NR 224 FUNDAMENTALS FINAL REVIEW / ACTUAL
TEST QUESTIONS WITH DETAILED VERIFIED
ANSWERS / ALREADY GRADED A.
Terms in this set (239)
What is the most effective HAND HYGIENE with soap and water is effective to physically
method to prevent the remove C. difficile spores from the hands.
transfer of clostridium
(Potter 1092)
difficile (C. Difficile) ?
What is the term for the Valsalva Manuever
[abnormal] method used to
assist in stool passage by
exerting pressure to expel
fecal matter through Normal passage of bowels should be painless, passing soft
voluntary contraction of the formed stool
abdominal muscles while
maintaining a forced
expiration against a closed
airway?
Which patients are at Patients with cardiovascular disease, glaucoma, increased
greatest risk for cardiac intracranial pressure, or a new surgical wound
dysrhythmia and high blood
(Potter 1089)
pressure with the Valsalva
manuever and MUST avoid
straining to pass stool?
, Fecal Impaction
What is the term for a
collection of hardened feces
in the rectum that cannot be
expelled due to unrelieved
constipation?
Where does fecal impaction Rectum
occur in the colon?
Least formed stool is Ascending Colon
present in which portion
of the digestive tract?
Most formed stool is Descending Colon
present in which portion
of the digestive tract?
Which position should the Left Side-Lying or Sim's Position
patient be in while
administering an enema?
Which factors would If bleeding occurs, abdomen becomes rigid and distended, pain
contribute to stopping occurs, or resistance is felt
enema administration?
Which enema solution is the Normal Saline [Isotonic Solution]
safest for
administration because it
does NOT create a danger for
excess fluid absorption?
Hypertonic Solution
Which enema solution is
contraindicated in patients
who are dehydrated or young
infants because of risk for
fluid imbalance?
,Which enema solution is Tap Water [Hypotonic Solution]
considered to be hypotonic
and should NOT be repeated
because
of the risk of water toxicity or
circulatory overload if and
because the body absorbs
excessive amounts of water?
Which enema solution Oil Retention
lubricates the rectum and
allows the feces to absorb
the oil making them soft and
easier to pass?
Which enema solution Soapsuds
creates intestinal irritation to
stimulate peristalsis by using
castile soap?
Which enema solution should Soapsuds
used in caution in pregnant
women and elderly because
it may cause an electrolyte
imbalance or damage to
intestinal mucosa?
Guaiac Fecal Occult Blood Test
Which laboratory test is used Repeat the test at least three times while the patient
to measure microscopic
refrains from ingesting foods (e.g., some raw vegetables,
amounts of blood in the feces
(blood that cannot be seen) red meat, poultry, fish) and medications
(e.g., vitamin C, aspirin, non steroidal antiinflammatory
drugs) that cause false-positive results
(Potter 1100)
, When analyzing a fecal The stool MUST be warm.
specimens for ova and
parasites, what is required
If the stool specimen remains at room temperature, bacteriological
of the stool?
changes can alter the test results
Which cathartic form is most Cathartic Suppositories
effective because of its
stimulant effect on the rectal
mucosa
(Example: Dulcolax)?
Which foods induce a cheese, lean meats, eggs, and pasta
constipating effect?
Which food induce a laxative fruits, vegetables, bran, chocolate, alcohol, and coffee
effect?
What are the assessment bright pink or brick red
findings of a normal stoma?
Notify HCP of stoma is blue, purple, brown, or black which
indicates circulation problem to the stoma
How does the nurse Tip of the nose --> earlobe --> xiphoid process
measure the length of the
NG tube for insertion?
What is the most reliable X-ray
method of verification for
placement of the NG tube?
Other methods include: pH test (aspirate and inspect color)
What are the ranges for Normal = 19-24
body mass index? Overweight = 25-29
Obese = 30-39
Extremely Obese = > 40
Weight does not change
When energy
requirements are
completely met or
EQUALS kcal intake in
food what occurs?
TEST QUESTIONS WITH DETAILED VERIFIED
ANSWERS / ALREADY GRADED A.
Terms in this set (239)
What is the most effective HAND HYGIENE with soap and water is effective to physically
method to prevent the remove C. difficile spores from the hands.
transfer of clostridium
(Potter 1092)
difficile (C. Difficile) ?
What is the term for the Valsalva Manuever
[abnormal] method used to
assist in stool passage by
exerting pressure to expel
fecal matter through Normal passage of bowels should be painless, passing soft
voluntary contraction of the formed stool
abdominal muscles while
maintaining a forced
expiration against a closed
airway?
Which patients are at Patients with cardiovascular disease, glaucoma, increased
greatest risk for cardiac intracranial pressure, or a new surgical wound
dysrhythmia and high blood
(Potter 1089)
pressure with the Valsalva
manuever and MUST avoid
straining to pass stool?
, Fecal Impaction
What is the term for a
collection of hardened feces
in the rectum that cannot be
expelled due to unrelieved
constipation?
Where does fecal impaction Rectum
occur in the colon?
Least formed stool is Ascending Colon
present in which portion
of the digestive tract?
Most formed stool is Descending Colon
present in which portion
of the digestive tract?
Which position should the Left Side-Lying or Sim's Position
patient be in while
administering an enema?
Which factors would If bleeding occurs, abdomen becomes rigid and distended, pain
contribute to stopping occurs, or resistance is felt
enema administration?
Which enema solution is the Normal Saline [Isotonic Solution]
safest for
administration because it
does NOT create a danger for
excess fluid absorption?
Hypertonic Solution
Which enema solution is
contraindicated in patients
who are dehydrated or young
infants because of risk for
fluid imbalance?
,Which enema solution is Tap Water [Hypotonic Solution]
considered to be hypotonic
and should NOT be repeated
because
of the risk of water toxicity or
circulatory overload if and
because the body absorbs
excessive amounts of water?
Which enema solution Oil Retention
lubricates the rectum and
allows the feces to absorb
the oil making them soft and
easier to pass?
Which enema solution Soapsuds
creates intestinal irritation to
stimulate peristalsis by using
castile soap?
Which enema solution should Soapsuds
used in caution in pregnant
women and elderly because
it may cause an electrolyte
imbalance or damage to
intestinal mucosa?
Guaiac Fecal Occult Blood Test
Which laboratory test is used Repeat the test at least three times while the patient
to measure microscopic
refrains from ingesting foods (e.g., some raw vegetables,
amounts of blood in the feces
(blood that cannot be seen) red meat, poultry, fish) and medications
(e.g., vitamin C, aspirin, non steroidal antiinflammatory
drugs) that cause false-positive results
(Potter 1100)
, When analyzing a fecal The stool MUST be warm.
specimens for ova and
parasites, what is required
If the stool specimen remains at room temperature, bacteriological
of the stool?
changes can alter the test results
Which cathartic form is most Cathartic Suppositories
effective because of its
stimulant effect on the rectal
mucosa
(Example: Dulcolax)?
Which foods induce a cheese, lean meats, eggs, and pasta
constipating effect?
Which food induce a laxative fruits, vegetables, bran, chocolate, alcohol, and coffee
effect?
What are the assessment bright pink or brick red
findings of a normal stoma?
Notify HCP of stoma is blue, purple, brown, or black which
indicates circulation problem to the stoma
How does the nurse Tip of the nose --> earlobe --> xiphoid process
measure the length of the
NG tube for insertion?
What is the most reliable X-ray
method of verification for
placement of the NG tube?
Other methods include: pH test (aspirate and inspect color)
What are the ranges for Normal = 19-24
body mass index? Overweight = 25-29
Obese = 30-39
Extremely Obese = > 40
Weight does not change
When energy
requirements are
completely met or
EQUALS kcal intake in
food what occurs?
