Basic Core Concepts
A patient is telling his or her story, which of the following interview techniques means getting the full description without taking control of the patient story?
Probing
Rationale: Probing is when the nurse encourages a full description on what the patient states.
Which medication name does this describe?
N-acetyl-para-aminophenol
Chemical Name
A chemical name provides the exact description of the composition and molecular structure of a medication
What does DECLA stands for?
Decompression, Enteral feeding, Compression, Lavage, Aspiration
What is the difference between Hypoventilation and Hyperventilation?
Hypoventilation: Not enough oxygen intake or elimination of CO2
Hyperventilation: Removal of CO2 faster than it is produced
Which step in the nursing process is Diagnostic Testing is related to?
The second step which is Diagnosis
What term means one symptom accompanied by another?
Concomitant Symptoms
Which term means Pt overreacts or underreacts or has a different reaction than normal?
Idiosyncratic Reaction
Which type of tube is used to decompress contents out of the stomach?
Large Bore Tube
Which test is the best method for measuring respiratory function?
Arterial Blood Gas
Which type of test relates to how fast the erythocytes are made in the bone marrow?
Reticulocyte Count
Which method of data collection will the nurse use to establish a patient’s database?
Perform a Physical Examination
Rationale: the patient-centered interview during a nursing health history, a physical examination, and the periodic assessments you make during rounding or administering care. A nursing database includes a physical examination
Which route is the most desirable when administrating medications?
Oral Route
Which type of enteral feeding is milk based with whole nutrients in the formula?
Polymeric
Can NA's perform cleaning on a endotracheal tube?
No, NA's can only clean an established yet stable Trachestomy
If crystals are found in urine what does this indicate?
Indicates increased risk for development of renal calculi. May also indicate Gout
Which term means comparing data with other sources for accuracy?
Data Validation
Which type of inhaler is spacers attached to and why are they used?
Spacers attached to pMDIs and improve drug absorption by breaking down into smaller pieces
What is the normal pH of a nasointestinal tube?
pH will be greater than or equal to 6
Which type of breathing is the most difficult?
Diaphragmatic Breathing
Which test measures the amount of nitrogen in the blood?
BUN
What is the first step in a client centered interview?
Setting the stage
Rationale: according to pg221 the book states " An initial patient-centered interview involves setting the stage, gathering information about the patient problems and setting a agenda, collecting assessment or a nursing health history and terminating the interview
When mixing medications which container are you gonna use first? A ampule or a vial.
When mixing medication prepare medication from the vial first if mixing
with an ampule use the same filtered needle
What should the nurse do when a client experiences nausea and vomiting during a tube feeding?
stop feeding , suggest isotonic formula, lower the rate of delivery, warm formula to room temp, use greater proportion of carbohydrates
Which oxygen mask is used for short term use and has a 35-50% oxygen flow rate?
Simple Face Mask
Which protein is the major protein in the blood?
Albumin