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Final , Term 1 Unitek
Final , Term 1 Unitek
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FINAL , TERM 1 UNITEK QUESTIONSWITH COMPLETE SOLUTION
f the small intestine contains millions of small finger like projections called ____? - villi
small intestine needs bile only, where is the bile stored in? - gall bladder
how far can you go with passive range of motion? - as much as patient can tolerate
what are the enzymes produced in the pancreas? - amylase, lipase, and trypsin
structure of the nephron responsible for the reabsorption of water and solutes during urine formation? -
proximal convulated tubule
major regulator of respiratory activities? - PCo2
event occurs in response to increase thoracic volume? - air enters respiratory passage
factor that stimulates bones to grow - weight bearing
phase of the nursing process that requires you to establish intervention for your patient - ADPIE
most preventive technique that interrupts infectious process? - hand washing
checking o2 saturation, patient has pneumonia, reassuring human need according to Maslows ? -
physiological
where do you check the apical pulse? - 5th intercostal, mid clavicular on the left side
what document explains the scope of an LVN - nurse practice act
you're administering a water and soap enema, what would be the steps to perform to purge air from
tubing? - open clamp and fill with solution
what do you document when inserting indwelling catheter? - date and time , procedure done, patient
teaching, tolerance
what is the primary reason to use sterile technique when inserting and indwelling catheter? - avoid
introduction of microorganisms
to provide competent transcultural nursing to specific clients in a geographic area, what are they? -
illness, cultural influence/beliefs about health, health practices
once hospice service has begun, your focus changes from rehab/restoration to what type of care? -
comfort care
why do nurses provide inservice providing a safe hospital environment? - to prevent injury
, reinforcing teaching with a newly licensed nurse about use of restraints. what should new nurse identify
as requiring restraints? - keeps pulling central venous catheter
contributing to plan of care of a patient who has dementia, what do you include in POC? - provide daily
routine, mental stimulation
assisting in admission of older confused patient, what is the statement by the wife/husband indicates
the patient is experiencing delirium? - sudden changes in behavior
reinforcing teaching about expected physiological changes of aging? - sensitivity to glare, decreased
cough reflex, decreased bladder capacity, dehydration of intervertabral disc
bp is 124/84, what stage is this? - prehypertension
what happens when there is a complication of immobility? - reddened sacrum
intervention of patient that has acute dysphagia, how do you position the head? - forward
what do you do prior to administer tube feeding? - check ph level
patient is receiving mechanically altered diet, what would be a food choice? - scrambled egg, cutted
cheese, banana (except wheat toast)
manifestation of hypoxia - cyanosis
what do you do after tracheostomy care? - secure ties before removing old one
what do you do to obtain a culture and sensitivity from a catheter? - obtain a sterile specimen container
if we are teaching husband/wife of a pt on how to take bp, how do we tell them to position arm? -
center in brachial artery, check instruments gauge in 0, wrap cuff around arm (do not put above heart
level)
mr smith has hypertension and he starts to develop drooping face features, what do you include in
background component of SBAR? - hx of hypertension
assisting patient , you are preparing he/she for colonoscopy and they're nervous about what the Dr. will
find , what do you do? - you restate their statement (clarification)
reinforcing discharge teaching to pt dieting for wound healing, what vitamins are recommended? - vit A
& C and zinc
to improve patients nutritional status what nursing intervention will you add to the POC for their
nutritional status? - serve small frequent meals
you have a patient that's afraid to fall down going to the restroom at night, what do you put in their
room? - a nightlight
you have a pt who has difficulty sleeping at night, when evaluating sleep disturbances, nurses should
factor which of the following principles that can affect older adult in sleep? - pain , illness that interfere
in the sleeping patterns of older adults
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