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Nursing > Exam 3 106 Practice Terms > Flashcards

Exam 3 106 Practice Terms Flashcards

1
Q

Mass casualty code color

A

Blue

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2
Q

Chemical spill code color

A

Orange

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3
Q

Newborn abduction code color

A

Pink

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4
Q

Fire code color

A

Red

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5
Q

Nurse on med surg unit informed of mass casualty event and needs to discharge clients to make room for injury victims…

A

Release client scheduled for transurethral resection of the prostate.

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6
Q

Nurse should recognize that in mass casualty event care of what client receives highest priority?

A

Client with partial thickness and full thickness burns on face neck and chest.

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7
Q

Client admitted to med surg unit after inhaling anthrax, what anti infective will be choice?

A

Ciprofloxacin

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8
Q

Soon after clients abdominal surgery nurse includes what intervention in plan of care for promoting peristalsis?

A

Early ambulation.

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9
Q

Medication that does not cause GI bleeding…

A

Antidiarrheal opiate agents.

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10
Q

Rounded abdomen does not…

A

Suspect fecal impaction.

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11
Q

When irrigating colostomy nurse uses?

A

Cone tipped irrigator.

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12
Q

Client has diarrhea and cramping when eating ice cream nurse suspects?

A

Lactose intolerance.

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13
Q

Diarrhea occurs with a fecal impaction is the result of…

A

Seepage of stool around impaction.

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14
Q

Nurse caring for client who will perform fecal test at home, what should nurse include when explaining procedure?

A

Specimen cannot be contaminated with urine.

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15
Q

Nurse caring for client whom tap water enema prescribed and said to be reported until water runs clear, what should nurse do?

A

Contact provider because tap water is hypotonic and can cause toxicity so it shouldn’t be repeated.

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16
Q

During enema client reports pain and nurse notes blood in return fluid, actions?

A

Stop instillation and measure vital signs.

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17
Q

Prolonged diarrhea causes…

A

Tachycardia, dehydration, hypotension, fever, lethargy, poor skin turgor, abdominal cramping.

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18
Q

Maximum amount of enema fluid for adult…

A

750-1000 ml

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19
Q

Maximum amount of enema fluid for infant…

A

150-200 ml

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20
Q

Maximum amount of enema fluid for toddler…

A

250-350 ml

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21
Q

Maximum amount of enema fluid administered to school aged child…

A

300-500 ml

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22
Q

Maximum amount of enema fluid administered to adolescent…

A

550-750 ml

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23
Q

Tornado code color

A

Gray

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24
Q

Nurse assistant is working with client who is restrained needs to…

A

Report any signs of redness, excoriation, or constricting of circulation under restraint.

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25
Q

During assessment 56 yr old client reports increased alcohol consumption due to stress. One of the expected outcomes for this client would be…

A

To provide the client with information about stress management classes.

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26
Q

Fire extinguisher for electric wiring

A

Class C

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27
Q

Fire extinguisher for cardboard

A

Class A

28
Q

Fire extinguisher for gasoline

A

Class B

29
Q

During the night shift a client is found wandering the hospital the hospital looking for bathroom, nurses initial intervention would be…

A

Provide scheduled toileting during night shift.

30
Q

Parent calls pediatric office when child drinks bottle of cleaner, nursing instruction?

A

Call poison control center.

31
Q

When teaching employees in the food handling department about the need to wash hands after using restroom to prevent?

A

Spread of hep A.

32
Q

Smallpox is…

A

Airborne

33
Q

Carbon monoxide poisoning

A

Have all water heater inspected on an annual basis.

34
Q

Aphasia

A

Client cannot speak or comprehend spoken language.

35
Q

Nurse helping client adjust to normal sensory changes of aging by…

A

Minimizing glare by selecting satin and nongloss finishes for walls and counters.

36
Q

History of having worn hearing devices

A

Is not a significant finding that suggests risk of sensory impairment.

37
Q

Nurse considering the effect of sensory function on an individual’s level of wellness…

A

When sensory function is altered, the persons ability to relate and function within the environment changes.

38
Q

Nurse teaching normal sensory changes when aging, further education is needed when what statement is made…

A

Because older adults have reduced central vision, they are a greater risk for accidents. This is not true because peripheral vision changes when aging not central.

39
Q

Psychotropic drugs…

A

Do not increase ones risk for sensory deprivation.

40
Q

Client not paying attention during conversation with nurse and rates her hearing as poor, nursing diagnosis?

A

Disturbed sensory perception (auditory)

41
Q

Home health care nurse providing instructions about older adult with visual loss, nurse tells nurse assistant that clients with visual loss…

A

Often use colored tape to distinguish settings on electrical appliances and to highlight the edge of stairs.

42
Q

When aspiration suspected with tube feeding?

A

Stop the feeding or pneumonia will develop.

43
Q

The enteral tube best suited for short term use (4 weeks or less)…

A

NG tube

44
Q

The purpose of flushing a tube after feeding…

A

Prevent clogging.

45
Q

Proper way to secure NG tube…

A

Tape the tube to he nostril.

46
Q

What formula is nutritionally complete?

A

Polymeric

47
Q

What formula provides a single macronutrient?

A

Modular formula

48
Q

Predigesting nutrients are in what formula?

A

Elemental

49
Q

Infiltration presents with…

A

Swelling, DROP in skin temperature, slowed infusion, pale skin.

50
Q

Fluid overload

A

Increased blood pressure, tachycardia, shortness of breath, crackles in lungs and distended neck veins.

51
Q

What fluid will be ordered for a client that is dehydrated?

A

0.45 sodium chloride solution, will cause fluid to move into cells.

52
Q

0.9 sodium chloride solution is…

A

Isotonic

53
Q

How often should an IV tubing be replaced?

A

Every 72 hours or 3 days.

54
Q

22-24 gauge needle

A

Used for children, older adults or stable postoperative clients.

55
Q

16 gauge needle used for

A

Trauma and rapid fluid volume infusion clients.

56
Q

18 gauge needle used for

A

Surgical and rapid blood transfusion clients.

57
Q

The smallest gauges needle that blood can run through…

A

20 gauge, 18 is preferred.

58
Q

Furosemide

A

Potassium wasting diuretic.

59
Q

Clinical assessment for dehydration would be confirmed if…

A

Nurse found dry mucous membranes.

60
Q

Nurse assisting physician with blood gas analysis sample from client, after obtaining the sample what does nurse do?

A

Seal the end of the syringe and put into a cup of ice water.

61
Q

Hypovolemia causes

A

HYPOtension, tachycardia, tachypnea, furrowed dry tongue, sunken eyeballs.

62
Q

What happens when lab states the blood sample has been lysed?

A

Potassium level will be abnormally high and specimen needs to be redrawn.

63
Q

What client is at greater risk for development of hypocalcemia?

A

Renal failure client.

64
Q

Caring for hypernatremic client, what should be done?

A

Infuse hypotonic IV fluids.

65
Q

Client has peritonitis and dehydration what would not be expected?

A

Decreased urine specific gravity.

66
Q

Thiazide diuretics cause…

A

Hypokalemia

67
Q

To prevent client from performing Valsalva maneuver, nurse will NOT request stool softener for client with…

A

Hypotension

Nursing (11 decks)

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