- dyspnea Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? An antitussive drug inhibits coughing. Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? White potatoes Central Nervous System: 5 gtt/minute Normal: If the blood specimens are incompatible, hemolysis and antigen-antibody reactions will occur. It cannot be administered subcutaneously or intradermally. Not Attempted The vastus lateralis, a long, thick muscle that extends the full length of the thigh, is viewed by many clinicians as the site of choice for I.M. Which of the following procedures always requires surgical asepsis? 15 cards. med surg II final. D. A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected. The equivalent dose in milligrams is:A0.6 mgB10 mgC600 mg D60 mgQuestion 31 Explanation: gr 10 x 60mg/gr 1 = 600 mgQuestion 32A patient with no known allergies is to receive penicillin every 6 hours. All equipment must be sterile, and the nurse and the physician must wear sterile gloves and maintain surgical asepsis. This is done by blood typing (a test that determines a persons blood type) and cross-matching (a procedure that determines the compatibility of the donors and recipients blood after the blood types has been matched). Clay colored stools indicate: - fluid intake A patient has returned to his room after femoral arteriography. D. The Z-track method is an I.M. Is primarily a voluntary action Maternal and Child Health Nursing (NCLEX Exams), Medical and Surgical Nursing (NCLEX Exams), Pharmacology and Drug Calculation (NCLEX Exams). Why? In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain? 49. Appneustic breathing, atypical pneumonia and respiratory alkalosis However, the patients room should be well ventilated, so opening the window or turning on the ventricular is desirable. 0.6 mg Correct Answer Hair on or within body areas, such as the nose, traps and holds particles that contain microorganisms. - regulates levels of electrolytes, produces hormones that are important for blood pressure regulation, develops red blood cells, and helps to keep bones strong Provide additional bedclothes After the patient eats a light breakfast Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.Question 37Which of the following will probably result in a break in sterile technique for respiratory isolation?ATurning on the patients room ventilatorBOpening the door of the patients room leading into the hospital corridorCOpening the patients window to the outside environmentDFailing to wear gloves when administering a bed bath Question 37 Explanation: Respiratory isolation, like strict isolation, requires that the door to the door patients room remain closed. IM injection or an IV solution Time used Protective isolation is necessary Yawning and hiccupping do not prevent microorganisms from entering or leaving the body. - after infusion into the colon, tap water escapes from the bowel lumen into the interstitial spaces These certification (credentialing) demonstrates that the nurse has the knowledge and the ability to provide high quality nursing care in the area of her certification. Apply corn starch soaks to the rash The nurse explains to a patient that a cough: 37. - ability of the CV system to pump oxygenated blood to the tissues and return deoxygenated blood to the lungs - decreased O2 capacity (anemia) - pain The developer, Andrey Andreyev, indicated that the apps privacy practices may include handling of data as described below. Although applying corn starch to the rash may relieve discomfort, it is not the nurses top priority in such a potentially life-threatening situation. Muscles of the abdomen, back, and upper arms may be easily injured.Question 20The purpose of increasing urine acidity through dietary means is to:AInhibit the growth of microorganisms BChange the urines concentrationCDecrease burning sensationsDChange the urines colorQuestion 20 Explanation: Microorganisms usually do not grow in an acidic environment.Question 21Which of the following constitutes a break in sterile technique while preparing a sterile field for a dressing change?AUsing sterile forceps, rather than sterile gloves, to handle a sterile itemBPouring out a small amount of solution (15 to 30 ml) before pouring the solution into a sterile container A. The two blood vessels most commonly used for TPN infusion are the: A collection of all our articles and study guides for the fundamentals of nursing. In this reaction, antibodies in the recipients plasma combine rapidly with donor RBCs; the cells are hemolyzed in either circulatory or reticuloendothelial system. 6. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. fundamentals of nursing exam 3 flashcards quizlet web overview of exam 3 40 questions 60 minutes to take multiple choice select all that Can be inhibited by splinting the abdomen Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion? - constipation The most appropriate nursing action would be to: Fundamentals of Nursing Practice Exam 3 (PM) Fundamentals of Nursing Exam Ch. - diabetic ketoacidosis Because of this, limiting the patients intake of oral and I.V. - anxiety attacks education, research, and auditing/monitoring. Before a blood transfusion is performed, the blood of the donor and recipient must be checked for compatibility. Eating, drinking and medications are allowed because the X-ray is of the chest, not the abdominal region. Received credentials from the Philippine Nurses Association Rhonchi: All of the following are good sources of vitamin A except: The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). Normal WBC counts range from 5,000 to 100,000/mm3. After routine patient contact, hand washing should last at least: Depending on the degree of exposure to pathogens, hand washing may last from 10 seconds to 4 minutes. Increased partial thromboplastin time indicates a prolonged bleeding time during fibrin clot formation, commonly the result of anticoagulant (heparin) therapy. Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary; however it can be voluntary, as when a patient is taught to perform coughing exercises.
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