BSN 205 (BSN205)

Afebrile correct answer: a person who maintains normal body temperature Core Body Temperatures correct answer: Rectal - 34.4-37.8 C Oral - 36-37 C Axillary - 35.5 -37.0 C Tympanic - 35.6 - 37.4 Temporal - 36.1 - 37.3 Apical Pulse correct answer: a central pulse located at the apex of the heart at the point of maximal impulse (PMI) Apnea correct answer: absence of breathing arrhythmia correct answer: irregular heartbeat that can cause the heart from pumping adequate b...

A nurse is explaining the procedure for inserting an indwelling urinary catheter. Which of the following explanations regarding anchoring of the catheter, would be most accurate? A. An indwelling catheter tube is secured to a female patient's abdomen to prevent accidental dislodgment. B. An indwelling catheter tube is secured to the male's inner thigh with a strip of nonallergenic tape or a commercial tube holder. C. It is important to anchor the catheter tubing to minimize the risk fo...

When cleaning a wound during a dressing change, in what direction should the cleansing of the wound take place? Outward from the wound in a circular motion. Towards the wound in a circular motion. Clean around the wound edge only. Away from the wound in a linear pattern. - Correct Answer Outward from the wound in a circular motion. What is a reason to use a wet to dry dressing? To keep the wound moist. To decrease healing time. To debride a wound. To keep the wound from becoming ...

Question 1 of 5 Which instruction to nursing assistive personnel (NAP) reflects the nurse's correct understanding of the NAP's role in caring for a patient receiving intravenous (IV) fluids by gravity drip? Assess the IV site frequently for signs of inflammation. Be sure not to obscure the insertion site with the dressing. Let me know when you notice that the IV bag contains less than 100 mL. Tell the patient to notify me if the IV site is painful, swollen, or red. correct answer: Let me...

Which of the follow would require a follow up? correct answer: An adult with respirtations of 10 breaths per minute Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limits)? correct answer: Temp 97.0° F, P-60, R-16, BP 116/78, O2 sat 95%. Which of the following situations may affect a patients vital signs? correct answer: Time of day Moving from lying to a standing postion Pain rated as a 7 on a scale of 1-10 Why is it ne...

Which of the following patients would require follow- up? An adolescent with a respiratory rate of 16 breaths per minute. A child with a respiratory rate of 20 breaths per minute. A newborn with a respiratory rate of 40 breaths per minute. An adult with a respiratory rate of 10 breaths per minute. correct answer: An adult with a respiratory rate of 10 breaths per minute. Which of the following vital signs recorded for an older adult would be considered acceptable (within normal limit...

An 80-year-old patient with rheumatoid arthritis is being admitted for a procedure where injections will be placed in her back to relieve pain. She reports having fallen less than 1 year ago on icy steps to her house. She is alert and oriented and occasionally uses a cane. She has never smoked, but takes an antihypertensive medication for her blood pressure. Is this patient at risk for a fall? correct answer: Yes A 48-year-old patient is being admitted for surgery. He is alert and oriented a...