ATI – Oxygen Therapy, Wound Care, and Urinary Cath care (Jon) – Flashcards
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administering oxygen therapy with a nonrebreaher mask has which of the following advantages
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offers the highest oxygen concentration of the low-flow systems
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a pt has been receiving oxygen PRN via nasal cannula for 4hr. Which of the following assessment findings helps indicate the oxygen therapy has been effective
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respiratory rate 14/min
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oxygen therapy is prescribed for a pt who is brought to an emergency department in the early stages of hypoxia. when assessing the pt, the nurse should expect to find which of the following clinical indicators
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elevated blood pressure
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a home health RN is instructing a pt who has just started receiving oxygen therapy via mask. The RN should emphasize that the pt must
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reposition the elastic band frequently
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a pt is prescribed oxygen therapy 24hr/day is concerned about being confined to bed. Which of the following should the RN do to provide mobility for this pt.
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make sure the pt has up to 50ft of connecting tubing.
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A RN is caring for a critically ill pt with COPD who requires delivery of a precise concentration of oxygen. Which of the following types of oxygen-delivery device is indicated for this pt?
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venture mask
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A nurse should recognize that which of the following is an indication for oxygen therapy
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oxygen therapy is unlikely to relieve dyspnea (difficulty breathing). But it could assist with tachypnea
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A pt admitted with a community- acquired pneumonia has been receiving oxygen for several days. Which of the following assessment findings indicates an adverse effect of oxygen therapy?
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cracks in the oral mucosa
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A nurse is caring for a pt who has a tracheostomy. Which of the following must the RN use when administering oxygen to this pt?
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A tracheostomy collar. Which is to provide high humidity and the oxygen concentration prescribed for the pt. It is small oxygen-apparatus that fits over the tracheostomy site and is held in place by adjustable elastic strap that fits around the pt's neck
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A RN is caring for a pt who is dyspneic and slightly cyanotic, with a respiratory rate of 28/min. The RN determines that the pt has impaired gas exchange during which of the following phases of the nursing process
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diagnosis
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turning the oxygen knob all the way to right
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stops the flow of oxygen
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you notice soil or grime on your hands. what do you do?
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wash your hands
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you are about to irrigate a pt's open wound. Besides gloves, which other item of personal protective equipment (PPE) must you wear?
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A face shield. Protects the face , mouth, nose, and eyes, from any potential splashes of blood or other bodily fluids
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contact precautions would be mandated for a hospitalized adult pt diagnosed with
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infectious diarrhea
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standard precautions mandate
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disinfecting hands immediately after removing gloves
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you are caring for a pt diagnosed with mycoplasmal pneumonia. Droplet precautions have been instituted so you must
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protect your eyes
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a pt has a nosocomial infection. This terminology means that the pt
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acquired the infection while hospitalized
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PPE consisting of gown, n95 respirator, face shield, and gloves, which of the following should be removed first
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the gloves
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which product can affect the permeability of gloves
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petroleum- based hand lotion
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you're washing your hands with nonantimicrobial soap and water prior to repositioning a pt. During the hands washing procedure, it is important to
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continue for at least 15 seconds
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a nurse likely to receive an order for urinary catherization of a newly admitted pt who
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who is in the ICU for a GI bleed. Precise measurement of urinary output is crucial for managing fluid balance in the patients who are critically ill.
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after checking for kinks in an indwelling catheter what other action should you do when the output is less than the intake
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milk the catheter
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which of the following actions should a nurse take when removing a pt indwelling catheter
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deflate balloon completely before removal
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a nurse who is preparing to insert a straight urinary catheter for a male should
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apply light traction to the penis
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a nurse is applying a condom catheter for an older adult who is uncircumcised. Which of the following is an appropriate step in the procedure
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leaving a space between the penis and catheter tip
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a nurse is preparing to insert an indwelling urinary catheter for a female pt When beginning the insertion procedure, the nurse should instruct the pt to
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bear down. As if to void relaxes the external sphincter and aids in the insertion procedure.
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a nurse is preparing to administer the first of two large-volume, cleansing enemas prescribe for a pt in preparation for a diagnostic procedure which of the following is an appropriate step in the procedure
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warm the enema solution prior to instillation
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return flow is for
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flatus
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a nurse donning sterile gloves knows that the proper technique for gloving the dominant hand prevents contact between the contaminated hand and the noncontaminated glove because
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the inner edge of the cuff will lie against the skin and thus will not be sterile
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while waiting for a sterile procedure to begin, how do you position your hands and arms
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with your hands clasped together in front of your body above waist level
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which area of the hands requires special attention before you begin a surgical hand scrub
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the area under each fingernail
