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UNIT I Actions Basic to Nursing Care
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Chapter 1 Asepsis and Infection Control
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Chapter 2 Vital Signs
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Chapter 3 Health Assessment
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Chapter 4 Safety
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Chapter 5 Medications
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Chapter 6 Perioperative Nursing
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UNIT II Promoting Healthy Physiologic Responses
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Chapter 7 Hygiene
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Chapter 8 Skin Integrity and Wound Care
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Chapter 9 Activity
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Chapter 10 Comfort and Pain Management
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Chapter 11 Nutrition
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Chapter 12 Urinary Elimination
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Chapter 13 Bowel Elimination
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Chapter 14 Oxygenation
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Chapter 15 Perfusion
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Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
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,Chapter 17 Neurologic Care
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Chapter 18 Laboratory Specimen Collection
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, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his
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mother's legs and asking to go home. Which of the following would be the best nursing inter
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vention to accomplish this task? pf pf pf pf
A) Perform the blood pressure assessment first because it is the most frightening
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procedure for a child. pf pf pf
B) Perform as many of the assessments as possible with the child seated on the
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parent's lap. pf
C) Do not allow the child to see the instruments until they are ready to be used.
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D) Remove any distractions (e.g., toys/dolls from the room to improve concentration).
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2. A nurse assesses the rectal temperature of a patient who is postoperative following oral
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surgery. What patient assessment needs to be made before taking this temperature?
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A) Pain assessment
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B) Pulse rate pf
C) Platelet count pf
D) Fecal occult blood test
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3. A patient informs the nurse that she still uses a mercury thermometer to take the temperat ure
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of her children when they are sick. Which of the following is a
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recommended teaching guideline for patients using these types of thermometers? pf pf pf pf pf pf pf pf pf
A) Teach patient safety related to accidental breakage of the thermometer.
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B) Tell patients using mercury thermometers to throw them in the trash and buy a new
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type of instrument.
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C) Encourage patients to use alternative devices to assess temperature in their home.
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D) Tell patients that mercury thermometers should be used only in a hospital setting
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with appropriate safeguards.
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4. A nurse is obtaining vital signs from patients using the tympanic method for measuring te m
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perature. Which of the following guidelines should be followed when taking a
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tympanic temperature? pf
A) Do not take a tympanic temperature if the patient has an earache.
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B) Do not take a tympanic temperature if there is noticeable earwax present.
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C) Do not take a tympanic temperature if the patient has an ear infection.
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D) If the patient has been sleeping with head to one side, take the temperature in the
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ear facing down.
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UNIT I Actions Basic to Nursing Care
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Chapter 1 Asepsis and Infection Control
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Chapter 2 Vital Signs
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Chapter 3 Health Assessment
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Chapter 4 Safety
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Chapter 5 Medications
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Chapter 6 Perioperative Nursing
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UNIT II Promoting Healthy Physiologic Responses
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Chapter 7 Hygiene
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Chapter 8 Skin Integrity and Wound Care
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Chapter 9 Activity
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Chapter 10 Comfort and Pain Management
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Chapter 11 Nutrition
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Chapter 12 Urinary Elimination
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Chapter 13 Bowel Elimination
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Chapter 14 Oxygenation
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Chapter 15 Perfusion
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Chapter 16 Fluid, Electrolyte, and Acid–Base Balance
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,Chapter 17 Neurologic Care
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Chapter 18 Laboratory Specimen Collection
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, Prof.Exams
1. A nurse is attempting to obtain vital signs from a restless toddler who is clinging to his
pf pf pf pf pf pf pf pf pf pf pf pf pf pf pf pf
mother's legs and asking to go home. Which of the following would be the best nursing inter
pf pf vk vk pf pf pf pf pf pf vk pf pf pf pf pf
vention to accomplish this task? pf pf pf pf
A) Perform the blood pressure assessment first because it is the most frightening
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procedure for a child. pf pf pf
B) Perform as many of the assessments as possible with the child seated on the
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parent's lap. pf
C) Do not allow the child to see the instruments until they are ready to be used.
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D) Remove any distractions (e.g., toys/dolls from the room to improve concentration).
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2. A nurse assesses the rectal temperature of a patient who is postoperative following oral
pf pf pf pf pf pf pf pf pf pf pf pf pf
surgery. What patient assessment needs to be made before taking this temperature?
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A) Pain assessment
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B) Pulse rate pf
C) Platelet count pf
D) Fecal occult blood test
pf pf pf
3. A patient informs the nurse that she still uses a mercury thermometer to take the temperat ure
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of her children when they are sick. Which of the following is a
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recommended teaching guideline for patients using these types of thermometers? pf pf pf pf pf pf pf pf pf
A) Teach patient safety related to accidental breakage of the thermometer.
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B) Tell patients using mercury thermometers to throw them in the trash and buy a new
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type of instrument.
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C) Encourage patients to use alternative devices to assess temperature in their home.
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D) Tell patients that mercury thermometers should be used only in a hospital setting
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with appropriate safeguards.
pf pf
4. A nurse is obtaining vital signs from patients using the tympanic method for measuring te m
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perature. Which of the following guidelines should be followed when taking a
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tympanic temperature? pf
A) Do not take a tympanic temperature if the patient has an earache.
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B) Do not take a tympanic temperature if there is noticeable earwax present.
pf pf pf pf pf pf pf pf pf pf pf
C) Do not take a tympanic temperature if the patient has an ear infection.
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D) If the patient has been sleeping with head to one side, take the temperature in the
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ear facing down.
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