Would PPT: The nurse is caring for an older person with limited mobility. What is the priority nursing action in preventing the development of a pressure ulcer in this patient?
A. Massaging all reddened areas frequently
B. Re positioning client every 2 hrs and prn
C. Apply cornstarch liber...
Would PPT: The nurse is caring for an older person with limited mobility. What is
the priority nursing action in preventing the development of a pressure ulcer in
this patient?
A. Massaging all reddened areas frequently
B. Re positioning client every 2 hrs and prn
C. Apply cornstarch liberally after bathing to absorb moisture
D .Keep the patient's head of bed low to prevent friction - ANSWER- B. Re
positioning client every 2 hrs and prn
Wound PPT:An injury with a blunt instrument that causes damage to underlying
soft tissue such as a hematoma or ecchymosis while leaving overlying skin intact
is what type of wound?
A.Abrasion
B.Laceration
C.Avulsion
D.Contusion - ANSWER- D.Contusion
Mr. Shendaih, a hospitalized patient with congestive heart failure (CHF), has
developed a urinary tract infection (UTI). He is 90 years old and has an indwelling
catheter in place. Which factor most likely is the cause of the UTI?
a. The close proximity of the male genitalia to the rectum
,b. Decreased immunity
c. Fluid overload caused by the CHF
d. The indwelling urinary catheter - ANSWER- d. The indwelling urinary catheter
Which of the following is a nursing priority when caring for a male patient with a
condom catheter?
a. Preventing the catheter tubing from kinking
b. To make sure the catheter doesn't come off
c. Fastening the condom tightly to prevent leakage
d. Not removing the catheter for any reason - ANSWER- a. Preventing the
catheter tubing from kinking
CT PPT: The nurse is caring for a patient with a new prescription for an anti-
inflammatory medication. Before administering the medication, the nurse uses
her Nursing Central Drug Book to gather information about the medication and its
effects. Which component of CT is the nursing using?
Sterile Technique PPT: The nurse is going to change a sterile dressing. After
opening the sterile supplies and donning sterile gloves, it is critical that the nurse
A.Use clean forceps to add items to the sterile field.
B.Minimize splashes of sterile saline on the sterile field.
C.Consider the outer 1 inch of sterile field as contaminated.
D.Turn her head quickly to sneeze so sterile field is not contaminated. - ANSWER-
C.Consider the outer 1 inch of sterile field as contaminated.
Sterile technique PPT: The nurse is assisting a physician with a sterile technique
at the bedside. Which actions will contaminate the sterile field? Select all that
apply.
A.The cotton balls are moistened and placed in the sterile field.
B.The nurse turns to answer the physician while adding items to the sterile field.
, C.The patient finger touches the outer edge of the sterile field.
D.The sterile field sits for an hour since the physician had an emergency.
E. The nurse drops sterile tweezers on the near side of the sterile field. -
ANSWER- A,B,D
ATI pg.249: A nurse in a provider's office is evaluating who reports losing control
of urine whenever she coughs, laughs or sneezes. The client relates a history of
three vaginal births, but no serious accidents of illnesses. Which of the following
interventions should the nurse suggest for helping to control or eliminate the
client's incontinence? (select all that apply)
A. Limit total daily fluid intake
B.Decrease or avoid caffeine
C.Take calcium supplements
D.Avoid drinking alcohol
E.Use the Crede maneuver - ANSWER- B.Decrease or avoid caffeine
D.Avoid drinking alcohol
ATI pg.249: A client who has an indwelling catheter reports a need to urinate.
Which of the following actions should the nurse take?
A.check to see whether the catheter is patent
B.Reassure the client that it is not possible for her to urinate
C. Re-Catheterize the bladder with a larger-gauge catheter
D. Collect a urine specimen for analysis - ANSWER- A.check to see whether the
catheter is patent
ATI pg.249: A nurse is caring for a client who has a prescription for a 24-hr urine
collection. Which of the following actions should the nurse take?
A.Discard the first voiding
B.Keep the urine in a single container at room temperature
C. Ask the client to urinate and pour the urine into a specimen container
D.Ask the client to urinate into the toilet, stop midstream, and finish urinating into
the specimen container - ANSWER- A.Discard the first voiding
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