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Exam (elaborations)

NSC 232 Final Exam Questions With Complete Solutions

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NSC 232 Final Exam Questions With Complete Solutions

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NSC 232 Final Exam Questions With Complete Solutions

1 year pulse and respirations average and ranges Correct
Answers Pulse: 120(80-140)
Respirations: 30(20-40)

10 basic principles of sterile technique Correct Answers 1. Only
sterile items are used within the sterile field.
2. Sterile persons are gowned and gloved.
3. Tables are sterile only at table level/waist high.
4. Sterile persons touch only sterile items or areas. Unsterile
persons touch only unsterile items or areas.
5. Unsterile persons avoid reaching over sterile field. Sterile
persons avoid leaning over unsterile areas.
6. Unsterile persons avoid sterile areas.
7. Sterile field is created as close as possible to the time of use.
8. Sterile areas are continuously kept in view. "Don't turn your
back on your sterile field."
9. Destruction of integrity of microbial barriers results in
contamination- keep sterile area free from moisture.
10. Date, time and initial all opened containers if they are to be
reused- "if in doubt, throw it out."

10 medication rights Correct Answers Right drug
Right dose
Right client
Right route
Right time
Right client education
Right documentation
Right to refuse

,Right assessment
Right evaluation

10 years pulse and respirations average and ranges Correct
Answers Pulse: 70(50-90)
Respirations: 19(15-25)

4 parts of Pharmacokinetics Correct Answers -Absorption
-Distribution
-Biotransformation
-Excretion

5-8 years pulse and respirations average and ranges Correct
Answers Pulse: 100(75-120)
Respirations: 20(15-25)

6 medication rights Correct Answers drug
dose
route
time
patient
documentation

A client tells the nurse, "This pill is a different color than the
one that I usually take at home." Which is the best response by
the nurse?

1."Go ahead and take your medicine."
2."I will recheck your medication orders."
3."Maybe the doctor ordered a different medication."

,4."I'll leave the pill here while I check with the doctor." Correct
Answers 2. "I will recheck your medication orders"

If there is any doubt, the medication administration process
should be interrupted until the question is clarified.

Abnormal finding of the eye Correct Answers •Loss of hair,
scaling, flaky eyebrows
•Redness, swelling, flaking, crusting, discharge, asymmetrical
closing, ptosis of eyelids
•Jaundiced sclera
•Poor vision
•PEARRL

Abnormal findings of ears Correct Answers •Asymmetrical,
excessively red or tender auricles
•Lesions, flaky, scaly skin over auricles
•Normal voice tones not heard- deafness

Abnormal findings of the feet Correct Answers •Excessive
dryness
•Areas of inflammation or swelling
•Fissures, cracking or scaling of skin
•Plantar warts
•Swelling and pitting edema
•Weak or absent pulses
•Cool skin temperature in one or both feet

Abnormal findings of the hair Correct Answers •Dandruff
•Hair loss
•Ticks

, •Pediculosis(lice infestation)
•Hirsutism(abnormal hair growth)

Abnormal findings of the mouth Correct Answers
•Halitosis(bad breath)
•Glossitis(inflammation of the tongue)
•Gingivitis
•Periodontal disease
•Reddened or excoriated mucosa
•Excessive dryness of the buccal mucosa
•Cheilosis(corners of mouth)
•Dental caries
•Stomatitis(inflammation of mucous membrane)
•Parotitis(inflammation of parotid gland-mumps)

Abnormal findings of the nails Correct Answers •Spoon nails
•Excessive thickness or clubbing
•Beau's lines
•Discolored or detached
•Bluish or purplish tint or pallor (cyanosis)
•Hangnails or paronychia
•Delayed capillary refilling time-blanch test

Abnormal findings of the skin Correct Answers abrasions
excessive dryness
acne
erythema(redness)
hirsutism(excess hair growth)
scabies

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