Nur 160 Quiz #2
Question : What position should the patient be in for a
catheter insertion?
CORRECT ANSWER : Dorsal recumbent or supine with
thighs abducted
Question : 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 : 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 : 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 : What electrolytes should we monitor more
closely?
CORRECT ANSWER : Potassium and Sodium
Question : 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 : 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 : What is the single most preventable risk factor for
impaired gas exchange?
CORRECT ANSWER : Tobacco Use
Question : What medication would we give a patient to open
up airways?
CORRECT ANSWER : Albuterol
Question : 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 : 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 : Hypovolemia
CORRECT ANSWER : -Abnormal decrease in the volume
of blood plasma-Occurs with dehydration or bleeding -High HR, Low BP
Question : 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 : ABG'sNormal Ranges
CORRECT ANSWER: pH= 7.35-7.45PaC02= 35-45HC03=
22-26