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Foundations Final Jersey College Test

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Foundations Final Jersey College Test

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Foundations Final Jersey College Test (Questions &
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Hypoxia - ANSWER deficiency in the amount of oxygen reaching the tissues

Auscultation - ANSWER to listen

Palpation - ANSWER an examination technique in which the examiner's hands are
used to feel the texture, size, consistency, and location of certain body parts

percussion - ANSWER tapping on a surface to determine the difference in the
density of the underlying structure

Piece of equipment is used to perform the Weber test and Rinne test - ANSWER
Tuning Fork

Weber's test and Rinne's test are performed in order to assess - ANSWER Sound
Conduction (deafness)

When assessing a "PT" eye, which instrument would the nurse use to visualize the
retina - ANSWER Ophtalmoscope

ophtalmoscope - ANSWER instrument for examining the interior of the eye,
especially the retina

percutaneous - ANSWER through the skin

The nurse performs a comprehensive assessment of a newly admitted client. What
is the primary purpose of this admission assessment - ANSWER Identify baseline
data

Comprehensive assessment - ANSWER The comprehensive assessment is
conducted when a client first enters the health care setting to obtain baseline
information that can be used for comparison to later assessments.

When assessing the glossopharyngeal nerve, it is most important for the nurse to
implement which intervention - ANSWER The clients ability to swallow

cranial nerves - ANSWER 12 pairs of nerves that carry messages to and from the
brain

Cranial Nerve 1 - ANSWER Olfactory (smell)

Cranial Nerve 2 - ANSWER Optic - vision

Cranial Nerve 3 - ANSWER Oculomotor (eye movement)

,Cranial Nerve 4 - ANSWER Trochlear (eye movement)

Cranial Nerve 5 - ANSWER Trigeminal

Cranial Nerve 6 - ANSWER Abducens (motor)

Cranial Nerve 7 - ANSWER facial nerve

Cranial Nerve 8 - ANSWER Vestibulocochlear

Cranial Nerve 9 - ANSWER Glossopharyngeal

Cranial Nerve 10 - ANSWER Vagus

Cranial Nerve 11 - ANSWER Accessory (motor)

Cranial Nerve 12 - ANSWER Hypoglossal (tongue movement)

popping sounds heard on auscultation of the lungs - ANSWER crackles

Hepatitis - ANSWER inflammation of the liver

Hepatitus B Virus - ANSWER Virus caused by contact with bodily fluids and can
cause scarring of the liver, liver failure, cancer, or death.

Assessment - ANSWER Before the nurse can determine what care a person
requires, the nurse must determine the client's needs and problems. This requires
the use of assessment skills and data collection, which include interviewing,
observing, and examining the client, and in some cases, the client's family. Following
the assessment, the nurse can also use the client's medical record and contact other
healthcare providers.

When using an interpreter - ANSWER The nurse should observe the cues the client
expresses with body language, and listen to the tone of voice.

Tugor - ANSWER skins elasticity; poor elasticity seen when skin remains pinched
(slowly unfolds) sign of dehydration

Chlorhexidine - ANSWER an antibacterial compound with substantial residual
activity that is used as a liquid antiseptic and disinfectant

arterial blood pressure - ANSWER Arterial blood pressure (ABP), a basic
hemodynamic index, is often used to guide therapeutic interventions in critically ill
patients

peripheral venous catheter - ANSWER a peripheral venous catheter, peripheral
venous line or peripheral venous access catheter is a catheter placed into a
peripheral vein for intravenous therapy such as medication fluids. Upon insertion, the
line can be used to draw blood

, Edema happens when there is which fluid volume imbalance? - ANSWER
extracellular fluid volume excess

Anemia - ANSWER a deficiency of red blood cells

pallor - ANSWER Extreme or unnatural paleness

Appropriate Levels - ANSWER Potassium
3.5-5.0

Phosphorus
2.5-4.5

Magnesium
1.3-2.3

Sodium
135-145

Chloride
97-107

Calcium
8.6-10.2

Bicarbonate
25-29

Packed Red Blood Cells (PRBCs) - ANSWER To increase oxygen-carrying
capacity in patients with anemia, in patients with substantial hemoglobin deficits, and
in patients who have lost up to 25% of their total blood volume
administered as 1 unit over 2-3 hours not to exceed 4 hours

Potassium sparing diuretics - ANSWER Potassium-sparing diuretics such as
spironolactone, amiloride, and triamterene all have the potential to cause
hyperkalemia.

Pediatric IV sites - ANSWER foot

NPO - ANSWER nothing by mouth

Furosemide - ANSWER loop diuretic
decreases potassium levels

Hypovolemia - ANSWER decreased blood volume

How is control over the extracellular concentration of potassium within the human
body is exerted - ANSWER aldosterone.

phlebitis - ANSWER vein inflammation

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