._______ and ________ are used to measure blood pressure. - ANSWER-Stethoscope and
Sphymomanometer
.________ and ________ thermometers are used to measure temperatures for persons who are
confused and resist care. - ANSWER-Tympanic membrane, temporal artery
.________ is the process of inserting a catheter. - ANSWER-Catheterization
.________ results if constipation is not relieved. - ANSWER-Fecal impaction
._________ measures if urine is acidic or alkaline - ANSWER-Urine pH
._________________ causes black or tarry stools. - ANSWER-Bleeding in the stomach and small intestine
.A ________ is a chair or wheelchair with an opening for a container - ANSWER-Commode
.A ________ is a soft sheath that slides over the penis. - ANSWER-Condom catheter
.A ________ is collected for routine urinalysis. - ANSWER-Random urine specimen
.A ________ specimen is needed to test urine pH. - ANSWER-Random urine
.A drainage system becomes disconnected. You need
a. A new drainage bad and paper towels
b. A sterile cap and catheter plug
c. Gloves and an antiseptic wipe
d. A waterproof under-pad and a catheter clamp - ANSWER-Gloves and an antiseptic wipe
,.A measuring container for fluids is called a... - ANSWER-Graduate
.A patient complains of pain at the IV site. The area around the IV site is swollen. What should you do?
a. Turn off the IV infusion pump
b. Place a dressing over the IV insertion site
c. Apply heat to the area
d. Tell the nurse at once - ANSWER-Tell the nurse at once
.A patient complains of pain at the IV site. The area around the site is swollen. What should you do?
a. Turn off the infusion pump
b. Place a cold compress over the site
c. Tell the nurse at once
d. Apply heat to the area - ANSWER-Tell the nurse at once
.A patient has heart disease. Which temperature sites can you use? - ANSWER-Oral, axillary, tympanic
membrane, or temporal artery
.A patient is embarrassed about having a catheter. What measures can help promote the person's
mental comfort? - ANSWER-You can have visitors sit on the side of the bed away from the drainage bag.
Sometimes you can empty the bag before visitors arrive. Use a drainage bag holder if available in your
agency. The drainage bag is placed inside the holder. Urine cannot be seen.
.A patient is receiving IV therapy. When giving the person a bath, you check the flow rate. You need to
tell the RN at once if: - ANSWER-1) No fluid is dripping
2) The rate is too fast
3) The rate is too slow
4) The bag is empty or close to being empty
.A patient is recovering from hip replacement surgery. What type of bedpan will the person use? -
ANSWER-A fracture pan
,.A patient was given 9 oz of juice with dinner. You measure 2 oz left in the cup. How many milliliters
would you chart as dinner intake?
a. 270
b. 60
c. 210
d. 175 - ANSWER-210
.A patient's stool is black in color and has a tarry consistency. What should you do?
a. Ask if the person has had anything unusual to eat
b. Ask the nurse to observe the stool
c. Dispose of the stool and report the color to the nurse
d. Ask a co-worker if this is normal for the person - ANSWER-Ask the nurse to observe the stool
.A person complains of abdominal discomfort and rectal pain. Liquid feces is seeping from the person's
anus. These are signs and symptoms of
a. fecal impaction.
b. anal incontinence.
c. constipation.
d. diarrhea. - ANSWER-fecal impaction.
.A person drank all of an 8-ounce carton of milk. How many mL of fluid would you chart on the I&O
record?
a. 8 mL
b. 60 mL
c. 120 mL
d. 240 mL - ANSWER-240 mL
.A person has a catheter, which is safe?
a. Keeping the drainage bag above the bladder level
, b. Taping a leak at the connection site
c. Attaching the drainage bag to the bed rail
d. Removing a kink from the drainage tubing - ANSWER-Removing a kink from the drainage tubing
.A person has a catheter. Which is correct?
a. Report pain, burning, or irritation at once
b. Allow the tubing to hang below the drainage bag
c. Empty the drainage bag once daily
d. Use the same graduate for all persons - ANSWER-Report pain, burning, or irritation at once
.A person has a catheter. You are going to turn the person from the left to the right side. What should
you do with the drainage bag?
a. Move it to the right side
b. Keep it on the left side
c. Hang it from the IV pole
d. Remove it - ANSWER-Move it to the right side
.A person has an ileostomy. Which is incorrect?
a. Good skin care is essential.
b. The entire large intestine has been removed.
c. The stool is formed.
d. The pouch must fit well. - ANSWER-The stool is formed.
.A person has an indwelling catheter. Which is incorrect?
a. Do not let the drainage bag rest on the floor.
b. Secure the catheter to the inner thigh.
c. Empty the drainage bag at the end of the shift or as directed by the nurse.
d. Restrict fluids to 1000mL per day. - ANSWER-Restrict fluids to 1000mL per day.