Test: Practice Quizzes Fundamentals 2 (40 preguntas)

Test: Practice Quizzes Fundamentals 2 (40 preguntas) A nurse is caring for a toddler when the mother calls to the nurse "Help! My baby is choking on his food!. Which of the following findings indicate the baby has an airway obstruction? Flushing of the skin Inability of the toddler to cry or speak Presence of nausea and mild emesis Capillary refill time of 1.5 seconds A nurse is planning care for a client who has a prescription for a collection of sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen? Collect the specimen upon arising in the morning Force fluids during the day and collect the specimen in the evening Collect the specimen after antibiotics have been started. Collect 2 mL of sputum before sending the specimen to the lab. A nurse is performing eye irrigation for a client who has been exposed to smoke and ash. Which action should the nurse take? Hold the irrigator 1.25 cm (0.5 in) above the eye. Direct the irrigation solution upward toward the upper eyelid. Exert pressure on the bony prominences when holding the eyelids open. Direct the irrigation from the outer canthus to the inner canthus of the eye. A nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the following actions should the nurse take? Maintain suction while removing the NG tube Instill 100 mL of air into the NG tube before removal Pinch the NG tube when removing the tube Instruct the client to breathe in and out during the removal of the NG tube. Where should the nurse administer an intramuscular injection an adult client who is overweight? Lower, medial quadrant of buttock near the coccyx Side hip between iliac crest and anterior iliac spine Tissue of posterior upper arm Lower, inner thigh 4 finger widths above the patella A nurse is changing bed linens for a client who is on bed rest. Which action should the nurse take?