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NSG 3100 Exam 3 With Questions and Complete Solution
Updated 2025/
Obtaining a capillary blood specimen to measure blood glucose, you should - ANSWER ensure there is good blood flow at the puncture site True or False When testing for fecal occult blood, a green color indicates a guaiac positive result. - ANSWER False A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: - ANSWER Void a small amount of urine before collecting the specimen The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by - ANSWER using a syringe to withdraw urine from the catheter tubing port An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - ANSWER KUB What is an echocardiogram? - ANSWER Visualization of the structures of the heart by using ultrasound What does MRI stand for? - ANSWER Magnetic Resonance Imaging Thoracentesis is removal of fluid from: - ANSWER pleural space While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - ANSWER Have the patient cough periodically during the procedure A noninvasive method of estimating bladder volume would be: - ANSWER Bladder Scanner
Your urine should smell - ANSWER aromatic What is a normal urine output per hour? - ANSWER 30 mL Urge incontinence is due to - ANSWER an overactive bladder Stress incontinence is when - ANSWER urine leaks when you laugh, cough or sneeze The presence of ketones in the urine indicates - ANSWER rapid breakdown of fat The nurse who teaches a client about preventing UTIs would include which statement? - ANSWER Void immediately after sexual intercourse How much space should you leave from the tip of the penis and the drainage tube when applying a condom cath?
- ANSWER 1 Inch The nurse understands that a straight catheterization: - ANSWER empties the bladder and the catheter is immediately removed The purpose of a three way Foley after a TURP is to - ANSWER Irrigation A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - ANSWER Advance the catheter another 2 inches (5 cm) Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter?
- ANSWER Lower than the level of the bladder
diet low in fiber chronic use of laxatives What indicates a correct understanding of the use of laxatives for constipation? - ANSWER Laxatives should only be taken for a few days. Which position is the patient placed in for the administration of an enema? - ANSWER Sims When giving an enema, you should insert the tube 7 - 10 cm (3- 4 inches). True or False? - ANSWER True When changing the colostomy appliance, cut the opening in the skin barrier no more than ____ larger than the stoma. - ANSWER 1/8 inch The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True or False - ANSWER True An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced coughing and choking when swallowing. The client states, "It feels like the food is stuck in my throat." What does the nurse suspect is happening with this client? - ANSWER The client is having dysphagia. While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The nurse should: - ANSWER lower the bag The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: - ANSWER syringe to withdraw from cath port limiting fluids has what effect on urine? - ANSWER raises specific gravity
The nurse is alert to the possibility that for 24 to 48 hours after the postoperative procedure, clients may experience the following as a result of the anesthetic used during the surgery: - ANSWER paralytic ilyus before fecal occult test eat - ANSWER bread diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that this client will exhibit: - ANSWER a feeling of pressure and voiding of small amounts. diarrhea patients should consume - ANSWER lean meats A colonoscopy is ordered and the patient has questions about the examination. Before the colonoscopy, the nurse teaches the patient that: - ANSWER light sedation is normally used In an assessment of a client with overflow incontinence, the nurse expects to find that the client has: - ANSWER constant dribbling of urine A nurse is monitoring a client's fluid intake. For breakfast, the client consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1 scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The nurse should record the fluid intake as: - ANSWER 660 mLs 24 hour urine needs to be restarted in the event that: - ANSWER client voids in the toilet Which interventions prevent or minimize the risk factors in clients at risk for spiration? - ANSWER Feeding the patient small bites. Keeping suction equipment nearby. Positioning the client upright at 90 degrees. Providing liquids with a thickening agent. The client receiving a tube feeding develops diarrhea. The nurse should: - ANSWER adjust rate
Calcium Chloride Glucose Components of a CMP (Comprehensive Metabolic Panel) - ANSWER Liver Proteins albumin bilirubin obtaining capillary specimens - ANSWER warm finger dependent position antiseptic swab to clean-no alcohol wipe away first drop reasons for testing feces - ANSWER occult blood analyze diet and digestion parasites bacteria/virus collecting fecal sample - ANSWER clean bedpan/bedside commode do not contaminate with urine no toilet paper send fresh specimen steatorrhea - ANSWER fat in the feces
rules for dietary fecal testing - ANSWER whole sample rules for bacterial fecal testing - ANSWER notify lab if pt is on abics clean-voided sample - ANSWER 1st morning void clean catch sample - ANSWER mid stream clean perineum with antiseptic begin stream-pause-put cup under stream what does specific gravity of urine measure? - ANSWER of solutes present normal urine pH - ANSWER 6 anoscopy - ANSWER visualizing the anus proctoscopy - ANSWER rectum proctosigmoidoscopy - ANSWER the viewing of the rectum and sigmoid colon colonoscopy - ANSWER large intestine IV pyelography - ANSWER contrast medium injected IV to visualize the kidney and ureters retrograde pyelography - ANSWER contrast medium injected directly into the kidneys via the urethra
fluid/food intake meds muscle tone pathologic conditions surgical/diagnostic procedures polyuria - ANSWER large amounts of urine oliguria - ANSWER decreased urinary output anuria - ANSWER lack of urine production frequency - ANSWER voiding at frequent intervals nocturia - ANSWER voiding 2+ times per night urgency - ANSWER strong desire to void dysuria - ANSWER painful urination enuresis - ANSWER involuntary urination past age of potty training urinary incontinence - ANSWER inability to control the passage of urine urge incontinence - ANSWER a sudden strong urge to void, followed by rapid bladder contraction
mixed incontinence - ANSWER combination of stress and urge incontinence overflow incontinence - ANSWER continuous leaking from the bladder either because it is full or because it does not empty completely CAUTI - ANSWER catheter associated urinary tract infection constipation - ANSWER fewer than 3 bowel movements per week patient teaching for constipation - ANSWER exercise fiber fluids do not ignore urge to defecate avoid certain meds tx for constipation - ANSWER stool softeners laxatives enemas diarrhea patient teaching - ANSWER fiber no alcohol/caffeine limit fat intake ostomies are named: - ANSWER according to their location (colostomy, gastrostomy, etc). stoma - ANSWER piece of bowel pulled through abdominal wall
standing order - ANSWER may or may not have a termination date prn order - ANSWER as needed essential parts of a drug order - ANSWER - Full name of the client
- Date and time the order is written
- Name of the drug to be administered
- Dosage of the drug
- Frequency of administration
- Route of administration
- Signature of the person writing the order when should medication reconciliation take place - ANSWER admission, transfer, discharge 10 rights of medication administration - ANSWER Right medication Right dose Right time Right route Right client Right client education Right documentation Right to refuse Right assessment Right evaluation
intradermal injections are commonly used for - ANSWER allergy testing and TB screening subcutaneous injections are commonly used for - ANSWER vaccines insulin heparin subq injection needle specs - ANSWER syringe- 1 - 2 mLs needle size- 25 gauge 30 for insulin needle length-5/8" site for subcutaneous injections - ANSWER Abdomen Upper arm Thigh Scapular Upper ventrodorsal gluteal Site for IM injections - ANSWER Ventrogluteal Vastus lateralis Deltoid transdermal patch administration - ANSWER Wear gloves, remove old patch, choose new site, clean and dry skin, apply new patch, avoid applying to broken skin, fold patch inwards when removing otic med administration rules - ANSWER up and back for over age of 3 down and back for under age of 3
