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FUNDAMENTALS OF NURSING QUIZ 2

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The two blood vessels most commonly used for TPN infusion are the:

Correct! Wrong!

Total Parenteral Nutrition (TPN) requires the use of a large vessel, such as the subclavian or jugular vein, to ensure rapid dilution of the solution and thereby prevent complications, such as hyperglycemia. The brachial and femoral veins usually are contraindicated because they pose an increased risk of thrombophlebitis.

An infected patient has chills and begins shivering. The best nursing intervention is to:

Correct! Wrong!

In an infected patient, shivering results from the body’s attempt to increase heat production and the production of neutrophils and phagocytic action through increased skeletal muscle tension and contractions. Initial vasoconstriction may cause skin to feel cold to the touch. Applying additional bed clothes helps to equalize the body temperature and stop the chills. Attempts to cool the body result in further shivering, increased metabolism, and thus increased heat production.

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A clinical nurse specialist is a nurse who has:

Correct! Wrong!

A clinical nurse specialist must have completed a master’s degree in a clinical specialty and be a registered professional nurse.

Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?

Correct! Wrong!

Maintaining the drainage tubing and collection bag level with the patient’s bladder could result in reflux of urine into the kidney. Irrigating the bladder with Neosporin and clamping the catheter for 1 hour every 4 hours must be prescribed by a physician.

Clay-colored stools indicate:

Correct! Wrong!

Bile colors the stool brown. Any inflammation or obstruction that impairs bile flow will affect the stool pigment, yielding light, clay-colored stool.

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All of the following are good sources of vitamin A except:

Correct! Wrong!

The main sources of vitamin A are yellow and green vegetables (such as carrots, sweet potatoes, squash, spinach, collard greens, broccoli, and cabbage) and yellow fruits (such as apricots, and cantaloupe). Animal sources include liver, kidneys, cream, butter, and egg yolks.

In which step of the nursing process would the nurse ask a patient if the medication she administered relieved his pain?

Correct! Wrong!

In the evaluation step of the nursing process, the nurse must decide whether the patient has achieved the expected outcome that was identified in the planning phase.

The nurse explains to a patient that a cough:

Correct! Wrong!

Coughing, a protective response that clears the respiratory tract of irritants, usually is involuntary.

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The purpose of increasing urine acidity through dietary means is to:

Correct! Wrong!

Microorganisms usually do not grow in an acidic environment.

The ELISA test is used to:

Correct! Wrong!

The ELISA test of venous blood is used to assess blood and potential blood donors to human immunodeficiency virus (HIV). A positive ELISA test combined with various signs and symptoms helps to diagnose acquired immunodeficiency syndrome (AIDS)

FUNDAMENTALS OF NURSING QUIZ 2
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