Moderate Dynamic Quizzes Flashcards
A nurse is caring for a client who had a mastectomy and has a self suction drainage evaluator in place. Which of the following actions should the nurse take to ensure proper operation of the device?
Collapse the device to remove air after emptying.
Rationale: this will create enough suction to pull fluid exudate into the collection area of the device.
A client schedule for arthroplasty may require a blood transfusion and is worried about the risk of acquiring an infection from the blood transfusion. Which statement should the nurse make?
“Dontae autologous blood before the surgery”
Rationale: autologous blood is the drawn from the client before surgery and store for transfusion at the time of surgery. It is the safest form of blood transfusions.
How does a TENS unit help relieve pain?
It modulates the transmission of the pain impulse.
A client is experiencing dysphagia at mealtimes. What action should the nurse take?
Advise the client to tuck his chin downward.
Rationale: this position helps move the food downward without lodging in the throat.
Which of the following findings places the client at risk of impaired skin integrity?
Faint pedal pulses
Rationale: indicate poor circulation and tissue perfusion
What is an expected finishing of fluid volume excess?
Bounding pulse
Which action should the nurse take prior to initiating a Gastrostomy tube feeding to a client who had a stroke?
Elevate the head of the clients bed
Rationale: clients with a brain injury are unable to swallow effectively and cannot protect their airway from aspiration
Lab result: WBC count 3,600/mm^3.
Which condition is this?
Leukopenia
Rationale: occurs when there is a decrease is WBCs. High risk of infection
Which vitamins promote healing and fight infection?
Vitamin C & zinc
What should a patient do to ease the passage of the catheter through the urinary meatus?
Bear down
What should the nurse do first after discovering the clients wound has evicerated?
Cover the incision with a moist sterile dressing
What technique should a nurse use to assess for a pulse deficit?
Obtain the apical and radial rates simultaneously
A client has decreased circulation in his left leg. What should the nurse do first?
Evaluate pedal pulses
Muscle coordination difficulty after a head injury is related to what area of the brain?
Cerebellum
Rationale: difficulty controlling balance, coordination, & clumsiness are directly related to an injury to the cerebellum.
Which of the following findings is an indication of infiltration?
Edema at the infusion site
