Edition by Anne Griffin Perry Patricia A. Potter Chapter 1-43 |
9780323708630 | All Chapters with Answers and Rationals
This type of precautions is used for known or suspected infections caused by microbes transmitted by
airborne droplets (measles, chicken pox, TB) - ANSWER: Airborne
A negative pressure room and a N95 mask are worn with which type of precautions? - ANSWER:
Airborne
This type of precautions is used for known infections caused by microbes transmitted by droplets
produced by coughing, sneezing or talking (diphtheria, rubella, influenza, pertussis, mumps, scarlet
fever, sepsis) - ANSWER: Droplet
Private room or cohorting clients (room door must be closed) and using a mask is used for this type of
precaution - ANSWER: Droplet
This type of precaution is use for known or suspected infections caused by direct or indirect contact
such as infections with antibiotic-resistant organisms, major wound infections, respiratory infections
(RSV), C-differ, infections with herpes simplex, impetigo, scabies. - ANSWER: Contact
This type of precaution calls for a private room and using a mask and gloves when coming in contact
with the client - ANSWER: Contact
For this type of subcutaneous injection, is it best given in the abdomen, and massaging is not advised
to prevent bruising - ANSWER: Heparin
For this type injection, you are able to administer 1 -3 ML - ANSWER: Intramuscular
For this type of injection, the skin is pulled taut to ensure the medication is injected fully - ANSWER:
Intramuscular
Which muscle is the safest site for intramuscular injection and preferred site for adults and children
over 7-12 months of age? - ANSWER: Ventrogluteal
This site is no longer recommended for IM injections for the risk of hitting the siatic nerve - ANSWER:
Dorsogluteal
Which IM injection site is preferred for children under 12 months for immunizations? - ANSWER:
Vastus lateralis
Which site for IM injections should be used for 1 ML ONLY, giving immunizations or if other sites are
not accessible? - ANSWER: Deltoid
If the practical nurse is unsure about a medication, she should contact who? - ANSWER: Pharmacist
If the medication is a calculated dose, or a high alert medication, it should be checked by another? -
ANSWER: RN
Insulin, morphine, hydromorphone, and heparin are which type of drugs? - ANSWER: High alert
The practical nurse knows that restraints (physical, chemical and environmental) can not be
implemented without a ? - ANSWER: Doctors order
, The practical nurse is aware that individuals with which disease are at a higher risk for complications
with feet such as infections due to poor circulation? - ANSWER: Diabetes or peripheral vascular
disease
When suctioning, the practical nurse knows that she should not suction of longer than ? - ANSWER: 10
- 15 seconds
The practical nurse knows that trach care is provided every ____ hours? - ANSWER: 8
A catheter inserted through the thorax, to remove abnormal accumulations of air, fluid or blood from
the pleural space or mediastinum - ANSWER: Chest tube
The practical nurse is aware that if there is continuous bubbling in a water seal chamber drainage
system for chest tubes, that it can indicate a ___________ in the chest tube system - ANSWER: leak
It is the responsibility of the practical nurse to monitor the chest tube drainage. If the drainage is over
100 ml per hour or becomes bright red or increases suddenly , the nurse must ? - ANSWER: notify the
doctor
To monitor output of the chest tube drainage, the practical nurse will mark the collection chamber
every ________ hours - ANSWER: 1-4
The practical nurse knows that the chest tube drainage system must remain below the ______ to
prevent reflux and prevent infection - ANSWER: chest
What type of dressing should the practical nurse use on the chest tube insertion site to prevent an air
leak? - ANSWER: Occlusive dressing
The practical nurse knows that a client with a chest tube must be ______ frequently to promote
ventilation and drainage - ANSWER: turned
The practical nurse is responsible for monitoring the water level increase on inhalation and decrease
on exhalation. If the water level does not move, it can indicate that the lung has __________ or that
the tube is _________ - ANSWER: reexpanded, clogged
The practical nurse notices vigorous bubbling in the suction control chamber, which could indicate an
___________ and the nurse should notify the doctor - ANSWER: air leak
It is important to encourage coughing and deep breathing every ______ hours - ANSWER: 2
The clamping of a chest tube is ? - ANSWER: not recommended
The clients chest tube is pulled out of the chest. The practical nurse must pinch the skin together,
apply an occlusive dressing and ? - ANSWER: call the doctor
Which type of access devices are for short - term use (4 weeks)? - ANSWER: Peripheral venous access
devices
Which type of access device is inserted into the central part of the body by way of the internal jugular,
subclavian or femoral artery and then terminate in the vena cava above the right atrium? - ANSWER:
Central venous access devices
The practical nurse knows to change the venipuncture site for an IV every __________ hours -
ANSWER: 48-72
The practical nurse knows to change the IV dressing every _______ hours - ANSWER: 72