RNSG 1105 Final Exam with [] [] [] [] []
verified solutions []
What are the body's responses to heat or cold therapy? -
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Correct answer ✔Systemic responses: for heat-loss, sweating
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and vasodilation. For heat conservation, vasoconstriction and
[] [] [] [] [] [] []
piloerection. Heat production, shivering. [] [] []
Local responses: stimulation of temperature sensitive nerve
[] [] [] [] [] [] []
endings within the skin, sending impulses to the hypothalamus
[] [] [] [] [] [] [] [] []
and triggers adaptive responses for maintenance of normal body
[] [] [] [] [] [] [] []
temperatures.
[]
What are the effects of applying heat to the body? - Correct
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answer ✔When heat is applied to the body, it causes
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vasodilation
What are the effects of applying cold to the body? - Correct
[] [] [] [] [] [] [] [] [] [] [] []
answer ✔When cold is applied to the body - it causes
[] [] [] [] [] [] [] [] [] [] []
vasoconstriction of blood vessels and decrease blood supply to [] [] [] [] [] [] [] [] []
the area. []
What is rebound phenomenon? How long can heat or cold
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remain on a body part before rebound begins? - Correct answer
[] [] [] [] [] [] [] [] [] [] []
✔-If the cold is left on the body for over 20-30 minutes - the
[] [] [] [] [] [] [] [] [] [] [] [] [] []
rebound phenomenon takes over, the body will now vasodilate
[] [] [] [] [] [] [] [] []
as a protective mechanism to prevent the body tissue from
[] [] [] [] [] [] [] [] [] []
freezing and becoming necrotic. - recovery time is 1 hour
[] [] [] [] [] [] [] [] []
,- With heat, Continuation beyond 20-30 minutes causes a
[] [] [] [] [] [] [] [] []
rebound phenomenon in which the blood vessels will now
[] [] [] [] [] [] [] [] []
vasoconstrict. The body reduces blood flow by a reflex [] [] [] [] [] [] [] [] []
vasoconstriction to control heat loss from the area. Periodic [] [] [] [] [] [] [] [] []
removal and reapplication of local heat restores vasodilation.
[] [] [] [] [] [] [] []
Continuous exposure to heat damages epithelial cells, causing [] [] [] [] [] [] [] []
redness, localized tenderness, and even blistering.
[] [] [] [] []
What is the adaptive response of the body to heat and to cold?
[] [] [] [] [] [] [] [] [] [] [] [] []
How does it affect safety when applying heat and cold? - Correct
[] [] [] [] [] [] [] [] [] [] []
answer ✔Heat causes sweating and vasodilation and cold
[] [] [] [] [] [] [] [] []
causes vasoconstriction, piloerection, and shivering. The
[] [] [] [] [] []
adaptive response alters the reception and eventual perception
[] [] [] [] [] [] [] []
of stimuli. If a person is insensitive to heat and cold extremes,
[] [] [] [] [] [] [] [] [] [] [] []
they can suffer serious tissue damage.
[] [] [] [] []
Before applying heat or cold therapy, what is included in the
[] [] [] [] [] [] [] [] [] [] []
assessment of the [] [] []
patient? - Correct answer ✔Assess: [] [] [] [] []
- The skin, looking for any open areas
[] [] [] [] [] [] []
- The neurological system for sensation (to understand if the
[] [] [] [] [] [] [] [] [] []
patient senses extremes of cold or heat)
[] [] [] [] [] []
- The patient's mental status to be sure that the patient can
[] [] [] [] [] [] [] [] [] [] [] []
correctly communicate any issues with the hot or cold therapy.
[] [] [] [] [] [] [] [] [] []
***
- Identification of conditions that contraindicate heat or cold
[] [] [] [] [] [] [] [] []
therapy. []
,- The condition of equipment being used.
[] [] [] [] [] []
What circumstances would contraindicate the use of heat or
[] [] [] [] [] [] [] [] []
cold? - Correct answer ✔- Neuro-sensory impairment
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- Impaired mental status
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- Impaired circulation
[] []
- Immediately after surgery or injury
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- Hemorrhage
[]
What safety measures are utilized in collection of specimens? -
[] [] [] [] [] [] [] [] [] []
Correct answer ✔- Standard precautions are always used for
[] [] [] [] [] [] [] [] []
collecting and handling specimens. [] [] []
- Take care to keep the outside of the container from becoming
[] [] [] [] [] [] [] [] [] [] [] []
contaminated.
- Lab the specimen with patient name and test to be performed
[] [] [] [] [] [] [] [] [] [] [] []
while at the patients bedside.
[] [] [] [] []
- Place specimen in bio-hazard bag for transport and send to lab
[] [] [] [] [] [] [] [] [] [] []
Is a sterile urine specimen required for a routine urinalysis? -
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Correct answer ✔No, just have the patient urinate in a cup.
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How would the nurse explain the process of collecting a mid-
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stream / clean catch urine Specimen to a patient? - Correct
[] [] [] [] [] [] [] [] [] [] []
answer ✔- Females: Instruct the female patient to separate the
[] [] [] [] [] [] [] [] [] []
labia for cleaning of the area and during collection of urine.
[] [] [] [] [] [] [] [] [] [] []
Female patients should use the towelettes or wet washcloth to
[] [] [] [] [] [] [] [] [] []
clean each side of the urinary meatus, then the center over the
[] [] [] [] [] [] [] [] [] [] [] []
meatus, from front to back, using a new wipe for each stroke.
[] [] [] [] [] [] [] [] [] [] [] []
, Males: Instruct to use a toilette to clean the tip of the penis,
[] [] [] [] [] [] [] [] [] [] [] [] []
wiping in a circular motion away from the urethra. Instruct male
[] [] [] [] [] [] [] [] [] [] []
patient who is not circumcised to retract foreskin before
[] [] [] [] [] [] [] [] []
cleaning and during collection. [] [] []
- Have patient void about 25 mL, stop urinating briefly, then
[] [] [] [] [] [] [] [] [] [] []
void into collection container. Collect specimen (10-20 mL is
[] [] [] [] [] [] [] [] []
enough), and then finish voiding. Do not touch the inside of the
[] [] [] [] [] [] [] [] [] [] [] []
container or the lid. [] [] []
- Place lid on container.
[] [] [] []
If a urine specimen is contaminated during the collection
[] [] [] [] [] [] [] [] []
process, what is the nurses' next action? - Correct answer
[] [] [] [] [] [] [] [] [] []
✔Redo the collection. Test is not valid [] [] [] [] [] []
How would the nurse collect a Sterile Specimen using a syringe?
[] [] [] [] [] [] [] [] [] []
Can the urine be obtained from the urine collection bag?
[] [] [] [] [] [] [] [] [] [] []
Explain. - Correct answer ✔- Clamp the catheter drainage tubing
[] [] [] [] [] [] [] [] []
or bend it back on itself distal to the port. If an insufficient
[] [] [] [] [] [] [] [] [] [] [] [] [] []
amount of urine is present in the tubing, allow tubing to remain
[] [] [] [] [] [] [] [] [] [] [] []
clamped up to 30 minutes, to collect sufficient amount of urine,
[] [] [] [] [] [] [] [] [] [] []
unless contraindicated. []
- Remove lid from specimen container, keeping the inside of the
[] [] [] [] [] [] [] [] [] [] []
container and lid free from contamination. [] [] [] [] [] []
- Cleanse aspiration port with alcohol wipe for 15 seconds and
[] [] [] [] [] [] [] [] [] [] []
allow port to air dry. [] [] [] []
- attach the syringe to the needleless port.
[] [] [] [] [] [] []
Slowly aspirate 10 mL of urine. Remove needle or syringe from
[] [] [] [] [] [] [] [] [] [] []
port. Unclamp drainage tubing.[] [] []
verified solutions []
What are the body's responses to heat or cold therapy? -
[] [] [] [] [] [] [] [] [] [] []
Correct answer ✔Systemic responses: for heat-loss, sweating
[] [] [] [] [] [] []
and vasodilation. For heat conservation, vasoconstriction and
[] [] [] [] [] [] []
piloerection. Heat production, shivering. [] [] []
Local responses: stimulation of temperature sensitive nerve
[] [] [] [] [] [] []
endings within the skin, sending impulses to the hypothalamus
[] [] [] [] [] [] [] [] []
and triggers adaptive responses for maintenance of normal body
[] [] [] [] [] [] [] []
temperatures.
[]
What are the effects of applying heat to the body? - Correct
[] [] [] [] [] [] [] [] [] [] [] []
answer ✔When heat is applied to the body, it causes
[] [] [] [] [] [] [] [] [] []
vasodilation
What are the effects of applying cold to the body? - Correct
[] [] [] [] [] [] [] [] [] [] [] []
answer ✔When cold is applied to the body - it causes
[] [] [] [] [] [] [] [] [] [] []
vasoconstriction of blood vessels and decrease blood supply to [] [] [] [] [] [] [] [] []
the area. []
What is rebound phenomenon? How long can heat or cold
[] [] [] [] [] [] [] [] [] []
remain on a body part before rebound begins? - Correct answer
[] [] [] [] [] [] [] [] [] [] []
✔-If the cold is left on the body for over 20-30 minutes - the
[] [] [] [] [] [] [] [] [] [] [] [] [] []
rebound phenomenon takes over, the body will now vasodilate
[] [] [] [] [] [] [] [] []
as a protective mechanism to prevent the body tissue from
[] [] [] [] [] [] [] [] [] []
freezing and becoming necrotic. - recovery time is 1 hour
[] [] [] [] [] [] [] [] []
,- With heat, Continuation beyond 20-30 minutes causes a
[] [] [] [] [] [] [] [] []
rebound phenomenon in which the blood vessels will now
[] [] [] [] [] [] [] [] []
vasoconstrict. The body reduces blood flow by a reflex [] [] [] [] [] [] [] [] []
vasoconstriction to control heat loss from the area. Periodic [] [] [] [] [] [] [] [] []
removal and reapplication of local heat restores vasodilation.
[] [] [] [] [] [] [] []
Continuous exposure to heat damages epithelial cells, causing [] [] [] [] [] [] [] []
redness, localized tenderness, and even blistering.
[] [] [] [] []
What is the adaptive response of the body to heat and to cold?
[] [] [] [] [] [] [] [] [] [] [] [] []
How does it affect safety when applying heat and cold? - Correct
[] [] [] [] [] [] [] [] [] [] []
answer ✔Heat causes sweating and vasodilation and cold
[] [] [] [] [] [] [] [] []
causes vasoconstriction, piloerection, and shivering. The
[] [] [] [] [] []
adaptive response alters the reception and eventual perception
[] [] [] [] [] [] [] []
of stimuli. If a person is insensitive to heat and cold extremes,
[] [] [] [] [] [] [] [] [] [] [] []
they can suffer serious tissue damage.
[] [] [] [] []
Before applying heat or cold therapy, what is included in the
[] [] [] [] [] [] [] [] [] [] []
assessment of the [] [] []
patient? - Correct answer ✔Assess: [] [] [] [] []
- The skin, looking for any open areas
[] [] [] [] [] [] []
- The neurological system for sensation (to understand if the
[] [] [] [] [] [] [] [] [] []
patient senses extremes of cold or heat)
[] [] [] [] [] []
- The patient's mental status to be sure that the patient can
[] [] [] [] [] [] [] [] [] [] [] []
correctly communicate any issues with the hot or cold therapy.
[] [] [] [] [] [] [] [] [] []
***
- Identification of conditions that contraindicate heat or cold
[] [] [] [] [] [] [] [] []
therapy. []
,- The condition of equipment being used.
[] [] [] [] [] []
What circumstances would contraindicate the use of heat or
[] [] [] [] [] [] [] [] []
cold? - Correct answer ✔- Neuro-sensory impairment
[] [] [] [] [] []
- Impaired mental status
[] [] []
- Impaired circulation
[] []
- Immediately after surgery or injury
[] [] [] [] []
- Hemorrhage
[]
What safety measures are utilized in collection of specimens? -
[] [] [] [] [] [] [] [] [] []
Correct answer ✔- Standard precautions are always used for
[] [] [] [] [] [] [] [] []
collecting and handling specimens. [] [] []
- Take care to keep the outside of the container from becoming
[] [] [] [] [] [] [] [] [] [] [] []
contaminated.
- Lab the specimen with patient name and test to be performed
[] [] [] [] [] [] [] [] [] [] [] []
while at the patients bedside.
[] [] [] [] []
- Place specimen in bio-hazard bag for transport and send to lab
[] [] [] [] [] [] [] [] [] [] []
Is a sterile urine specimen required for a routine urinalysis? -
[] [] [] [] [] [] [] [] [] [] []
Correct answer ✔No, just have the patient urinate in a cup.
[] [] [] [] [] [] [] [] [] []
How would the nurse explain the process of collecting a mid-
[] [] [] [] [] [] [] [] [] []
stream / clean catch urine Specimen to a patient? - Correct
[] [] [] [] [] [] [] [] [] [] []
answer ✔- Females: Instruct the female patient to separate the
[] [] [] [] [] [] [] [] [] []
labia for cleaning of the area and during collection of urine.
[] [] [] [] [] [] [] [] [] [] []
Female patients should use the towelettes or wet washcloth to
[] [] [] [] [] [] [] [] [] []
clean each side of the urinary meatus, then the center over the
[] [] [] [] [] [] [] [] [] [] [] []
meatus, from front to back, using a new wipe for each stroke.
[] [] [] [] [] [] [] [] [] [] [] []
, Males: Instruct to use a toilette to clean the tip of the penis,
[] [] [] [] [] [] [] [] [] [] [] [] []
wiping in a circular motion away from the urethra. Instruct male
[] [] [] [] [] [] [] [] [] [] []
patient who is not circumcised to retract foreskin before
[] [] [] [] [] [] [] [] []
cleaning and during collection. [] [] []
- Have patient void about 25 mL, stop urinating briefly, then
[] [] [] [] [] [] [] [] [] [] []
void into collection container. Collect specimen (10-20 mL is
[] [] [] [] [] [] [] [] []
enough), and then finish voiding. Do not touch the inside of the
[] [] [] [] [] [] [] [] [] [] [] []
container or the lid. [] [] []
- Place lid on container.
[] [] [] []
If a urine specimen is contaminated during the collection
[] [] [] [] [] [] [] [] []
process, what is the nurses' next action? - Correct answer
[] [] [] [] [] [] [] [] [] []
✔Redo the collection. Test is not valid [] [] [] [] [] []
How would the nurse collect a Sterile Specimen using a syringe?
[] [] [] [] [] [] [] [] [] []
Can the urine be obtained from the urine collection bag?
[] [] [] [] [] [] [] [] [] [] []
Explain. - Correct answer ✔- Clamp the catheter drainage tubing
[] [] [] [] [] [] [] [] []
or bend it back on itself distal to the port. If an insufficient
[] [] [] [] [] [] [] [] [] [] [] [] [] []
amount of urine is present in the tubing, allow tubing to remain
[] [] [] [] [] [] [] [] [] [] [] []
clamped up to 30 minutes, to collect sufficient amount of urine,
[] [] [] [] [] [] [] [] [] [] []
unless contraindicated. []
- Remove lid from specimen container, keeping the inside of the
[] [] [] [] [] [] [] [] [] [] []
container and lid free from contamination. [] [] [] [] [] []
- Cleanse aspiration port with alcohol wipe for 15 seconds and
[] [] [] [] [] [] [] [] [] [] []
allow port to air dry. [] [] [] []
- attach the syringe to the needleless port.
[] [] [] [] [] [] []
Slowly aspirate 10 mL of urine. Remove needle or syringe from
[] [] [] [] [] [] [] [] [] [] []
port. Unclamp drainage tubing.[] [] []
