Nursing 160: Quiz 2 Study Guide
Fluid balance for older adults - correct answer ✔✔increased risk for dehydration due to a decrease in
thirst sensation
Sequential compression devices - correct answer ✔✔remove daily
check skin underneath for impaired skin
hypokalemia - correct answer ✔✔patient is at a increase risk of arrythmias
monitor heart rate and rhythm regularly
continuous monitoring
If you are doing nasal gastric suctioning and your pt experiencing respiratory depression, or a decrease in
their oxygen saturation - correct answer ✔✔you would want to intervene and provide supplemental
oxygen
Collecting sputum culture - correct answer ✔✔1. rinse their mouth with water prior to collecting the
specimen, and should be collected first thing in the morning
2. instruct pt to inhale 2 to 3 times deeply and when they exhale you want them to breath out forcefully
3. Cough deeply from the chest
4. Place container close to the pt mouth to obtain specimen
*do not let pt brush their teeth and do not collect salvia can be inaccurate
If your enter a pt room and they are sitting upright and playing cards showing no signs of respiratory
distress. You check their vitals and their pulse ox reads 60. What would be the next option? - correct
answer ✔✔Reassess oxygen saturation
extremity cold be colds
or checking the pulse at the earlobe or toes
, Oxygen safety - correct answer ✔✔No smoking, storing upright, not stored by any heat sources, should
be a sign posted, pt should not be altering the level of oxygen being delivered
Respiratory Assessment how do you instruct your patients to breath - correct answer ✔✔Inhale through
the mouth and exhale through the nose
indwelling urinary catheter pt complains of pain and discomfort - correct answer ✔✔report to the
doctor
may be a sign of infection
Fluid deficit signs and symptoms - correct answer ✔✔dehydration
dry skin
dry mucus membrane
flat junaglar veins
elevated heart rate
low blood pressure
sunken eyes
weight loss
When doing routine care of indwelling catheter/ peri care What is the most important part to clean? -
correct answer ✔✔2 inches of the catheter
perineal area
A pt that has a elevated electrolyte level or low what is going to be priority action going to be - correct
answer ✔✔report to the doctor or charge nurse
Normal calcium levels - correct answer ✔✔8.5-10.5 mg/dL
clean catch urine specimen - correct answer ✔✔Not sterile
personal hygiene
Fluid balance for older adults - correct answer ✔✔increased risk for dehydration due to a decrease in
thirst sensation
Sequential compression devices - correct answer ✔✔remove daily
check skin underneath for impaired skin
hypokalemia - correct answer ✔✔patient is at a increase risk of arrythmias
monitor heart rate and rhythm regularly
continuous monitoring
If you are doing nasal gastric suctioning and your pt experiencing respiratory depression, or a decrease in
their oxygen saturation - correct answer ✔✔you would want to intervene and provide supplemental
oxygen
Collecting sputum culture - correct answer ✔✔1. rinse their mouth with water prior to collecting the
specimen, and should be collected first thing in the morning
2. instruct pt to inhale 2 to 3 times deeply and when they exhale you want them to breath out forcefully
3. Cough deeply from the chest
4. Place container close to the pt mouth to obtain specimen
*do not let pt brush their teeth and do not collect salvia can be inaccurate
If your enter a pt room and they are sitting upright and playing cards showing no signs of respiratory
distress. You check their vitals and their pulse ox reads 60. What would be the next option? - correct
answer ✔✔Reassess oxygen saturation
extremity cold be colds
or checking the pulse at the earlobe or toes
, Oxygen safety - correct answer ✔✔No smoking, storing upright, not stored by any heat sources, should
be a sign posted, pt should not be altering the level of oxygen being delivered
Respiratory Assessment how do you instruct your patients to breath - correct answer ✔✔Inhale through
the mouth and exhale through the nose
indwelling urinary catheter pt complains of pain and discomfort - correct answer ✔✔report to the
doctor
may be a sign of infection
Fluid deficit signs and symptoms - correct answer ✔✔dehydration
dry skin
dry mucus membrane
flat junaglar veins
elevated heart rate
low blood pressure
sunken eyes
weight loss
When doing routine care of indwelling catheter/ peri care What is the most important part to clean? -
correct answer ✔✔2 inches of the catheter
perineal area
A pt that has a elevated electrolyte level or low what is going to be priority action going to be - correct
answer ✔✔report to the doctor or charge nurse
Normal calcium levels - correct answer ✔✔8.5-10.5 mg/dL
clean catch urine specimen - correct answer ✔✔Not sterile
personal hygiene
