What supplies should not be used during trach care Right Ans - cotton balls
What is the purpose of the nurse being a witness to consent Right Ans - to
make sure the signature on the consent form belongs to the client
BP readings for patient with hypertension should be done... Right Ans -
under the same conditions (same place and position)
Steps of abdominal assessment Right Ans - inspection
auscultation
percussion
palpation
Most important aspect of hand hygiene Right Ans - friction
Primary prevention includes Right Ans - elimination of the exposure
What should you do if the reliability of monitoring equipment is questioned
Right Ans - use manual monitoring (esp for BP) and remove malfunctioning
equipment
Physical exam on a toddler Right Ans - do the most distressing part of the
exam last
Body mechanics for making an occupied bed Right Ans - put bed in high
horizontal position
Where should the nurse place a stethoscope to listen to the aortic valve
Right Ans - 2nd intercostal space to the right of the sternum
Patient concerned about getting an infection from a blood transfusion
Right Ans - patient can donate autologous blood prior to surgery
Colorectal cancer screening Right Ans - fecal occult blood test every year
screening for patients at average risk starts at age 50
, What do you do if patient with nasal cannula has difficulty breathing Right
Ans - assist to upright position
What do you do prior to liquid medication administration Right Ans - shake
the liquid to make sure its properly mixed
How to improve self-feeding for a patient with vision loss Right Ans -
arrange food in clock pattern
Exercises for patient at risk of osteoporosis Right Ans - weight bearing
exercises such as walking briskly
Position for incentive spirometer use Right Ans - semi-fowler's
Procedure for 24 hour urine collection Right Ans - discard first void and
save all voids after
Contradictions for herpes zoster and other skin infections Right Ans -
acupuncture can increase risk of infection
Steps in assisting client from bed to chair Right Ans - 1. ask if patient can
bear weight
2. put chair on strong side of body
3. have client sit and dangle feet
4. use the stand-and-pivot technique to move the client to the chair
Mixing insulin Right Ans - air in NPH
air in regular
withdrawal regular
withdrawal NPH
Aid for position changes for patient with LE weakness Right Ans - trapeze
bar
Infiltration of IV Right Ans - skin blanching, edema, coolness
Phlebitis of IV Right Ans - red line, warmth
Cane use Right Ans - hold cane on stronger side of the body
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