prevention. This level of
prevention aims for early detection of a disease that already exists. So you would already have the
diabetes and not know it yet; a blood test would detect this early.
The chain of infection has 5 variables. The infectious agent (the virus/bacteria), the resovoir (phones,
bathrooms, door handles, water, plants and animals), the portal of exit (mouth, eyes, sneezing etc),
mode of transmission (touch, kissing, sexually transmitted), and portal of exit (same as someone else's
portal of exit). As a nurse, you should think of yourself as what variable of this process? - ANS The mode
of transmission. That's why we practice things such as clean technique and surgical asepsis: we can very
well be a mode of transmission from one patient to another.
Mode of transmission is also things like kissing, sexually, touching etc
There are two types of bacteria: aerobic and anaerobic. Which is harder to kill and why? - ANS
Anaerobic. Since they don't need oxygen, these bacteria usually lie deep within the brain or other hard
to reach areas, therefore it makes them harder to kill.
How do we tell the difference between gram positive and gram negative bacteria on a stain? - ANS Gram
positive stains purple, has a thick wall, and don't decolorize. Gram negative have a complex wall and can
be decolorized.
Think positive = purple
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