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kaplan fundamentals
| Question | Answer |
|---|---|
| What is an unexpected result in using an indwelling urinary cathether? | 60ml of urine over 4 hours |
| how do you obtain an urinalysis? | You clamp below the port and wait 15 minutes then draw it out. |
| What is important to remember when removing a fecal impacted? | Slows the heart rate and can cause dysrhythmias. Bowel perforation. |
| who is at risk for forming a pressure ulcer? | obese |
| A nurse drives up upon an accident, what should she do? | Provide first aid care to the most injured children, give the bus driver the uninjured. |
| How do you take a stool specimen? | want different parts of the stool |
| What is a NANDA diagnosis? | Risk for injury related to generalized weakness |
| Why do you feel for the popliteal pulse? | Check for circulation |
| What would not be a part of a clear liquid diet? | Noodle soup and orange juice |
| What would you expect with a young child that shows they need suctioning? | drooling |
| What is a nurse not doing ethically? | Telling friend that works in the lab about history of patient |
| What is the best time of day to do ROM? | same time as bed bath |
| what do you do when a patient has a temperature? | Encourage them to drink a lot of fluids |
| What do you do if a wet- to-dry dressing sticks? | Gently peel it off the skin |
| How do you do an Enema? | Hold it 12-18 inches above the anus |
| How do you measure the distance of the nasogastric tube? | Tip of nose to earlobe plus distance from earlobe to bottom of xiphoid process. |
| when turning a patient, what should you do? | Turn towards the nurse |
| when should you intervene with a foot trauma patient? | When a patient is cutting their toenails with scissors |
| How do you verify placement of the nasogastric tube insertion? | Aspirate should have ph of 4 or less. |
| What does a patient say regarding orthopnea that is concerning? | Use multiple pillows to sleep |
| Orthopnea | shortness of breath when lying flat |
| Hypoxia | insufficient amount of oxygen available to cells |
| What food are prohibited form the low residue diet? | Whole wheat, corn, bran, raw fruits and vegetables, seeds. |
| What food would you not pick for a low residue diet? | corn |
| What is the purpose of a pulse oximetery? | Oxygen that is in arterial blood |
| what do you do when the apical pulse is 100 and irregular? | compare apical and radial pulse |
| how do you do oral care on an unconscious patient? | Raise the head of the bed up |
| What do you do with postural drainage? | change positions to get it to drain |
| How do you wash hands? | change positions to get it to drain |
| What would you not include in their intake and output for fluids? | Watermelon off a snack cart |
| where do you pull the bone marrow from? | Pulled from hip |
| What further teaching is needed for a mother of a young child undergoing an MRI? | Cannot eat food or drinks before doing the test. |
| a patient in the operating room states," I don't know why I am getting this surgery or what is wrong with me." What do you do? | Ask the healthcare provider to come talk to the patient. |
| How do you perform hair care on the patient? | do hair based on clients preferences |
| what is best to increase wound healing? | chocolate protein shake |
| If a person has hearing loss what should you do? | use hand gestures and facial expressions |
| If a nurse tell a patient's partner if they were pregnant, what could happen to the nurse? | sued for confidentiality |
| When you clean a wound what direction do you go in? | clean closest to incision then outward (incision to border) |
| When inserting a foley catheter what do you do? | Insert 2-3 inches after seeing urine one more inch then inflate balloon |
| What do you do when making an occupied bed? | clean and disinfect |
| what should you do for a patient receiving parenteral nutrition? | monitor for blood glucose |
| what is hemoptysis? | Coughing up blood from lungs or bronchial tubes |
| A patient getting ready to undergo a bronchoscopy, what would cause them not to get the surgery? | Eating breakfast at 6 a.m., can't eat 6-12 hours before. |
| if you have a patient that is paralyzed on the right side but left hand dominant, what would you do? | cut in small pieces |
| What would you address first in Maslow's Hiearchy of needs? | pain in my side |
| If you have a patient on the bedpan how would you place it? | Place the open lip of pan towards the feet |
| A patient has tubercuolosis and a nasty wound what do you need to wear to enter the room? | Particulate mask, gown, and gloves |
| Who would you put antiembolism stockings on? | a patient who had abdominal surgery |
| What is the pre-procedure preparation for thoracentesis? | over bed table |
| what should a patient not do when using an incentive spirometer? | inhale rapidly |
| What should you not do during an EKG or ECG? | cross your legs |
| What should you do if a child begins to seize? | move items out of way and put pillow under head |
| If an adult blood pressure cuff is put on a child, the reading will be? | low |
| when removing contact lenses, the nurse should intervene when she sees the student do this? | using thumb and forefinger pinching over cornea |
| what should you do for heat/cold therapy? | have patient help with timing |
| Your patient is supposed to be on a low fat diet, what is the best option? | whole wheat and orange juice |
| What an example of isometric exercise? | patient pushing foot against foot rail |
| How does the nurse break aseptic technique? | work table below waist level |
| What was the priority you do first as the nurse? | evaluate |
| What is the most important question to ask patient when doing a femoral angiogram? | check for allergies to shellfish |
| What position should the patient be in for lumbar puncture? | recumbent fetal position |
| What is an aid not allowed to do in enteral tube feeding? | pushing down on the plunger |
| if there is redness on an area, what do you not do? | do not massage area |
| What did the nurse do wrong documentation wise? | erased it and left it blank |
| A patient is standing by the toilet and is incontinent, what do you say to her? | i know your upset, lets go get you clean clothes |
| What fruit is high in vitamin C? | melon |
| What do you do with postural drainage? | inhale and cough 2-3 times |
| if the wound is open and has tissue coming through what is this? | evisceration |
| what shows that the patient understands post- op exercises? | move legs up and down and do 10 sets |
| what do you want to do first? | angle chair with bed |
| where do you put pillows for a patient in prone position? | under head, abdomen, and lower legs |
| what would be an unexpected outcome for a child sitting in a weird cast for 4 weeks? | I don't know where i am |
Created by:
Kelarg5417