Intro To Clinical Nursing Practice - Midterm

Front 1

A client with a history of poor nutrition & chronic illness is admitted to the unit. As the nurse is caring for this client, she recalls that normal body flora resists ________ by releasing antibacterial substances and _________ multiplication of pathogenic ___________.

Back 1

infection
inhibiting
microorganisms

Front 2

Methods to reduce disease-producing microorganisms are ______ ________

Back 2

hand washing

Front 3

The minimum urinary output for an adult is _________

Back 3

30 ml/hr

Front 4

The nurse suspects a client may be experiencing urinary retention. When assessing this client, the nurse's first suspicion is when the client has _____ amounts of urine voided ______ times per hour

Back 4

small
2 to 3

Front 5

What is the name of an infection which develops that was not present at the time of client admission?

Back 5

nosocomial infection

Front 6

A client is taking Coumadin, which is making his urine orange & he wants to know what normal urine should look like. The nurse informs the client that normal urine is _______ ______ to _______ in color

Back 6

pale straw
amber

Front 7

Stools that are dry and hard to pass are best described as __________

Back 7

constipation

Front 8

To maintain normal elimination patterns in a hospitalized client, the nurse should encourage the client to take time to defecate 1 hour after meals because mass _______ ________ occurs at this time.

Back 8

colonic peristalsis

Front 9

Where is urine formed in the kidney?

Back 9

the glomerulus

Front 10

A client is immobilized after surgery. The nurse observes a continual oozing of stool from the client's rectum. The nurse recognizes that this condition most likely represents _______ _________

Back 10

fecal impaction

Front 11

The recommended daily fluid intake for dilution of urine, promotion of micturition, and flushing the urethra of microorganisms is __________

Back 11

2000-2500 ml/day

Front 12

A client on the medical unit is scheduled to have a 24-hour urine collection to diagnose a urinary disorder. The nurse should keep the ________ jar in _____

Back 12

collection
ice

Front 13

In order to receive a correct result in a fecal occult blood test, the nurse instructs the client to refrain from ingesting _____ and __________ that can cause a false positive result.

Back 13

foods
medications

Front 14

An appropriate technique for a clean-void urine specimen collection is to _______ the specimen after the _______ stream of urine had passed.

Back 14

collect
initial

Front 15

After applying an extremity restraint the nurse needs to assess _____ and __________ status

Back 15

skin
neurovascular

Front 16

The use of restraints requires a _________ _______.

Back 16

physician's order

Front 17

In the hospital setting, the linen that is generally changed every day includes the ______ _______

Back 17

bottom sheet

Front 18

In delegating the morning care for the client, the nurse expects the assistant to wash the client's legs with _____ strokes from the _______ to the ____

Back 18

long
ankle
knee

Front 19

Dentures should be ______ with a ____ toothbrush.

Back 19

brushed
soft

Front 20

When bathing extremities, as a rule the procedure will progress from _______ to _______

Back 20

distal
proximal

Front 21

When making a hospital bed, the top sheet should be made with a _______ ______ corner

Back 21

modified mitered

Front 22

The purpose for creating a mitt with the wash cloth is to _____ in ______

Back 22

hold
heat

Front 23

A nurse is assisting a client with right-sided hemiplegia transfer from the bed to a chair. The most appropriate action for the nurse is to support the ________ side

Back 23

affected (right)

Front 24

On entering the room, the nurse finds the client sitting upright in bed with his upper torso resting on the overbed table. This type of positioning represents an _________ ________

Back 24

orthopneic position

Front 25

The nurse is caring for a client who has pneumonia. To facilitate respiration & lung drainage this client should be best placed in the ________ ________

Back 25

prone position

Front 26

A blood component that carries oxygen throughout the body is ________

Back 26

hemoglobin

Front 27

The normal percent of oxygen in the environment is _____

Back 27

21%

Front 28

A nurse instructs a client to inhale & perform a series of coughs during exhalation. This is known as _______

Back 28

cascade

Front 29

In the blood there is _____ normal saline

Back 29

0.9

Front 30

Surgical = _______ technique
Medical = _______ technique

Back 30

sterile
medical

Front 31

ENEMA:
- between _______ degrees F
- Fill bucket/bag with ______ ml solution
- Raise container ______ " from the lovel of the rectum
- Always hold tubing ___ ______

Back 31

105-110
750-1000
12-18
in place

Front 32

ENEMA:
- Position patient in left _____, ____ underneath
- _____ tip and insert tubing ______ inches
- Encourage patient to hold in _____ minutes

Back 32

Sims
chux
lubricate
3-4
10-15

Front 33

Foot care on a patient will be ________-_______ driven

Back 33

hospital
policy

Front 34

Never ______ dirty linen and don't let it touch your _______.

Back 34

shake
uniform

Front 35

Abduction = ______ body
Adduction = ______ body

Back 35

away from
towards

Front 36

Crutches: _______ finger breadths beneath the axilla and ______ inches from the lateral border of the foot

Back 36

2 to 3
6-8

Front 37

Cane movement:
_______, ______, ______

Back 37

cane
affected
unaffected

Front 38

With a C&S test, note any ________ the patient is on.

Back 38

antibiotics

Front 39

In a guaiac stool test and a gastric contents test, a positive test is ______

Back 39

blue

Front 40

_______ _______ Act of 1987 defines patient rights and choices regarding the use fo restraints

Back 40

Omnibus Reconciliation

Front 41

In a patient requiring restraints, the _____ _______ restraint should be ordered

Back 41

least restrictive

Front 42

For both vest and limb restraints: secure a _____ ______ ____ to the bed frame

Back 42

quick release tie

Front 43

Orders for restraints need to be renewed every _____ hours

Back 43

24

Front 44

Documentation (recording and reporting) ensures ______ and ______ of care

Back 44

continuity
quality

Front 45

5 good habits of charting:
- Use _______ abbreviations
- Be ______
- Be _______
- Just the _____
- Organize _____

Back 45

accepted
concise
timely
facts
data

Front 46

Rebreathing mask (____ flow system) has ___ bag attached.
Nonrebreathing mask (_____ flow system) has ___ bag attached.

Back 46

low
no
high
a

Front 47

Symptoms of hypoxia include:
______, _______, tachycardia, _______ blood pressure, diaphoresis, anxiety, and _______

Back 47

dyspnea
cyanosis
elevated
confusion

Front 48

Clean an accu-chel machine ____ time per week regardless.

Back 48

one

Front 49

Test strips for an accu-chek are good until expiration date only if _______. One opened, they are good for ___ months after

Back 49

unopened
3

Front 50

Units of heparin (do or do not) equal units of insulin.

Back 50

do not

Front 51

Name the five rights for medication

Back 51

Patient
Medication
Time
Dose
Route

Front 52

Never ______ a contaminated needle.

Back 52

recap

Front 53

SQ injections:
____ degree angle with ____ to ____ inch needle

Back 53

45
1/2
5/8

Front 54

IM injections:
Always ____ degree angle with ___ to ___ inch needle.
Always _______

Back 54

90
1
1 1/2
aspirate

Front 55

Name the five rights for medication

Back 55

Patient
Medication
Time
Dose
Route

Front 56

Never ______ a contaminated needle.

Back 56

recap

Front 57

SQ injections:
____ degree angle with ____ to ____ inch needle

Back 57

45
1/2
5/8

Front 58

IM injections:
Always ____ degree angle with ___ to ___ inch needle.
Always _______

Back 58

90
1
1 1/2
aspirate