Fundamental Nursing Skills And Concepts

MULTIPLE CHOICE 1. A patient is to have an IV insertion site changed. The current line is in the lower right forearm. Which location is contraindicated for the new site? a. Right upper forearm b. Right hand c. Left upper forearm d. Left hand ANS: B A new IV site should not be placed distal to an old site; the right hand is distal to the right forearm, so it should not be used. DIF: Cognitive Level: Analysis REF: m 710 OBJ: Clinical Practice #4 TOP: Changing IV Site KEY: Nursin...

MULTIPLE CHOICE 1. A patient in the ICU is producing an increased amount of sputum and has a fever. The nurse suspect Which of the following characteristics of the patients sputum would indicate a bacterial infection, as infection? Select all that apply. A. Yellow B. Clear C. Blood-streaked D. Green SaO2 E. Brown F. White 2. An older patient in the ICU has labored breathing and a history of smoking. The nurse suspects that has chronic obstructive pulmonary disease (COPD). Which ...

Chapter 26: Ambulatory Aids Chapter 27: Perioperative Care Chapter 28: Wound Care Chapter 29: Gastrointestinal Intubation Chapter 30: Urinary Elimination

Chapter 11: Vital Signs Chapter 12: Physical Assessment Chapter 13: Special Examinations and Tests Chapter 14: Nutrition Chapter 15: Fluid and Chemical Balance

MULTIPLE CHOICE 1. The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean: a. from the outer abdomen toward the wound. b. in a circular motion around the wound circling to the outside. c. from the left to the right across the wound. d. directly over the wound. ANS: B A circular motion around the wound toward the outside keeps the wound area cleanest. DIF: Cognitive Level: Application REF: m 774, Skill 38-1 OBJ: Clini...

MULTIPLE CHOICE 1. A patient recently started on enteral tube feedings starts complaining of nausea and having diarrhea. The best nursing action is to: a. check the enteral tube for placement. b. slow down the feedings and monitor. c. perform a fingerstick blood glucose test. d. stop the feedings and inform the physician. ANS: D Nausea, constipation, and diarrhea are concerns following institution of tube feedings. DIF: Cognitive Level: Application REF: m 497, Box 27-3 OBJ: C...

MULTIPLE CHOICE 1. A nurse is instructing a patient who had surgical removal of a brain tumor on how to prevent respiratory complications from surgery. The nurse would teach the patient to: a. turn, cough, and deep breathe. b. use humidified oxygen. c. turn gently from side to side. d. use deep breathing and an incentive spirometer. ANS: D Coughing may be contraindicated for patients who have had hernia repair, eye, ear, or brain surgery. This is because the act of coughing could...

MULTIPLE CHOICE 1. A healthy, 32-year-old man wants to start a fitness program to increase his muscle tone and muscle strength. What advice should the nurse offer him? The United States Department of Health and Human Services recommends: 1) That exercising even once a week is beneficial. 2) 30 minutes or more of moderate-intensity physical activity three times a week. 3) 1 hour, three times a week of moderate-intensity physical activity. 4) 150 to 300 minutes or more of moderate-inten...

MULTIPLE CHOICE 1. A patient asks the nurse about the difference between manipulative and body-based methods and mind body therapies. The nurses correct response is that: a. manipulative and body-based methods involve touching or manipulation, and mind body therapies deal ability to affect the body. b. Mind body therapies involve touch and manipulation, and body-based methods involve the minds ability body. c. Mind body therapies involve the use of herbal remedies, whereas manipulative a...

MULTIPLE CHOICE Identify the choice that best completes the statement or answers the question. 1. A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When the patient asks to toilet, which measure would be appropriate? a. Help patient up on a commode very carefully. b. Turn patient onto right side, place the bedpan behind, and turn back. c. Have patient sit up as high as possible and lift self up with hands pushing on the bed, then slide the bedpa...