fundies exam review 12/7

Question 1

A decrease amount of oxygen in the blood is called?

Answer 1

hypoxia

Question 2

How do you perform forceful exhalation coughing?

Answer 2

two deep breathes and force out the air quickly

Question 3

The best time to schedule pustule drainage is?

Answer 3

in the morning when pt arrives before breakfast

Question 4

Pt has a hx of sinus disorders. What oxygen would you connect?

Answer 4

a humidifier

Question 5

A pt with copd the tolerable flow rate is?

Answer 5

2-3 liters

Question 6

Chest percussion

Answer 6

place hands over the thorax

Question 7

The nurse see’s the pt is having trouble with breathing because his tongue is falling back into his throat. What is the nursing intervention?

Answer 7

put in a pharyngeal airway

Question 8

How can a nurse determine if a pt with a trach needs suctioning?

Answer 8

auscultate the breath sounds

Question 9

The nurse recognizes tracheotomy cuff deflation. The pt should have their…

Answer 9

pharynx suctioned first

Question 10

One of the safety precautions you need to take when a pt is on oxygen (careful with fire/sparks)

Answer 10

asses any equipment in the room for frayed cords

Question 11

A nurse taking care of a pt with a water seal type drainage that is placed on low suction the nurse sees constant bubbling the nurse should?

Answer 11

document the findings

Question 12

To keep a pt adequately hydrated is necessary to mobilize respiratory secretions/ thin them

Answer 12

you want the pt to drink 1500 to 2000 ml per day

Question 13

The pt has a incentive spirometer at the bedside. They need to take

Answer 13

10 slow deep breathes every hour

Question 14

Pt has emphysema a good physician to facilitate respirations for them is?

Answer 14

sitting upright and forward with their arms supported with an over the bed table

Question 15

The nurse performing tracheotomy care will…

Answer 15

suction the trach before giving the care

Question 16

The nurse caring for a pt with a disposable chest drainage system can promote effective

Answer 16

taping all connections within that system

Question 17

Pulse ox cannot go through what?

Answer 17

jaundice

Question 18

When you have a cough mechanism its stimulated when?

Answer 18

foreign substances are propelled by the cilia towards the respiratory tract

Question 19

The multiple causes of hypoxia include…

Answer 19

high altitude, pulmonary fibrosis, and aspirated vomit

Question 20

Pt is on coumadin. The pt asks the nurse “why do I have to have my blood work done every two weeks. Tell them you are monitoring how long it takes to see how long it takes your blood to clot. What test would you use?

Answer 20

the INR test

Question 21

The pt is asking the nurse what they mean by a wbc count had a shift to the left. the nurse explains that…

Answer 21

increase in the number of immature wbc’s

Question 22

Midstream urine. You have a female pt preparing for a ultrasound prior to the procedure the pt needs to…

Answer 22

drink a liter of water

Question 23

Determine if a pt is claustrophobic before?

Answer 23

an MRI

Question 24

Prior to the nurse transporting a pt to a MRI it is essential for the nurse to asses the pt for?

Answer 24

any metal

Question 25

A pt is scheduled for a cardiac cath. It will show

Answer 25

oxygen concentration at various sites

Avoid caffeine before a cardiac stress 5est

Question 26

Pt comes back before endoscopy pt wants a drink

Answer 26

check the return of gag and reflexes

Question 27

The pt has a colonoscopy scheduled the next day. the pt can have

Answer 27

lime jello

Question 28

This is have a cystoscopy done they have a Foley catheter in place its okay if they come back with

Answer 28

pink tinged urine

Question 29

Pt is getting a polyp removed expect

Answer 29

very small amount of bleeding

Question 30

Pt is having a GI procedure done you have to give them a series of enemas. the electrolytes that needs to be assessed is…

Answer 30

potassium and sodium

Question 31

A blood glucose and the nurse selects a puncture site

Answer 31

she wants to choose a right angle to the finger print lines

Question 32

Wipe away the first drop of blood when taking…

Answer 32

blood glucose

Question 33

The nurse is getting a wound culture she wants to make sure she places the swab in the culture tube without…

Answer 33

touching the sides

Question 34

The pt is going for an angiography check for?

Answer 34

bleeding at that insertion site

Question 35

The statement made by a pt that would delay a CAT scan would be if the pt said

Answer 35

I jut started on Metforman

Question 36

The nurse evaluates a prothrombin time PT INR for a pt taking heparin the nurses initial action should be?

Answer 36

check the doctors orders

Question 37

A major concern for a 86 year old who has been NPO for 8 hours for diagnostic test would be?

Answer 37

check his hydration status

Question 38

A pt is having a MRI for a knee injury. he c/o burning in his upper thigh it is because of the

Answer 38

trace metals in his ink in tattoos

Question 39

24 hour urine specimen empty your bladder into the toilet and begin

Answer 39

timing the collection after they void

Question 40

The nurse is aware pt’s that are not candidates for a MRI are pt’s with…

Answer 40

with a pacemaker and/or a hip replacement

Question 41

Pt is having a colonoscopy the nurse tells the pt that they need to stop taking their…

Answer 41

iron three days prior to the test