1
Nurse logic Knowledge and clinical judgment beginner
1. A nurse is precepting a newly licensed nurse while he is
charting. Use of which of the following abbreviations indicates
a need for further teaching?
a. mcg
b. q.d.
c. mL
d. PO
Answer is B-q.d. is the incorrect term. To indicate daily, you should
use the word "daily" when charting. Q.d. used to be confused for
qid, which means 4x a day.
2. A nurse is caring for a client who is diagnosed with anemia.
Which of the following skin color variations is caused by a reduced
amount of oxyhemoglobin?
a. Cyanosis
b. Jaundice
c. Erythema
d. Pallor
Answer is D-Pallor
-Oxyhemoglobin is the combined state of oxygen that is to be
delivered to peripheral tissues with the hemoglobin molecule that will
carry it. In clients who have anemia, the RBCs are reduced, by
function or in number, to the point that peripheral tissues are not
receiving adequate oxygen because of a decreased amount of
circulating oxyhemoglobin. The reduced oxygen supply to the tissues
causes changes to the client's skin color. Pallor is caused by a reduced
amount of oxyhemoglobin. Pallor is a decrease in the coloring of the
peripheral tissues that is caused by an overall reduction in the blood
flow or by a decrease in the number of RBCs that contain
oxyhemoglobin, which reduces the visibility of oxyhemoglobin.
Pallor
Paleness of the skin - Decrease in the coloring of the peripheral
tissues. Is caused by an overall reduction in the blood flow or by a
decrease in the number of RBCs that contain oxyhemoglobin, which
reduces the visibility of oxyhemoglobin.
,Oxyhemoglobin
the combined state of oxygen that is to be delivered to peripheral tissues with the
hemoglobin molecule that will carry it.
3. A nurse is collecting data on a recently admitted client.
Which of the following techniques should the nurse use to measure
tissue perfusion?
a. Determining the client's respiratory rate
b. Measuring the client's chest diameter
c. Obtaining the client's level of oxygen saturation
d. Checking the client's depth of respirations
Answer is C- Obtaining the client's level of oxygen saturation
-Obtaining the client's level of oxygen saturation is an appropriate technique of
measuring perfusion.
This item requires foundational thinking because you only need to
identify which of the following options describes a technique for
measuring tissue perfusion.
Perfusion is the delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation measures the percent of hemoglobin bound with
oxygen that is being perfused through the arteries and into the
tissues.
Foundational Thinking
Ability to recall and comprehend information and concepts
Perfusion
delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation
Measures the percent of hemoglobin bound with oxygen that is being perfused
through the arteries and into the tissues.
4. A nurse is caring for a client who is prescribed IV fluids.
While inserting the IV catheter, blood is spilled on the floor. Which
of the following solutions should the nurse use to clean the spill?
a. Isopropyl alcohol
b. Chlorhexidine gluconate (Hibiclens)
c. Chlorine (bleach)
d. Iodophor
Answer is C-Chlorine
Chlorine is a disinfectant that is effective against bacteria,
tuberculosis, spores, fungi, and viruses, and is specifically
recommended for cleaning blood spills. Antiseptics prevent or stop
the growth of certain pathogens, and disinfectants destroy certain
, pathogens. Antiseptics are most often used on the skin, while
disinfectants are more concentrated solutions that can be toxic to the
skin and are typically used on inanimate objects. Chlorine should be
used to clean the spill.
Nurse logic Knowledge and clinical judgment beginner
1. A nurse is precepting a newly licensed nurse while he is
charting. Use of which of the following abbreviations indicates
a need for further teaching?
a. mcg
b. q.d.
c. mL
d. PO
Answer is B-q.d. is the incorrect term. To indicate daily, you should
use the word "daily" when charting. Q.d. used to be confused for
qid, which means 4x a day.
2. A nurse is caring for a client who is diagnosed with anemia.
Which of the following skin color variations is caused by a reduced
amount of oxyhemoglobin?
a. Cyanosis
b. Jaundice
c. Erythema
d. Pallor
Answer is D-Pallor
-Oxyhemoglobin is the combined state of oxygen that is to be
delivered to peripheral tissues with the hemoglobin molecule that will
carry it. In clients who have anemia, the RBCs are reduced, by
function or in number, to the point that peripheral tissues are not
receiving adequate oxygen because of a decreased amount of
circulating oxyhemoglobin. The reduced oxygen supply to the tissues
causes changes to the client's skin color. Pallor is caused by a reduced
amount of oxyhemoglobin. Pallor is a decrease in the coloring of the
peripheral tissues that is caused by an overall reduction in the blood
flow or by a decrease in the number of RBCs that contain
oxyhemoglobin, which reduces the visibility of oxyhemoglobin.
Pallor
Paleness of the skin - Decrease in the coloring of the peripheral
tissues. Is caused by an overall reduction in the blood flow or by a
decrease in the number of RBCs that contain oxyhemoglobin, which
reduces the visibility of oxyhemoglobin.
,Oxyhemoglobin
the combined state of oxygen that is to be delivered to peripheral tissues with the
hemoglobin molecule that will carry it.
3. A nurse is collecting data on a recently admitted client.
Which of the following techniques should the nurse use to measure
tissue perfusion?
a. Determining the client's respiratory rate
b. Measuring the client's chest diameter
c. Obtaining the client's level of oxygen saturation
d. Checking the client's depth of respirations
Answer is C- Obtaining the client's level of oxygen saturation
-Obtaining the client's level of oxygen saturation is an appropriate technique of
measuring perfusion.
This item requires foundational thinking because you only need to
identify which of the following options describes a technique for
measuring tissue perfusion.
Perfusion is the delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation measures the percent of hemoglobin bound with
oxygen that is being perfused through the arteries and into the
tissues.
Foundational Thinking
Ability to recall and comprehend information and concepts
Perfusion
delivery or pumping of arterial blood through tissues or an organ.
Oxygen saturation
Measures the percent of hemoglobin bound with oxygen that is being perfused
through the arteries and into the tissues.
4. A nurse is caring for a client who is prescribed IV fluids.
While inserting the IV catheter, blood is spilled on the floor. Which
of the following solutions should the nurse use to clean the spill?
a. Isopropyl alcohol
b. Chlorhexidine gluconate (Hibiclens)
c. Chlorine (bleach)
d. Iodophor
Answer is C-Chlorine
Chlorine is a disinfectant that is effective against bacteria,
tuberculosis, spores, fungi, and viruses, and is specifically
recommended for cleaning blood spills. Antiseptics prevent or stop
the growth of certain pathogens, and disinfectants destroy certain
, pathogens. Antiseptics are most often used on the skin, while
disinfectants are more concentrated solutions that can be toxic to the
skin and are typically used on inanimate objects. Chlorine should be
used to clean the spill.
