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Nursing final (Quiz)
Nursing final (Quizes)
| Question | Answer |
|---|---|
| When you are performing venipuncture, always use the ____ needle possible for the vein chosen and direct the bevel __ | Largest, upward |
| Why is the skin wiped with 70% isopropyl alcohol before venipuncture | It removes some superficial skin contaminants, cause vasodilation, improves visualization of the vein |
| The easiet vein from which to draw 10ml of blood from an 11-kg dog is | Jugular vein |
| When might the lateral saphenous vein be preferred to the cephalic vein for canine venipuncture | when a dog is very aggressive |
| Which urine-collection technique will produce a sample suitable for bacterial culture | urinary catherization and cystocentesis |
| A canine urinary catherter is advanced | 1 cm past the oint where urine initially flows |
| Always prevent contact of the catheter with nonsterile items when placing urinary catheters | true |
| Dogs usually require anesthesia or heavy sedation for urinary catheterization, while cats can be catheterized while fully awake | False |
| If blood flows into the syringe when cystocentesis is attempted | withdraw the needle immedately and try again with a clean syringe and needle |
| Frecal samles intended for parasitology examination are usually placed in ___ and can be refrigerated for up to ___ | A sealed, air tight plastic bag; 3 days |
| The viscosity (thickness) of a joint-fluid sample is determined by: | Stretching a fluid dro pbetween the thumb and forefinger |
| Preventing serious complications when obtaining any bone-marrow aspirate requires | strict sterile and aseptic technique |
| How are bone marrow sample prepared for examination | Place a drop of sample on a slide, tilt the slide to seperate blood from marrow, remove blood, make two "pull" slide of the remaining bone marrow sammple, and submit |
| An ___ catheter is used to infuse small volumes of fluid into a vein and is usually in place for only a few minutes | Butterfly |
| Why is an intravenous catheter flushed with heparinized saline after placement | to ensure proper placement in the vein, to help revent blood from clotting in the catherter |
| What must be absolutely avoided when placing a long through the needle catheter into a jugular vein | Backing the catherterout throught the inroducer needle during placement |
| Medication and fluids, with the exception of small boluses of heparinized saline, are never administered via an arterial catheter | true |
| In addition to during placement, when is an intravenous catheter flushed with heparinized saline | before/after administering inravenous medication, Every 4-6 hours in a catheter not receiving a CRT |
| Vocalization and signs of discomfort by a patient recieving medications intravenously are | Abnormal and injection shuld be stopped immediatly if occurs, abnormal and may indicate leakage of the drug out of the vein |
| Concerning subcuataneous administration of fluids and medications, which statement is most accurate | if multiple vx or meds are to be administered, space injection sites several cm apart |
| To avoid penetrating the sciatic nerve during intramuscular injection into the hind leg of a dog, cat or goat place the needle | Into the lateral semimembranosus or semitendinosus muscle and direct it caudally |
| To place an intraosseous catheter into the femur, the ___ is shaved and aseptically prepared | Hip region |
| If you must administer an opthalmic solution and ointment to the same patient, always administer the ointment first then wait 3 minutes before applying the solution | False |
| Always wear gloves when administering medication | That will be absorved into the skin |
| How migh you adminsiter an antiseizure drug to a convulsing animal in which you are unable to access a vein | Intrarectally and intranasally |
| Oral medications are best administered to cats by | placing the pill at the back of the cat's pharynx and holding th emouth closed until the patient swallows |
| If you aspirate food from a gastrostomy tube before feeding, you should | consult the vet |
| In a feline, how is nasogastric tube best secured | Glue or suture the tube to the skin just lateral to the nostril, on the bridge of the nose, and on the forehead |
| Which statement concerning pharyngostomy(PG) versus esophagostomy (EG) tubes is most accurate | PGs and EGs are secured in the smae manner |
| What site is commonly used to collect blood from pigs | Right anterior vena cava |
| Ideally, the __portion of a voided urine sample is collected | Midstream |
| In the private-practice setting, bovine rumen fluid is commonly collected by | Orogastric intubation |
| If fluid doesn't flow from the needle during large-animal abdominocentesis | Attach a syringe an apply negative pressure, insert another needle several vm away from teh initial one, try another area |
| What structure must the technician take care to avoid during equine thoracocentesis | The lateral thoracic vein, coursing subcutaneously over the ventral thorax |
| For which procedur is it necessary to anesthetize the area by injecting 1 to 2 ml of 2% lidocaine before sampling | Transtracheal wash |
| Proper placement of a needle or catheter into a vein is best confirmed by | blood flowing into the syring hub or out of the catheter |
| How is intrarterial injection avoided when administering medications into the jugular vein in large animals | by using the right jugular vein only, by using the proximal 1/3 of the neck only, by placing the needle first without the syringe attached and observing the nature of the blood emerging |
| Intravenous catheters are routinely placed in the ___ vein in hogs | Auricular |
| Concerning intramuscular injections, which statement is most accurate | It is critical to aspirate before injecting med intramuscualrly to ensure the needle is not in a vein |
| "Little Bo," the clinic's resident sheep, is due for her intramuscular tetanus vx. Where can you administer this to her | neck muscles, triceps muscles, semimembranosus/semitendinosus muscles |
| To prevent pharyngeal or esophageal trauma when using a balling gun to adminster tablets | Place the tip getnly over the base of the tongue, not too deeply in the mought |
| What precaution will help aboid aspiration pneumonia when performing nasogastric or orogastric intubation | kinking the tube during removal |
| Concering the administration of oral meds to horses, which statement is most accurate | Liquid or past meds can often be administer with a syringe, whose tip is placed into the interdental space at the side of the moth and contents emptied onto the base of the tongue |
| When aseptically preparing and infusing medication into mammary glands, clean the __ side of the udder first and infuse the__ side first | Far, near |
| A transtracheal wash is performed and the vet leaves the trachea and skin unsutured. How can the vet tech best manage the site | Cover the area with antibiotic-coated sterile gauze and bandage for 24 hours |
| Due to anatomic obstacles, __ males are not routinely catheterized to obtain urine | Ovine or caprine |
| The "three-syringe technique" is used to | obtain blood smaples from very long catheters |
| The marginal ear vein may be used to obtain blood samples for all the follwoing procedures except to | Perfrom a CBC and serum chemistry panel |
| Flashback is the term most often applied to | Blood entering a needle hub or catheter during intravenous procedure |
| The term clean stick is applied to | A vessel being punctued only once durig an intravenous procedure |
| Concerning the vet techs role in the history-taking process of a patient, which statement is mos accurate | Even the best vet may be unable to solve the problems of a particular patient without an accurate and complete history |
| The signalment of the animal is the | Age, breed, sex, reproduction status |
| The client is usally most concerned with the "chief complaint," which is | The reason the client brought the animal in for evaluation |
| A question about whether a dog is on heartworm preventive medication is part of the dog's | Medication history |
| One of the goals of the history and physical exam is to allow the clinician to formulate a list of "differential diagnoses," which are | A list of possible diagnoses based onathe history and clincial signs observed that the clinican will attempt to rule in or out using specific diagnostic tests |
| A complete "system review" requires that the following be asked | One or two questions about each body system |
| The __ system is most technically difficult and time consuming to examine completely; therefore, a complete exam of this system is usually reserved for the patient with known or suspected disease of this system | Nervous |
| Once a new patient is placed in an exam room, the first aspect of its visit usually involves the vet tech or vet | Obtaining a complet medical history and performing a physical exam |
| Difficulty beathing due to stenotic nares is most commonly seen in which kinds of dogs | Brachycephalic |
| The heart rates of small breed dogs are generally __ than those of large breed dogs | Faster |
| The normal feline heart rate ranges from | 160-240 beats per minute |
| Regarding auscultation of lung sounds, which statement is most accurate | The lung sounds of a normal cat are often heard only during inspiration |
| A normal capillary refill time is | 1-2 seconds |
| Mucous membranes are normally ___ in collor and are often observed __ | Pink;on the gigiae over the upper canine tooth |
| The only time cavity of a cate should not be examined when the cat is awake due to the risk of getting biten | False |
| In dogs and cats, the pulse rate is most often evaluated ove ther | Femoral artery |
| Abdominal palpation of a normal dog or cat will most likely reveal | Primarily intestines slipping between the palpater's fingers |
| In the normal cat, the kidneys are readily palpated and should be approximately | 2.5 to 3.5 cm in length |
| which of the following terms or phrases correctly describes the location of a heart murmur | Mitral |
| The term grade refers to the __ of a heart murmur | Loudness |
| The urinary bladder can usually be palpated in which part of the abdomen | Caudoventral |
| In a pregnant dog or cat, milk can be expressed from the mammary glands during the last | 1-2 weeks of gestation |
| A firm but gentle tap on an appropriate tendon and observation of the degree of contraction of the corresponding muscle is used in the measurement of | Spinal reflexes |
| The normal ocular exam generally includes | A white sclera |
| This organization has written the veterinary technician oath and code of Ethics | National association of vet technicains in America |
| This person holds a bachelor of science degree in vet technology from a 4-year, AVMA-accredited program | Veterinary Technologist |
| Who performs audits to ensure that continuing education requirements are met by vet techs | State board of veterinary medical examiners |
| Vet techs are not legally able to do this | Diagnose |
| This is the "umbrella" law that governs the practice of vet med | Practice Act |
| Euthanasia can be performed by vet techs under this type of supervison | Direct |
| This type of law has evolved over time based on established professional conduct, customs, and practices | Common |
| Under this type of supervision, the vet tech may administer treatment in the form of intravenous, intrmuscular, intraperitoneal, and subcutaneous injection | Indirect |
| This organization provides accreditaiton to programs of veterinary technology in the united states | Committee on Veterinary technician education and activities |
| In vet medicine, only this person can legally perscribe medication and perform surgery | Veterinarian |
| Which type of aggression rarely poses a risk to veterinary hospital personnel during their workday | Predatory aggression |
| The ver and associated personnel are legally responsible for any injuries to the client while performing a vet procedure | True |
| Which statement conerning rabbit restrain is most accurate | A rabbit bein carried with its hind legs unrestrained can kick out with enough force to permanently damage its spinal cord |
| The feline's first line of defense is its teeth | false |
| A good rule of thumb to follow when restraining animals for veterinary care is | Apply the minimum effective amount of restraint tha twill keep the animal and personnel safe |
| An otherwise docile femal animal is most likely to become aggressive toward her human hander when the handler | appears to be a threat tho her suckling young |
| If a dog is too large for you to lift onto the exam table by yourself, you should | Get help so two of you can lift him or leave him on the floor to be examined there |
| The ___,___,and ___ will pin their ears back when upset or aggressive, while the __ will prick its ear foward | Horse, Llama, cat; dog |
| Which statement about bird capture and restraint is true | Pressure with the hand or fingers on the breast of a passerine can cause suffocation |
| One of the most effective ways to capture and restrain an agitated cat is | Grasp the scruff of the neck |
| Which species is most likely to seek out a hiding place if it escapes its enclosure | Cat |
| Which statement about muzzling dogs is true | Some dog's mouths can be restrained manually with the handler's hands |
| The most commonly encountered type of attak in veterinary facilites is | Canine fear biting |
| Above all else, the handling of exotic species must be performed | slowly and ce=arefully |
| You are restraining a Basenji dog for cephalic venipuncture. When the person performing the injecion has placed the needle and is ready to inject the drug, he says to you, "okay." He is most likely asking you to | Lift the thumb that is occluding the vein |
| Concerning the punishment of a dog by hanging it or shaking it by the scruff of the neck, which statement is most accurate | This method of punishment is particualry potent because it resmebles the way a dominatn dog will demonstrate its control over a submisive one |
| The first step to take when attempting to handle a large, aggressive dog is | Catch the dog by the neck using a snare or led rope with a slip know |
| Most dogs and cats dont' need tranquiliztion when shipped on airlines, because they feel secure in their shipping containers if accustomed to them before the trip | True |
| Heavy tranquilizaiton is the most foolproof method of keeping a snappy dog from biting and an agitated horse from kicking | False |
| What are the two most common erros made when positioning a dog for jugular venipuncture | The head is usually tilted too far upward or too far downward |