Final Exam - Nursing Interventions Questions With
Complete Solutions
____ output per day Correct Answer 1500
____ per void Correct Answer 150-250
___mL/hr urine minimum Correct Answer 30
(Subcutaneous) amount of adipose tissue influences: Correct
Answer needle length & needle insertion angle
#1 health care associated infection is: Correct Answer UTI
18-59 years old goal BP Correct Answer <140/<90
1st void after removal of urinary catheter ~ Correct Answer
250 mL in 6-8 hrs
24 hr urine collections Correct Answer - collect urine for 24
hr
- initiate at specified time
- discard first void
- include last void
3 checks Correct Answer - when nurse reaches for med in
drawer
- after picking it up, compare to MAR
- before giving med to patient
5 parts of the nursing process Correct Answer 1. assessing
,2. diagnosing
3. outcome identification/planning
4. implementation
5. evaluating
6 patient rights Correct Answer the right....
1. drug
2. dose
3. patient
4. route
5. time
6. documentation
60+ & healthy goal BP Correct Answer <150/<90
60+ with FM/kidney disease goal BP Correct Answer
<140/<90
A Correct Answer assessment
accidental wounds Correct Answer - abrasion
- laceration
- puncture
- contusion or hematoma
- skin tears: traumatic separation of epidermis from dermis
Activities of daily living (ADLs) Correct Answer - BATTED
- Bathing, Ambulation, Toileting, Transfers, Eating, Dressing
activity level Correct Answer - amount of exercise
- periods of relaxation
,additional sources of fluid Correct Answer - food intake (700-
1000 mL)
- oxidation of food (200-300 mL)
adverse effects Correct Answer what you dont want to happen
aerosol therapy Correct Answer - small-volume nebulizers
- adds moisture to 02 delivery
- hydrates thick sputum
afebrile Correct Answer normal temperature
affective Correct Answer patient demonstrates change in
attitude, values, or beliefs
after feeding Correct Answer - flush tube
- semi-fowlers position for 30-60 min
airborne & airborne respiratory precautions Correct Answer -
MASK & GOWN & GLOVES & TB N-95 & HEPA respirator
Room: private
- Dedicated equipment
- Door closed
- Patient transportation: mask or respirator
- Instruction to visitors: susceptibility; PPE
alcohol based Correct Answer - 15 seconds
- let dry
alcohol history Correct Answer - consumption guidelines
, - risk factors for women and older adults
allergic effects Correct Answer immune system has response,
hives >>> anaphylaxis
altered urinary output with these patients Correct Answer -
decreased muscle tone
- obesity
- pregnancy
- chronic constipation
- long-term catheter use
- advancing age
AM care Correct Answer - after breakfast
- major bathing of day
- bathroom
Ambu bags Correct Answer - fits over mouth
- need tight seal: C-hold
- use at normal RR 16-20/min
- usually attached to oxygen
angle of needle insertion for SC Correct Answer 45 - 90
anti-embolism stockings (TEDS) Correct Answer -
compression stockings
- prevents DVT or VTE
- exerts 15 mmHg of pressure
anuria Correct Answer <50 mL/day
Complete Solutions
____ output per day Correct Answer 1500
____ per void Correct Answer 150-250
___mL/hr urine minimum Correct Answer 30
(Subcutaneous) amount of adipose tissue influences: Correct
Answer needle length & needle insertion angle
#1 health care associated infection is: Correct Answer UTI
18-59 years old goal BP Correct Answer <140/<90
1st void after removal of urinary catheter ~ Correct Answer
250 mL in 6-8 hrs
24 hr urine collections Correct Answer - collect urine for 24
hr
- initiate at specified time
- discard first void
- include last void
3 checks Correct Answer - when nurse reaches for med in
drawer
- after picking it up, compare to MAR
- before giving med to patient
5 parts of the nursing process Correct Answer 1. assessing
,2. diagnosing
3. outcome identification/planning
4. implementation
5. evaluating
6 patient rights Correct Answer the right....
1. drug
2. dose
3. patient
4. route
5. time
6. documentation
60+ & healthy goal BP Correct Answer <150/<90
60+ with FM/kidney disease goal BP Correct Answer
<140/<90
A Correct Answer assessment
accidental wounds Correct Answer - abrasion
- laceration
- puncture
- contusion or hematoma
- skin tears: traumatic separation of epidermis from dermis
Activities of daily living (ADLs) Correct Answer - BATTED
- Bathing, Ambulation, Toileting, Transfers, Eating, Dressing
activity level Correct Answer - amount of exercise
- periods of relaxation
,additional sources of fluid Correct Answer - food intake (700-
1000 mL)
- oxidation of food (200-300 mL)
adverse effects Correct Answer what you dont want to happen
aerosol therapy Correct Answer - small-volume nebulizers
- adds moisture to 02 delivery
- hydrates thick sputum
afebrile Correct Answer normal temperature
affective Correct Answer patient demonstrates change in
attitude, values, or beliefs
after feeding Correct Answer - flush tube
- semi-fowlers position for 30-60 min
airborne & airborne respiratory precautions Correct Answer -
MASK & GOWN & GLOVES & TB N-95 & HEPA respirator
Room: private
- Dedicated equipment
- Door closed
- Patient transportation: mask or respirator
- Instruction to visitors: susceptibility; PPE
alcohol based Correct Answer - 15 seconds
- let dry
alcohol history Correct Answer - consumption guidelines
, - risk factors for women and older adults
allergic effects Correct Answer immune system has response,
hives >>> anaphylaxis
altered urinary output with these patients Correct Answer -
decreased muscle tone
- obesity
- pregnancy
- chronic constipation
- long-term catheter use
- advancing age
AM care Correct Answer - after breakfast
- major bathing of day
- bathroom
Ambu bags Correct Answer - fits over mouth
- need tight seal: C-hold
- use at normal RR 16-20/min
- usually attached to oxygen
angle of needle insertion for SC Correct Answer 45 - 90
anti-embolism stockings (TEDS) Correct Answer -
compression stockings
- prevents DVT or VTE
- exerts 15 mmHg of pressure
anuria Correct Answer <50 mL/day
