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NUR 336 Final Blueprint Questions With Complete Solutions
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NUR 336 Final Blueprint Questions With Complete Solutions
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NUR 336 Final Blueprint Questions With CompleteSolutions
A pt underwent an IV pyelography. Result = renal calculi that
blocks left ureter. RN's first priority post-procedure? Correct
Answers Monitor patient for fever, rash, and dyspnea bc dye
was used and pt could have AR
Before giving pt intermittent gastric tube feeding, what should
RN do first? Correct Answers Warm tube feeding to room
temp
*Wrong answers:*
-make sure tube is secured to gown w safety pin
-inject air into stomach via tube & aspirate
-check that pH is at least 5
Clean technique vs sterile technique
Ch 29, p 455 Correct Answers Help to disrupt the chain of
infection!
Medical asepsis = clean tech. vs surgical asepsis = sterile tech.
Clean technique - hand hygeine, barrier techniques, routine envt
cleaning. Commonly followed at home, too. Like hand hygiene
with soap & water before preparing food, after using bathroom,
after touching dirty objects.
,"Clean is dirty", meaning that you use gloves off the wall,
perform hand hygiene, etc. but things have the potential to carry
germs.
Sterile is what you'd use for inserting a catheter, requires sterile
gloves, other equipment.
Aseptic Technique: The manner of conducting procedures to
prevent microbial contamination. An aseptic technique alters the
method of hand hygiene, PPE worn, the location and physicial
characteristics where a procedure is conducted, the use of skin
antisepsis and disinfectants in the environment, the manner of
opening of packages and the use of sterile supplies.
https://depts.washington.edu/edgh/app-ipc/web/project-
resources/best_practices_injections.pdf
Communication with patients Correct Answers Anytime you
do something with a patient, always explain what you're doing,
what to expect, time frame, & give pain meds before painful
procedures
Difference between sleep deprivation & insomnia Correct
Answers Sleep deprivation: new mother who just labored for 40
hours, or dude who played on X-Box for 36 hours. They can
sleep but something/someone is preventing them from doing so.
Insomnia: grows over period of time, cannot sleep even though
they try to
Example of standard precautions Correct Answers Don
protective eyewear (goggles, etc) during drainage of foley
, Expressive aphasia Correct Answers The inability to produce
language (despite being able to understand language)
(E.g., all the thoughts are there but can't get the words out - is
really frustrating)
Family teaching for wound care Correct Answers Perform hand
hygiene, wear gloves, clean wound from cleanest to dirtiest (in
tact skin is dirty, think of all the little microbes on your skin!),
collect and dispose of everything in trash bag, dispose of gloves
immediately, & wash hands.
How many heart sounds do you auscultate? Describe how to
auscultate these points. Correct Answers 5 areas to auscultate:
"APE To Man"
1. Aortic,
2. Pulmonic,
3. Erb's point
4. Tricuspid,
5. Mitral valve,
1. *Aortic*: right of the sternal border in the second intercostal
space.
2. *Pulmonic*: left of the sternal border in the second intercostal
space.
-Aortic & pulmonic = S2 "dub" sound
-S2 sound will be loudest @ base of heart
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