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NRSG 301 Final Exam - LAB SECTIONS: Questions With Accurate Solutions

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NRSG 301 Final Exam - LAB SECTIONS: Questions With Accurate Solutions

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NRSG 301 Final Exam - LAB SECTIONS: Questions With
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Terms in this set (93)



sitz bath a warm soak of the perineal area to clean perineal wounds
and reduce inflammation and pain


When a client is taking aspirin - what use electric razor when shaving
precautions should be taken?


How is oral care done to an unconscious Swab pts mouth with chlorhexidine
pt?


What is the purpose of ROM Exercises? to decrease or prevent contractures or atrophy, improve
strength, and increase circulation


purpose of TEDs and SCDs prevent DVT;s in the immobile or postoperative patient


Strategies to keep pt safe when ambulating? gait belt, nonslip socks, walker, and having another person
walk behind you


Standards of care for mobility - move/position patient every 2 hours
- full assessment done every 24 hours
- TEDs removed 30 minutes in morning and evening
- SCD's should be removed when ambulating and sitting in a
chair


What mask has the highest amount of O2 nonrebreather
delivered?


FiO2 equation (flow rate in L/min x 4) + 20


What should the nurse do if SpO2 has a very check the pleth
low reading?


What is rhonchi? low-pitched, musical, snoring, adventitious lung sound caused
by airflow obstruction from secretions

, How do you precent oxygenation without -HOB
administering Oxygen? - ambulation
- deep breathing
- acapella
- IS


How much Oxygen does a simple mask 6 - 10 L/min
administer?


How much oxygen does a venturi mask or 4-15 L/min
air entrainment mask administer?


The physician has written an order for your discard the urine in the drainage bag and start the 24 hour
assigned client to have a 24-hour urine time frame.
collection sent to the laboratory for specific
testing. You realize that you must:


The provider has requested an indwelling The male urethra is longer than the female urethra and the
catheter insertion in a hospitalized male catheter will need to be advanced further prior to inflating the
client. The nurse is aware of which of the balloon.
following considerations?


Which of the following actions should a B.
nurse take when removing a client's
indwelling urinary catheter?


A. Instill 10 ml of normal saline into the
catheter balloon port.
B. Attach an empty 10-12 ml syringe to the
catheter balloon port.
C. Apply pressure to the bladder while
removing the catheter.
D. Lubricate the meatus right before
removing the tube.


While a nurse is attempting to insert a Leave the catheter in place and obtain a new sterile catheter.
urinary catheter into a female client, the
catheter is inserted into the vagina. What
action should the nurse take?


When would you consider inserting a foley If the patient has continued problem with retention or if strict
catheter instead of a straight cath? intake and output measurement is needed


Why is is necessary to maintain sterile to prevent UTI
technique while inserting a catheter?


How long after a catheter is removed is a 6 hours
patient due to void (DTV)


How many ml per hour would be 0.5ml/kg/hour
considered "adequate" urine output?

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