Question 1

The appliance that connects to an IV drip and delivers a continuous irrigation to the eye is known as a ________ _________ _________.

Accepted Answer

Morgan therapeutic lens
A Morgan therapeutic lens attaches to an IV drip and can deliver continuous eye irrigation.

Question 2

During insertion of a Foley catheter,the patient grimaces as the balloon is inflated.What is the immediate reaction of the nurse?

Accepted Answer

A)  Withdraw the catheter
B)  Ask the patient to bear down
C)  Continue to inflate the balloon
D)  Advance the catheter into the bladder D

Question 3

The nurse instructs a patient receiving home O? therapy to drink plenty of fluids to help keep bronchial secretions liquefied.What is the recommended fluid?

Accepted Answer

A)  Milk
B)  Water
C)  Tea with artificial sweetener
D)  Coffee B

Question 4

To what temperature should water for eye compress be heated?

Accepted Answer

A)  95° F
B)  110° F
C)  115° F
D)  120° F

Question 5

Why should the nurse instill eye irrigation from the inner to the outer canthus?

Accepted Answer

A)  To avoid harming the sclera
B)  To include the conjunctiva in the irrigation
C)  To keep the pupil constricted
D)  To protect the nasolacrimal ducts

Question 6

While teaching a patient about the signs of IV therapy-associated phlebitis,how does the nurse describe an area with phlebitis?

Accepted Answer

A)  Warm, edematous, and red
B)  Painful and cyanotic
C)  Painless and numb
D)  Edematous and cool

Question 7

The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently.What is the purpose of the inflated cuff?

Accepted Answer

A)  Prevent regurgitation after meals
B)  Hold the trachea open until it is completely healed
C)  Dilate the tracheal opening for passage of secretions
D)  Prevent aspiration when eating

Question 8

When irrigating an ear,the nurse should perform which intervention(s)? (Select all that apply.)

Accepted Answer

A)  Heat the water to 115° F
B)  Pull the auricle back firmly and hold it
C)  Place the tip of the syringe loosely in the ear canal
D)  Introduce fluid with a slow, gentle irrigation
E)  Use a stronger flow if a foreign body is present

Question 9

Before inserting a nasogastric tube,what measurement should the nurse take?

Accepted Answer

A)  Tip of the nose to the earlobe to the xiphoid process
B)  Bridge of the nose to the xiphoid process
C)  Nose to the top of the ear to the stomach
D)  Clavicular notch to the stomach

Question 10

How does an Aquathermia pad differ from a traditional heating pad?

Accepted Answer

A)  The Aquathermia pad can be folded to fit the anatomic location snugly.
B)  The Aquathermia pad can be placed under the patient.
C)  The Aquathermia pad has circulating water for temperature control.
D)  The Aquathermia pad can be left on for as long as 2 hours.

Question 11

When an order for eye irrigation is received,to whom can the nurse delegate the procedure to?

Accepted Answer

A)  The patient
B)  Another nurse
C)  A nursing assistant
D)  A family member

Question 12

The nurse is alert for a serious condition called ___________ that results from pathogens being introduced into the blood stream.

Accepted Answer

The answer of The nurse is alert for a serious...

Question 13

When explaining the difference between a colostomy and an ileostomy,the nurse explains which of the following about an ileostomy?

Accepted Answer

A)  It is always permanent
B)  It drains semi-liquid stool
C)  It has a much larger stoma
D)  It does not need a pouch

Question 14

What is the nurse's first priority when a patient receiving IV fluid therapy shows an increase in blood pressure and has bilateral crackles?

Accepted Answer

A)  Raise the head of the bed
B)  Slow the infusion
C)  Turn the patient to the left side
D)  Notify the charge nurse

Question 15

After a Foley catheter has been removed, the nurse should assess the patient for:

Accepted Answer

A)  hemorrhage.
B)  constipation.
C)  urinary retention.
D)  bladder spasm.

Question 16

When a patient complains of progressive hearing loss,crackling and ringing noises in his ear,and progressive ear pain,what should the nurse assess for?

Accepted Answer

A)  A dead battery in the patient's hearing aid
B)  Cerumen impaction
C)  Sinus congestion
D)  A middle ear infection

Question 17

Which of the following is an appropriate nursing measure when performing tracheostomy care?

Accepted Answer

A)  Wear clean gloves
B)  Insert the catheter without suction
C)  Suction for 1 minute before removing the catheter
D)  Place the used catheter in a plastic shield for later use

Question 18

The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched.Based on these assessment findings,what is the first priority of the nurse?

Accepted Answer

A)  Apply warm compresses to the area
B)  Notify the charge nurse
C)  Stop the infusion
D)  Reposition the arm to improve the fluid flow

Question 19

When an older adult patient with chronic emphysema comes to the emergency department in respiratory distress,at what rate should the nurse begin oxygen per nasal cannula?

Accepted Answer

A)  2 L/min
B)  3 L/min
C)  4 L/min
D)  5 L/min

Question 20

What gauge needle should be selected by the nurse when preparing to administer blood?

Accepted Answer

A)  25
B)  22
C)  21
D)  18

Exam 22: Care of Patients with Alterations in Health

The appliance that connects to an IV drip and delivers a continuous irrigation to the eye is known as a ____ _ _____.