NURC 1102 Midterm exam review
questions and answers18
Before administering an internal solution via a G-tube the nurse should perform which actions -
ANSWERS-Check the patient's allergies, flush the Gastronomy to check for patency, assess for
bowel sounds, and aspirate and check the pH of the gastric residual
Which of the following statements regarding enema Administration is inappropriate? -
ANSWERS-The enema bag should always be elevated up high to promote quick administration
of the enema
Which of the following assessments would be concerning for a colostomy - ANSWERS-The
drainage bag is nearly full
A patient with a total colectomy and new ileostomy notices his ostomy output is liquid and
asked when it will be formed like a typical store. How should the nurse respond - ANSWERS-Tell
the patient that he watery I'll put his typical for an ileostomy
The nurse is caring for a patient with a colostomy and notices that the wait for device is slightly
loose. Which response is appropriate? - ANSWERS-Remove the entire device, assess and
provide site care, then place a new wafer device.
Which of the following interventions will help prevent urinary catheter infections - ANSWERS-
Maintain an unobstructed flow of urine. Perform peroneal hygiene and catheter care daily.
Secure the catheter to prevent pulling
The nurse notes that eat hours after removing the patients indwelling urinary catheter the
patient has not voided. How should the nurse respond - ANSWERS-Assess the suprapubic area
for distention(check for bloat)
,Which nursing intervention should the nurse implement when removing an indwelling urinary
catheter - ANSWERS-Allow the balloon to drain into the syringe naturally. Check documentation
for the volume used to inflate the balloon. After removal, examine the catheter to ensure it is
intact
why is infection control important? - ANSWERS-prevents complications, therapies or
treatments, or anything that causes the pt. harm or a longer hospital stay.
What is an HAI and who is responsible for a patient consequence if an hai occurs. - ANSWERS-
hospital acquired infection. the hospital is
what is standard precaution. - ANSWERS-includes donning gloves/gown.
when do we use ppe - ANSWERS-for any and all patients when there is a risk for exposure to
bodily substances
how do nurses decrease the chain of infection - ANSWERS-by eliminating one or more of the
pieces in the chain of infection
what ppe do we wear in contact precaution - ANSWERS-gloves and gown
what ppe do we wear in droplet precaution - ANSWERS-mask
can ppe be reused and should it be worn outside of the patient's room - ANSWERS-no
what should the nurse do when taking equipment or supplies from room to room? - ANSWERS-
make sure equipment is properly wiped down
, how can isolation precautions affect the holistic well being of a pt. - ANSWERS-the pt could feel
depressed, lonely, worse, sad, hurt etc
what are the key guidelines for maintaining a sterile field - ANSWERS-above waist level
avoid contaminating sterile field by reaching over or placing a non sterile item on the field or by
dirting the field
3 surgical asepsis procedures - ANSWERS-urinary cath
trach suction
lumbar puncture
when should you NOT use hand sanitizer - ANSWERS-when hands are visibly soiled
if a sterile package has holes or becomes damp what should you do? - ANSWERS-dispose of
package, obtain a new one, make sure package has integrity
what happens if the Bladder or cuff is too wide during a bp - ANSWERS-false low reading
what happens if the bladder or cuff is too narrow during a bp - ANSWERS-false high reading
how can we protect pt information related to charting or pt chart - ANSWERS-only chart under
your name
dont share pw
badge in and badge out
name 3 elements that help ensure quality documentation - ANSWERS-chart at the time of
occurence
be concise
questions and answers18
Before administering an internal solution via a G-tube the nurse should perform which actions -
ANSWERS-Check the patient's allergies, flush the Gastronomy to check for patency, assess for
bowel sounds, and aspirate and check the pH of the gastric residual
Which of the following statements regarding enema Administration is inappropriate? -
ANSWERS-The enema bag should always be elevated up high to promote quick administration
of the enema
Which of the following assessments would be concerning for a colostomy - ANSWERS-The
drainage bag is nearly full
A patient with a total colectomy and new ileostomy notices his ostomy output is liquid and
asked when it will be formed like a typical store. How should the nurse respond - ANSWERS-Tell
the patient that he watery I'll put his typical for an ileostomy
The nurse is caring for a patient with a colostomy and notices that the wait for device is slightly
loose. Which response is appropriate? - ANSWERS-Remove the entire device, assess and
provide site care, then place a new wafer device.
Which of the following interventions will help prevent urinary catheter infections - ANSWERS-
Maintain an unobstructed flow of urine. Perform peroneal hygiene and catheter care daily.
Secure the catheter to prevent pulling
The nurse notes that eat hours after removing the patients indwelling urinary catheter the
patient has not voided. How should the nurse respond - ANSWERS-Assess the suprapubic area
for distention(check for bloat)
,Which nursing intervention should the nurse implement when removing an indwelling urinary
catheter - ANSWERS-Allow the balloon to drain into the syringe naturally. Check documentation
for the volume used to inflate the balloon. After removal, examine the catheter to ensure it is
intact
why is infection control important? - ANSWERS-prevents complications, therapies or
treatments, or anything that causes the pt. harm or a longer hospital stay.
What is an HAI and who is responsible for a patient consequence if an hai occurs. - ANSWERS-
hospital acquired infection. the hospital is
what is standard precaution. - ANSWERS-includes donning gloves/gown.
when do we use ppe - ANSWERS-for any and all patients when there is a risk for exposure to
bodily substances
how do nurses decrease the chain of infection - ANSWERS-by eliminating one or more of the
pieces in the chain of infection
what ppe do we wear in contact precaution - ANSWERS-gloves and gown
what ppe do we wear in droplet precaution - ANSWERS-mask
can ppe be reused and should it be worn outside of the patient's room - ANSWERS-no
what should the nurse do when taking equipment or supplies from room to room? - ANSWERS-
make sure equipment is properly wiped down
, how can isolation precautions affect the holistic well being of a pt. - ANSWERS-the pt could feel
depressed, lonely, worse, sad, hurt etc
what are the key guidelines for maintaining a sterile field - ANSWERS-above waist level
avoid contaminating sterile field by reaching over or placing a non sterile item on the field or by
dirting the field
3 surgical asepsis procedures - ANSWERS-urinary cath
trach suction
lumbar puncture
when should you NOT use hand sanitizer - ANSWERS-when hands are visibly soiled
if a sterile package has holes or becomes damp what should you do? - ANSWERS-dispose of
package, obtain a new one, make sure package has integrity
what happens if the Bladder or cuff is too wide during a bp - ANSWERS-false low reading
what happens if the bladder or cuff is too narrow during a bp - ANSWERS-false high reading
how can we protect pt information related to charting or pt chart - ANSWERS-only chart under
your name
dont share pw
badge in and badge out
name 3 elements that help ensure quality documentation - ANSWERS-chart at the time of
occurence
be concise
