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35 Cards in this Set
- Front
- Back
A charge nurse is observing a newly hired nurse prepare a sterile field which of the following indicates to the charge nurse that was sterile field is contaminated |
Sterile field is open on a wet surface |
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A nurse is providing teaching to a client who is receiving chemotherapy which of the following statements indicates an understanding of the teaching |
I will disinfect my toothbrush weekly |
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Proper technique of using a walker |
Uses a lifting motion to move the walker |
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A nurse is caring for a client who has tuberculosis which of the following actions should the nurse take |
One place the client and a negative pressure room to wear gloves when assisting the client with oral care 3.use antimicrobial sanitizer for hand hygiene |
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What is an important precaution to take when caring for a client who has diarrhea due to shigella |
Wash hands before and after client contact |
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To prevent infection when inserting an IV catheter |
Thread the IV catheter so that the hub rests at the insertion site |
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Instructions for a home oxygen concentrator |
Check the cord routinely for phrase or tearing. Consider purchasing a generator for power back up. Monitor for signs of hypoxia |
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Which of the following would indicate to a nurse the need to suction a clients tracheostomy |
Irritability |
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How do you perform a Romberg test |
Have the client stand with arms at side and feet together |
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Inflate a blood pressure cuff 30 above the last measurement on the man o meter at which you are able to palpate a pulse |
30 beyond the last measurement |
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A patient with a pressure ulcer would be expected to have a serum albumin level of |
3 grams per deciliter. Indicating protein deficiency |
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Teaching a client about techniques to promote sleep |
Consume a light snack of carbohydrates at bedtime |
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During a wound irrigation |
Cleanse the wound from the center outwards |
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If intake is 2600 milliliters of fluids |
Expected output would be 2500 milliliters |
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A clear liquid diet does not include |
Orange sherbet However black coffee is a clear liquid. |
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Potential indication of abuse |
Presence of bruises on the arms in various stages of healing |
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When is talking to a client with hearing loss |
Rephrase rather than repeat misunderstood information |
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Technique and I should use when performing nasotracheal suction for a client |
Apply intermittent section when withdrawing the catheter |
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What should be used to irrigate an NG tube |
0.9% sodium chloride |
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A patient with tuberculosis |
Negative airflow room |
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The patient with c diff |
Have visitors wear gown and gloves. Wash hands with soap and water not only alcohol-based hand sanitizer |
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Inserting the NG tube |
As a client take sips of water to promote insertion of the NG tube into the esophagus |
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Recognized at the at the site as infiltration |
Skin blanching |
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Decline receiving continuous tube feeding via NG tube has three episodes of vomiting in 12 hours Nursing action should be |
Aspirate for residual |
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Behavioral signs of dysphagia |
Storing food in the mouth |
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Initiate and enteral feeding through a PEG tube |
This falls within that are in scope of practice |
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The patient has a cerebrovascular accident and is unable to bear his own weight |
Use a hydraulic lift and have an AP help move the client |
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Range of motion exercises to promote neck rotation |
Have patient move their head from side to side |
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Preparing to transfer a client from the bed to the stretcher using a slide board |
The nurse should lower the head of the bed |
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Protocol in preparation for suctioning a client with a new tracheostomy |
Select a suction catheter that is half the size of the lumen |
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If a patient develops phlebitis during receiving IV fluids remove the catheter in place a warm compress over the IV site |
Ditto |
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Teaching regarding the use of a cane |
Maintain 2 points of support on the floor |
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If a patient has difficulty voiding after the removal of an indwelling urinary catheter |
pour warm water over the client perineum |
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A patient has an order for 5 units of regular insulin and 10 units of NPH insulin to be mixed together and administered subcutaneously |
1 inject air into the vial of NPH without touching the solution in order to withdraw the desired amount of medication later. To the nursery next inject air into the vial of regular insulin, and then with a draw the appropriate amount of medication. Next lunar should place the needle into the NPH insulin vials and with a draw the correct amount of medication. The nurse should follow these steps to prevent contaminating the regular insulin with NPH insulin |
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A good plan of care for an older adult client who is at risk for falls |
Implement a regular toileting schedule |