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Inability of the toddle to cry or speak.
ºº
bc no sounds passing through vocal cords
use heimliech maneuver - - A nurse is caring for a toddler at a well-child
visit when the mother calls to the nurse, "Help! My baby is choking on his food."
Which of the following findings indicates the toddler has an airway obstruction?
Collect the specimen upon arising in the morning.
in the morning it's easier to cough up secretions
deepest specimens are usually collected in morning
ºº
try to collect before breakfast
prior to coughing into container: rinse mouth and deep breathe - - A nurse
is planning care for a client who has a prescription for collection of a sputum
specimen for culture and sensitivity. Which of the following actions should the
nurse take when obtaining the specimen?
Start chest compressions.
give priority to the factor or situation posing the greatest safety risk. - -A ºº
nurse is caring for a client who has a history of dysrhythmias. Upon entering the
room, the nurse discovers the client is unresponsive to verbal or painful stimuli,
has no respirations, and is pulseless. Which of the following actions should the
nurse take first?
Hold breath for 5 seconds after goal volume is reached.
ºº
Rationale: decreases collapse of alveoli, which helps prevent risk of atelectasis
and pneumonia - - A nurse is teaching a client who is recovering from
gallbladder surgery how to use an incentive spirometer. Which of the following
information should the nurse include in the teaching?
Pinch the NG tube while removing the tube.
decreases risk of aspiration of any GI contents - ºº
- nurse is preparing to
remove an NG tube for a client who had a partial colectomy. Which of the
following actions should the nurse take?
Cleanse the skin around the stoma with warm water.
using soap can leave a residue and cause poor adherence of pouch - -A ºº
nurse is providing teaching to a client who has a new colostomy about proper
care. Which of the following information should the nurse include in the teaching.
Wipes the labia minor in an anteroposterior direction.
tions
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The nurse should wipe anteroposterior both the right & left labia minora w/
ºº
sperate cotton swabs to destroy any microorganisms in the area that would
contaminate. - - A nurse is performing a straight urinary catheterization for
a female client who has urinary retention. Which of the following actions indicates
the nurse is maintaining sterile technique?
Elevate the client's head of bed 45 degrees before the feeding.
Rationale: the nurse should do this to prevent aspiration - ºº
- A nurse is
caring for a client who has an NG tube for intermittent enteral feedings. Which of
the following actions should the nurse take?
.
Clamp the tubing below the collection port.
Rationale: The nurse should clamp the tubing below the collection port to allow
ºº
fresh uncontaminated urine to collect before withdrawing the specimen through
the port and placing it in a sterile specimen cup. - - nurse is collecting a
urine specimen for a culture and sensitivity for a client who has a urinary tract
infection. The client has an indwelling urinary catheter in place. Which of the
following actions should the nurse take?
Check to determine if the catheter tubing is kinked.
first apply least invasive framework - ºº - A nurse is caring for a client who
postoperative and who has an indwelling urinary catheter to gravity drainage.
The nurse notes no urine output in the past 2 hr. Which of the following actions
should the nurse take first?
Collapse the device of air after emptying.
Rationale: The nurse should collapse the device of air after emptying the
ºº
contents periodically to create enough suction to pull fluid exudate into the
collection area of the device. - - A nurse is caring for a client who has a
mastectomy and has a self-suction drainage evacuator in place. Which of the
following actions should the nurse take to ensure proper operation of the device.
the side hip between the iliac crest and anterior iliac spine
ºº
Forms the boundaries for
ventrogluteal injection - - A nurse is preparing to administer an
intramuscular injection to a client who is overweight. Which of the following sites
should the nurse select for the injection.
.
Purulent exudate.
Rationale: usually indicates wound sloughing or infection. - ºº
- A nurse is
changing the dressings for a client who is 3 days postoperative following a
tions
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Inability of the toddle to cry or speak.
ºº
bc no sounds passing through vocal cords
use heimliech maneuver - - A nurse is caring for a toddler at a well-child
visit when the mother calls to the nurse, "Help! My baby is choking on his food."
Which of the following findings indicates the toddler has an airway obstruction?
Collect the specimen upon arising in the morning.
in the morning it's easier to cough up secretions
deepest specimens are usually collected in morning
ºº
try to collect before breakfast
prior to coughing into container: rinse mouth and deep breathe - - A nurse
is planning care for a client who has a prescription for collection of a sputum
specimen for culture and sensitivity. Which of the following actions should the
nurse take when obtaining the specimen?
Start chest compressions.
give priority to the factor or situation posing the greatest safety risk. - -A ºº
nurse is caring for a client who has a history of dysrhythmias. Upon entering the
room, the nurse discovers the client is unresponsive to verbal or painful stimuli,
has no respirations, and is pulseless. Which of the following actions should the
nurse take first?
Hold breath for 5 seconds after goal volume is reached.
ºº
Rationale: decreases collapse of alveoli, which helps prevent risk of atelectasis
and pneumonia - - A nurse is teaching a client who is recovering from
gallbladder surgery how to use an incentive spirometer. Which of the following
information should the nurse include in the teaching?
Pinch the NG tube while removing the tube.
decreases risk of aspiration of any GI contents - ºº
- nurse is preparing to
remove an NG tube for a client who had a partial colectomy. Which of the
following actions should the nurse take?
Cleanse the skin around the stoma with warm water.
using soap can leave a residue and cause poor adherence of pouch - -A ºº
nurse is providing teaching to a client who has a new colostomy about proper
care. Which of the following information should the nurse include in the teaching.
Wipes the labia minor in an anteroposterior direction.
tions
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and )))____________ATI
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Fundamentals 2 Quiz Questions
Fundamentals
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The nurse should wipe anteroposterior both the right & left labia minora w/
ºº
sperate cotton swabs to destroy any microorganisms in the area that would
contaminate. - - A nurse is performing a straight urinary catheterization for
a female client who has urinary retention. Which of the following actions indicates
the nurse is maintaining sterile technique?
Elevate the client's head of bed 45 degrees before the feeding.
Rationale: the nurse should do this to prevent aspiration - ºº
- A nurse is
caring for a client who has an NG tube for intermittent enteral feedings. Which of
the following actions should the nurse take?
.
Clamp the tubing below the collection port.
Rationale: The nurse should clamp the tubing below the collection port to allow
ºº
fresh uncontaminated urine to collect before withdrawing the specimen through
the port and placing it in a sterile specimen cup. - - nurse is collecting a
urine specimen for a culture and sensitivity for a client who has a urinary tract
infection. The client has an indwelling urinary catheter in place. Which of the
following actions should the nurse take?
Check to determine if the catheter tubing is kinked.
first apply least invasive framework - ºº - A nurse is caring for a client who
postoperative and who has an indwelling urinary catheter to gravity drainage.
The nurse notes no urine output in the past 2 hr. Which of the following actions
should the nurse take first?
Collapse the device of air after emptying.
Rationale: The nurse should collapse the device of air after emptying the
ºº
contents periodically to create enough suction to pull fluid exudate into the
collection area of the device. - - A nurse is caring for a client who has a
mastectomy and has a self-suction drainage evacuator in place. Which of the
following actions should the nurse take to ensure proper operation of the device.
the side hip between the iliac crest and anterior iliac spine
ºº
Forms the boundaries for
ventrogluteal injection - - A nurse is preparing to administer an
intramuscular injection to a client who is overweight. Which of the following sites
should the nurse select for the injection.
.
Purulent exudate.
Rationale: usually indicates wound sloughing or infection. - ºº
- A nurse is
changing the dressings for a client who is 3 days postoperative following a
tions
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