Fundamentals Practice Quiz 2
A nurse is administering a cleansing enema to a purchaser who's scheduled for a diagnostic
technique. Which of the subsequent actions have to the nurse take?
Lubricate up to three.2 cm at the tip of rectal tube
Position customer on his proper side
Insert the tip of the tubing 8 cm
Hold the enema field sixty one cm above the rectum - ANSInsert the tip of tubing eight cm
A nurse is applying antiembolitic stockings for a client who has a history of DVT. Which
movement ought to nurse take whilst making use of the stockings?
Roll the stocking partially down if too long
Remove the stocking as soon as consistent with day
Bunch and pull the stocking halfway up the calf
Turn the stocking internal out as much as heel before making use of - ANSTurn the stocking
inner out as much as heel earlier than making use of
A nurse is assessing a purchaser who has an onset of excessive lower back pain of
unknown origin. Which of the following questions ought to the nurse ask to inspire discussion
with the purchaser?
Does the medication you are taking relieve the ache?
Can you point to wherein the pain is the worst?
What do you suspect prompted the onset of your ache?
Changing positions makes your ache worse, proper? - ANSWhat do you suspect brought on
the onset of of your ache?
A nurse is assisting a consumer who's consuming at mealtime when the consumer grabs her
neck with both hands and looks nervous. Which motion ought to nurse take first?
Place oxygen mask on customer
Check patron's pulse
Determine whether or not the purchaser is capable of breathe
Wrap hands across the customer from in the back of - ANSDetermine whether or not the
purchaser is able to breathe
A nurse is worrying for a customer who had a mastectomy and has a self-suction drainage
system in region. Which action have to the nurse take to make certain proper operation of
the device?
Irrigate the tubing with sterile everyday water once each shift
Cleanse the hole with soap and water after emptying
Maintain the tubing above the level of the surgical incision
, Collapse the device of air after emptying - ANSCollapse the device of air after emptying
A nurse is being concerned for a client who has a listening to impairment. Which approach
must the nurse use while speaking with the consumer?
Speak at once into the consumer's impaired ear.
Exaggerate lip moves
Speak loudly
Face the client whilst talking - ANSFace the patron while speakme
A nurse is caring for a purchaser who has an NG tube for intermittent enteral feedings.
Which action should the nurse take?
Auscultate for bowel sounds after every feeding
Ensure the formulation is cold before administering
Elevate customer's head of bed forty five tiers earlier than feeding
Flush the tubing with 15 mL of water after the enteral feeding - ANSElevate patron's head of
bed 45 tiers earlier than feeding
A nurse is being concerned for a client who is put up-op following a vaginal hysterectomy.
She asks for some thing to drink. Her put up-op diet prescription reads- clean beverages,
strengthen food regimen as tolerated. Which reaction need to nurse make?
Lunch trays need to be right here inside the hour.
I am going to listen in your stomach.
I'll get you a few water to drink.
I could wait a bit, or you can experience unwell. - ANSI am going to concentrate to your
abdomen
A nurse is caring for a patron who's postoperative and who has an indwelling urinary
catheter to gravity drainage. The nurse notes no urine output within the beyond 2 hours.
Which action must the nurse take first?
Check to determine if the catheter tubing is kinked
Palpate the bladder
Obtain a prescription to irrigate the catheter with 0.Nine% sodium chloride.
Encourage the patron to drink extra fluids. - ANSCheck to decide if the catheter tubing is
kinked
A nurse is being concerned for a customer with history of dysrythmias. Upon getting into the
room, she discovers the purchaser is unresponsive to verbal or painful stimuli, has no
respirations, and is pulseless. Which action must nurse take first?
Start chest compressions
Provide breaths with guide resuscitation bag
Administer oxygen
Establish an airway - ANSStart chest compressions
A nurse is administering a cleansing enema to a purchaser who's scheduled for a diagnostic
technique. Which of the subsequent actions have to the nurse take?
Lubricate up to three.2 cm at the tip of rectal tube
Position customer on his proper side
Insert the tip of the tubing 8 cm
Hold the enema field sixty one cm above the rectum - ANSInsert the tip of tubing eight cm
A nurse is applying antiembolitic stockings for a client who has a history of DVT. Which
movement ought to nurse take whilst making use of the stockings?
Roll the stocking partially down if too long
Remove the stocking as soon as consistent with day
Bunch and pull the stocking halfway up the calf
Turn the stocking internal out as much as heel before making use of - ANSTurn the stocking
inner out as much as heel earlier than making use of
A nurse is assessing a purchaser who has an onset of excessive lower back pain of
unknown origin. Which of the following questions ought to the nurse ask to inspire discussion
with the purchaser?
Does the medication you are taking relieve the ache?
Can you point to wherein the pain is the worst?
What do you suspect prompted the onset of your ache?
Changing positions makes your ache worse, proper? - ANSWhat do you suspect brought on
the onset of of your ache?
A nurse is assisting a consumer who's consuming at mealtime when the consumer grabs her
neck with both hands and looks nervous. Which motion ought to nurse take first?
Place oxygen mask on customer
Check patron's pulse
Determine whether or not the purchaser is capable of breathe
Wrap hands across the customer from in the back of - ANSDetermine whether or not the
purchaser is able to breathe
A nurse is worrying for a customer who had a mastectomy and has a self-suction drainage
system in region. Which action have to the nurse take to make certain proper operation of
the device?
Irrigate the tubing with sterile everyday water once each shift
Cleanse the hole with soap and water after emptying
Maintain the tubing above the level of the surgical incision
, Collapse the device of air after emptying - ANSCollapse the device of air after emptying
A nurse is being concerned for a client who has a listening to impairment. Which approach
must the nurse use while speaking with the consumer?
Speak at once into the consumer's impaired ear.
Exaggerate lip moves
Speak loudly
Face the client whilst talking - ANSFace the patron while speakme
A nurse is caring for a purchaser who has an NG tube for intermittent enteral feedings.
Which action should the nurse take?
Auscultate for bowel sounds after every feeding
Ensure the formulation is cold before administering
Elevate customer's head of bed forty five tiers earlier than feeding
Flush the tubing with 15 mL of water after the enteral feeding - ANSElevate patron's head of
bed 45 tiers earlier than feeding
A nurse is being concerned for a client who is put up-op following a vaginal hysterectomy.
She asks for some thing to drink. Her put up-op diet prescription reads- clean beverages,
strengthen food regimen as tolerated. Which reaction need to nurse make?
Lunch trays need to be right here inside the hour.
I am going to listen in your stomach.
I'll get you a few water to drink.
I could wait a bit, or you can experience unwell. - ANSI am going to concentrate to your
abdomen
A nurse is caring for a patron who's postoperative and who has an indwelling urinary
catheter to gravity drainage. The nurse notes no urine output within the beyond 2 hours.
Which action must the nurse take first?
Check to determine if the catheter tubing is kinked
Palpate the bladder
Obtain a prescription to irrigate the catheter with 0.Nine% sodium chloride.
Encourage the patron to drink extra fluids. - ANSCheck to decide if the catheter tubing is
kinked
A nurse is being concerned for a customer with history of dysrythmias. Upon getting into the
room, she discovers the purchaser is unresponsive to verbal or painful stimuli, has no
respirations, and is pulseless. Which action must nurse take first?
Start chest compressions
Provide breaths with guide resuscitation bag
Administer oxygen
Establish an airway - ANSStart chest compressions
