CORRECT ANSWERS 2024
Nursing Process: The nurse in the video is using the nursing process to care for the
client. What are the steps of the nursing process? How does the nursing process assist
in prioritizing nursing care? --ANSWER: The steps in the nursing process are
assessment, diagnosis, planning, implementing, and evaluation. The nursing process
assist in prioritizing by systematically providing a rational method of planning and
individualized nursing care.
Enteral Nutrition: What pH value should the nurse expect when confirming placement
of the nasogastric tube using the pH method? What pH value should the nurse expect
for respiratory or small intestine secretions? --ANSWER: The nurse should expect to
see a pH of 0 to 4 from a patient who has fasted for at least 4 hours when confirming
placement of the NG tube. The nurse should expect to see a pH greater than 6 for
respiratory and a pH of 6 or higher for the small intestine.
How does the respiratory system provide oxygen to the body? --ANSWER:
Respiration is the process of gas exchange between the individual and the
environment. More specifically, the respiratory system involves in gas exchange
between the alveoli and pulmonary capillaries. The exchange of carbon dioxide for
oxygen is done through the process of diffusion. The iron content in red blood cells or
heme pick up oxygen and transport it throughout the body to where it is needed.
Medication Administration: What nursing actions should the nurse take to administer
medications safely? --ANSWER: The nurse should use the 5 rights to administer
medication safely. They are the right patient, the right drug, the right dose, the right
route, and the right time.
Metered Dose Inhalers: What steps should the nurse include when reviewing the use
of an MDI with a spacer with the child? What is the advantage of using a spacer with
an MDI? --ANSWER: The nurse should include how to set up the MDI with the
spacer, how to administer the medication, what the patient must do afterwards, and
how to care for the MDI and spacer. The advantage of using a spacer with an MDI is
that more medication is delivered to the lungs by allowing the patient to better control
the flow of medication.
Mixing Insulin: After checking the expiration date of the insulin vials and reviewing
the prescription for regular and NPH insulin, you need to draw up the insulin. What is
the correct procedure for drawing up mixed insulin? --ANSWER: The nurse must rub
the NPH bottle since it is in a suspension. The nurse must clean both vials and to let it
air dry. The nurse will then inject 12 units of air into the NPH vial. After injecting the
air, the nurse will draw up 6 units of air and inject it into the regular insulin vial. The
nurse will flip the vial and draw up 6 units of regular insulin as well as remove excess
air. Then the nurse will draw up 12 units from the NPH bottle and to be careful not to
inject the mixture into the NPH vial. After the nurse is done drawing up the mixed
insulin, the nurse will cap the insulin syringe and administer it within 5 minutes of
preparing it.