review , NU 136 exam 1 review, Health
and Illness
When working 3 feet of the client a regular face mask is required for this type of
precaution - correct answer>>>droplet
Medical asepsis must be used during a Foley catheter insertion procedure. - correct
answer>>>False
How many inches from the edge of the sterile field is considered non-sterile - correct
answer>>>1 inch
The best way to break the chain of infection is by - correct answer>>>implementing
standard precautions
In an older adult the base temperature is what - correct answer>>>97.2 degrees
fahrenheit
in an older adult an elevation of how many degrees fahrenheit will occur if a fever is
present - correct answer>>>2 degrees fahrenheit
If the immobile client refuses their morning bed bath which of the following is an
appropriate response by the nurse - correct answer>>>Give the client an option to
shower later in the day
A client has sat in their wheelchair, unmoving, for 1 hour, what should the nurse do
next? - correct answer>>>shift the position
A complete bed bath would be appropriate for which type of client - correct answer>>>A
patient with unsteady gait and poor balance
A written order is needed to trim the nails of a diabetic patient - correct answer>>>True
Which position is best to place an unconscious client when performing mouth care -
correct answer>>>lateral
When assessing respiratory rate, which of the following is the most appropriate
intervention for the nurse to do? - correct answer>>>Take the client's pulse and watch
for the rise and fall of the client's chest
, Which of these sets of vital signs are abnormal - correct answer>>>BP 190/90, Pulse
98, Respirations 20
The best method for checking a client's pulse would be to do what - correct
answer>>>auscultate the apical pulse for 1 full minute
which of these is the best definition of an arrhythmia - correct answer>>>period of
normal heart rhythm broken by periods of irregular heartbeats
use of this is the most accurate noninvasive way to measure body temperature - correct
answer>>>The temporal artery thermometer
which of these is considered a use of protective devices (restraints) - correct
answer>>>raising all 4 side rails (full side rails)
when ambulating a client and they begin to fall, what should you do - correct
answer>>>assist them to the floor
Proper lifting methods of heavy objects includes jerking or sudden pulling movements to
allow momentum to aid you - correct answer>>>false
which of these positions is used for rectal exams, giving enemas, and inserting
suppositories for unconscious client's - correct answer>>>sims position
Secondary illness means - correct answer>>>it is an illness that results from or is
caused by a primary ilness
____ _______ on the part of the nurse is essential in meeting the client's security needs
- correct answer>>>Active listening
A student who does not study for a test blames his "F" on the teacher's poor lecturing
ability; this is an example of... - correct answer>>>Rationalization
which of these is an example of primary prevention - correct answer>>>wearing
sunscreen and sunglasses
if the stage of resistance is prolonged, what happens? - correct answer>>>The
response becomes maladaptive
When repositioning a client in bed which of the following would be incorrect (select all
that apply_ - correct answer>>>The nurse should drag the patient over their sheets
the nurse should not call for help because it's not manly