Fundamentals System 1

Question 1

Stressed out toddler?

Answer 1

Complete most distressing part of work last

Question 2

Confused patient grabbing at nurses?

Answer 2

Firmly tell him to STOP IT

Question 3

IV Infiltration, what is UNEXPECTED?

Answer 3

warms is not expected and is a sign of infection/phlebitis (inflammation of veins)

Question 4

Stool specimens

Answer 4

must be sent to the labs w/in 30 minutes for receiving and placed in preservative… no refrigerator!

Question 5

How many times a client should be using an incentive spirometer PER HOUR?

Answer 5

4 - 5

Question 6

Best for wound healing?

Answer 6

Vitamin C, Zinc, E, and protein?

Question 7

Wounds healing by 2ndary intention are at ↑ r/o?

Answer 7

Infection

Question 8

Heart attack? Compression TX?

Answer 8

Priority of the nurse
5 cycles (approx. 2 minute) before attempting AED

Question 9

---Enemas---
Soap
Fleet
Oil Retention
Tap

Answer 9

irritating, used after digital removal
hypertonic, after digital removal
softens stool, BEFORE digital removal, ↓ pain
Contraindicated b/c electrolyte imbalances (causes hypervolemic state)

Question 10

---Ostomy Care---
Height of bag
Type of water
Device to put water in stoma
mL solution

Answer 10

maximum 20 inches (↑ = ↑ pressure r/in cramping)
lukewarm tap (prevent cramping)
lubricated cone tip (prevents backflow and injury)
up to 1000mL

Question 11

NG tube obstructed in a gastric resection patient?

Answer 11

Notify surgeon

Question 12

Indication for the Heimlich maneuver

Answer 12

Inability to cry or speak

Question 13

NG tube removal timing for partial colectomy?

Answer 13

When GI tract is working again, expected 3 - 5 days.

Question 14

Montgomery Straps

Answer 14

strips with holes to tie gauze to.

Quick and effective for frequent dressing changes such as post-op patients w/ drains.

Question 15

Hypoallergenic Tape

Answer 15

Tape used for patients who are sensitive to adhesive material, still must be changed each dressing ▲

Question 16

Silicone Spray

Answer 16

Used over adhesives to hold dressings in place, make them waterproof so the patient can bath and prevents contamination

Question 17

Large Absorbent Pads

Answer 17

Used to absorb wound drainage

Question 18

—CPR—
Compression rate/min
Recoil?
If any, length of interruptions

Answer 18

100
allow full recoil for refilling of ♥
less than 10 seconds, ideally should not allow interruptions

Question 19

Where to tape catheter to prevent pressure on penoscrotal junction?

Answer 19

Lower abdomen

Question 20

Types of food that help Cerebrovascular Accident patients eat?

Answer 20

Sour/Tart foods stimulate saliva production which helps chewing and swallowing

Question 21

Hemovac maintenance

Answer 21

collapse the device when it’s 2/3rd filled with air/drainage and recompress

Question 22

Expected changes in vision for cataracts

Answer 22

Halos and rainbows

Question 23

To promote peristalsis, eat…?

Answer 23

Fiber (breads)

Question 24

Age to get started with Glaucoma examinations

Answer 24

50 years old

Question 25

Aldendronate Sodium (Fosamax) contraindicated with…?

Answer 25

Esophageal Achalasia
(delayed esophageal emptying) b/c it ↑ the r/o erosion, bleeding, and perforation

Question 26

GERD ↑ the r/o?

Answer 26

Aspiration pneumonia

Question 27

Folic acid for postmenopausal women

Answer 27

↓ r/o ♥ DZ

Question 28

Things with purine in them, and thus GOUT people shouldn’t eat?

Answer 28

Whole grain breads, oatmeal, wheat
Baker’s/Brewer’s yeast
Gravies, fish, organ meats, mushrooms
green peas, spinach, cauliflower

Question 29

Older adults memory deficit

Answer 29

short term

Question 30

Expected ▲ to bladder and bowel with age

Answer 30

smaller bladder, ↑ frequency

slower bowel

Question 31

Older adults and opiates

Answer 31

↑ sensitivity, r/q strategic lowering of dosages to reduce side effects