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Skill 1 Final
Skills 1
| Question | Answer |
|---|---|
| What type of stools would the nurse assess in a patient with an illness that causes the stool to pass through the large intestine quickly? | Soft, Watery |
| A nurse is assessing the stools of a breastfed baby. What is the appearance of normal stools for this baby? | yellow, loose, odorless |
| A patient is having difficulty having a bowel movement on the bedpan. What is the physiologic reason for this problem? | the position does not facilitate downward pressure |
| What to do if the order is a hypertonic phosphate enema with person with chronic kidney disease | Question the physician |
| Hematest for occult blood in the stool has been ordered. What is occult blood? | blood that cannot be seen |
| An infant has had diarrhea for several days. What assessments will the nurse make to identify risks from the diarrhea? | assess skin turgor |
| A patient tells the nurse that he takes laxatives every day but is still constipated. The nurses response is based on which of the following? | habitual laxative use is the most common cause of chronic constipation |
| Most common symptom of UTI in older adult | confusion |
| What does aldosterone do to urine output | decreases it |
| How long should you wash your hands? | 20 seconds |
| What does purulent drainage consist of? | debris, WBC, bacteria |
| Which of the following describes the term micturition? | emptying the bladder |
| A client tells the nurse, "every time I sneeze, I wet my pants" What is this type of involuntary escape of urine called? | Urinary incontinence |
| After surgery, a postoperative client has not voided for eight hours. Where would the nurse assess the bladder for distention? | between the symphysis pubis and the umbilicus |
| A nurse is using a bladder scanner to assess the bladder volume of a client with urinary frequency. In which of the following positions would the nurse place the client? | Supine |
| How often should you check restraints | every 15 minutes |
| What is the point of flushing IV | prevents blood clots and clears medication |
| When is a person most infectious? | prodromal stage |
| How to clean uncircumcised penis? | Immediately dry and flip down |
| How to correctly change occupied bed | Fan fold dirty linen toward pt |
| What type of fats should someone with cardiac problems eat? | unsaturated fats |
| What is the immediate step after you notice extravasation? | contact physician |
| How to stimulate someone's appetite? | oral hygiene |
| Phlebitis manifestations | redness along vein |
| How to dilate vein SATA | pump hand, massage vein, stroke vein |
| What is a central line for? | long term use |
| Pt got an infection after hip replacement. What type of infection is this? | Health associated infection |
| How to add something to sterile field | sterile foreceps and sterile gloves |
| Cdiff precautions | roll up gown into gloves and wash hands with soap and water |
| What is the point of an isotonic IV fluid | Maintain fluid balance without a fluid shift |
| If a pt has a wound infection, what precautions would they be put on? | contact |
| When a pt has loss of appetite after illness or surgery what is it called | anorexia |
| Pt needs partial care, how would you help them | help with hard to reach areas |
| Who is at most risk of skin injury | 70 yr old with diabetes |
| What would increase someone's BMR | infection |
| If a young lady was deficient in folic acid, what are they at risk for | Fetus could have neural tube defects |
| Which statement indicates the pt understands myplate? | half of plate is filled with non starchy vegetables and fruits |
| What route would a PN be administered? | Intravenous |
| What to do first before performing mouth assessment? | Don clean gloves |
| When do you use an infusion pump | when you want to be precise |
| What type of transmission is TB | airborne |
| A kid has influenza. What would you teach the family about preventing the spread of disease? | hand hygiene |
| What should your response be when a pt is angry because they can't have antibiotics for the flu? | Can't use antibiotics to treat the flu. |
| A man is taking anticoagulants. What should he shave his face with? | electric razor |
| Nurse is about to put in IV and family is in the room. What should the nurse do | They should ask the pt whether they would like the family to leave the room |
| the latest CDC guidelines designate standard precautions for all substances except which of the following? | Sweat |
Created by:
julie.russell