NUR 160 LAB QUIZ 2 WITH COMPLETE
SOLUTIONS
Question 1: What position should the patient be in for a
catheter insertion?
CORRECT ANSWER: Dorsal recumbent or supine
with thighs abducted
Question 2: Which hand do we hold the penis when
inserting a catheter?
CORRECT ANSWER: Non- dominant hand, holding it
at a 60 to 90 degree angle
Question 3: How do we measure an NG tube for a pt?
CORRECT ANSWER: -Tip of the nose to the earlobe
then xiphoid process -We choose which nostril we will use for the placement of the NG tube by pressing on each nostril (one at a time) and seeing which nostril the patient can breathe out of.
Question 4: For post-op patients, what intervention would
we use for identifying any possible complications (tissue integrity)?
CORRECT ANSWER: Getting vital signs (if the bp
drop, HR increases, urine output decreases) looking for hemorrhaging fluid loss.
Question 5: What electrolytes should we monitor more
closely?
CORRECT ANSWER: Potassium and Sodium
Question 6: When collecting a sputum specimen, what
would we instruct the pt to do?
CORRECT ANSWER: Breathe deeply, cough (always
collect sputum specimens in the morning & always discard the specimen in a biohazard bag or container)
Question 7: What type of noises would we hear in the
lungs if a patient has mucous or secretions in the bronchi?
CORRECT ANSWER: Rhonchi noises
Question 8: What is the single most preventable risk
factor for impaired gas exchange?
CORRECT ANSWER: Tobacco Use
Question 9: What medication would we give a patient to
open up airways?
CORRECT ANSWER: Albuterol
Question 10: What ability does blood count tell you
about oxygen capacity?
CORRECT ANSWER: -Low Red Blood Cells count =
Anemia -Red blood cells carry hemoglobin Which carry oxygen -If a patient has extremely low RBC we would treat the issue with a blood transfusion
Question 11: If a patient has CHF, what would we
recommend?
CORRECT ANSWER: -Low sodium/fat diet, patient
education about smoking -We would not suggest genetic testing or the patient calling hospice
Question 12: Hypovolemia
CORRECT ANSWER: -Abnormal decrease in the
volume of blood plasma -Occurs with dehydration or bleeding -High HR, Low BP
Question 13: If you walk into the room and a patient is
blue, what interventions would you take first?
CORRECT ANSWER: Assess for nasal cannula being
in place and the flow meter is attached and set at the right setting.
Question 14: ABG's Normal Ranges
CORRECT ANSWER: pH= 7.35-7.45 PaC02= 35-45
HC03= 22-26
Question 1: What hand is used to hold the penis when
inserting a catheter?