Social Sciences > QUESTIONS & ANSWERS > NACE Foundations of Nursing Questions and Answers with Certified Solutions (All)

NACE Foundations of Nursing Questions and Answers with Certified Solutions

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NACE Foundations of Nursing Questions and Answers with Certified Solutions Proper PPE for contact precaution [c.diff, wounds, etc] ✔✔Gown and gloves Proper PPE for droplet precaution ✔✔Sur... gical mask within 3 ft of pt Proper PPE for airborne precaution [TB] ✔✔respirator (N95) and negative pressure room Illnesses requiring droplet precautions ✔✔Pertussis, influenza, diphtheria, pneumonia, bacterial meningitis Illnesses requiring airborne precautions ✔✔Measles, Severe Acute Respiratory Syndrome (SARS), Varicella (chickenpox), and Mycobacterium tuberculosis How to remove a wound dressing? ✔✔From clean area to contaminated area How to draw up urine sample from catheter? ✔✔swab collection port of catheter with antiseptic swab. Insert needle and aspirate urine in syringe. Which insulin can be given IV: ✔✔Humulin R Enoxaparin ✔✔(Lovenox)- anticoagulant Gas forming foods ✔✔peppers, cauliflower, legumes (not salmon?) Cleansing an ulcer ✔✔Cleanse from the innermost point then outwards What should the nurse do if they give the wrong medication to a pt? ✔✔Notify PCP Trough ✔✔the lowest level of a drug in the blood Medication is given once a day, when should the nurse check trough levels? ✔✔just before the next she gives the next dose [??that what I chose] Pt refused medication what should the nurse do first? ✔✔listen to why the patient refuses the medicine. [one quizlet said document, that was not an option] What should the nurse do if their pt has trouble falling asleep? ✔✔-warm bath [?] -turn on tv [?] -offer a glass of warm milk (WRONG) Clinical manifestations for sleep apnea ✔✔snore loudly with apneic periods up to 60 sec, occurring at least 30 times a night, day time somnolence, headache, depression, increase weight. Where is the apical pulse located? ✔✔5th intercostal space, left mid-clavicular line Where to palpate the brachial pulse? ✔✔Just below the bend of the elbow (AC), medial aspect. Where is the vastus lateralis located? ✔✔Anterior thigh, lateral aspect PC vs AC ✔✔PC: after meals AC: before meals OD vs OS ✔✔OD: oculus dexter- right eye OS: oculus sinister- left eye How to check NG placement ✔✔fluoroscopy IM needle -gauge -length -max dose ✔✔18-25 gauge 1''-3'' inches 2mL Subcu needle -gauge -length -max dose ✔✔25-27 1/4''-5/8'' 1mL Intradermal needle -gauge -length -max dose ✔✔25-28 1/4''-5/8'' 1mL or less AD vs AS ✔✔AD: auris dextra- right ear AS: auris sinister- left arm [AU means both] How is Hepatitis A transmitted? ✔✔fecal oral route. [fecal contamination of food or water] How is Hepatits B transmitted? ✔✔body fluids-blood, semen How is Hepatitis C transmitted? ✔✔body fluids-blood, semen HS: ✔✔at bedtime What to do if a client is unable to void? ✔✔assess the client's bladder Explaining steps of a throat culture: ✔✔"While depressing your tongue, I will swab the back of your throat" How to prevent skin breakdown for a diaphoretic patient: ✔✔change bed linens frequently idiosyncratic drug effect: ✔✔adverse effects that cannot be explained. Administering ear drops for adults: ✔✔pull auricle up and back Interventions for constipation: ✔✔encourage high fiber foods, increase fluid 2,000mL/day, ambulation Removing PPE ✔✔gloves, goggles/ face shield, gown, mask Foods to avoid while on Warfarin: ✔✔spinach and salads UAP is feeding a patient, when should the nurse intervene? ✔✔UAP providing large frequent bites Lipodystrophy ✔✔abnormal distribution of fat. [ I think question said rotate injection sites to prevent this from happening?] Elderly lady misses breakfast bc it takes her until noon to get ready. What should the nurse do? ✔✔serve breakfast in her room. Interventions for restraints: ✔✔perform ROM exercises q 2 hours Health care proxy: ✔✔the directive takes effect only if the client is incapable of personally making health care decisions. Client shares feelings with the health care team regarding the trauma is an example of: ✔✔post trauma outcome Farrowed tongue is a symptom of: ✔✔dehydration Older adults are at risk of toxic effects of medications because: ✔✔decrease renal function ?? [slowed gastrointestinal motility WRONG] The pt is diaphoretic and tachycardic when walking. What other symptoms would you expect? ✔✔orthostatic hypotension noted with dangling Low pitch rattles, lessen with cough: ✔✔rhonchi Symptoms of COPD: ✔✔-clubbing in upper digits -AP chest diameter of 1:1 -tripod positioning Albumin ✔✔3.5-5 [answer says 2.8 g/dl] symptoms of cataracts ✔✔blurred or cloudy vision how to check fluid status ✔✔-inspect lips and mucus membranes -pinch the skin on back of hands -measure BP and pulse -obtain daily weight Unable to see close up: ✔✔presbyopia I wake up to urinate once each night and I often wake up feeling tired in the morning are symptoms of: ✔✔sleep disturbances Joint stiffness in the morning is a symptoms of: ✔✔osteoarthritis Which pt should the nurse see first: ✔✔ABCs A client with expiratory wheezing after an albuterol treatment [answer] Pt comes in the the ED, what question should the nurse ask? [??] ✔✔Ask if the patient has started any new prescription or OTC medication. [answer] Ineffective protection r/t chemotherapy side effects is: ✔✔nursing diagnosis for cancer pt TMS (transcranial magnetic stimulation) ✔✔a procedure that uses magnetic pulses to stimulate nerve cells in the brain. -muscles relaxants are given before treatment (right?) -TMS requires the pt to lay flat in bed (WRONG) -therapy is done every day for 4-6 weeks (WRONG) Where to check the client for melanoma: ✔✔palms, soles, and nails Pt has a penicillin allergy, which med can they take? ✔✔-levofloxacin [answer] -cephalexin/Keflex [WRONG] Clozaril (Clozapine) ✔✔Antipsychotic. -available OTC and generic [WRONG] symptoms of hypothyroidism ✔✔weight gain, fatigue, slow heart rate and respiration rate, cold intolerance Which drink is best for a burn patient to promote recovery? ✔✔-protein shake [correct?] -orange juice [WRONG] Pt has gastric ulcers. Which response by the pt requires a need for more teaching? ✔✔"I can drink coffee with meals and between meals" The nurse is which link on the chain of infection? ✔✔mode of transmission The pt is 24 hours post procedure and the nurse notices some redness and mild swelling of the incision? What should the nurse do? ✔✔Document and continue monitoring the wound Pt has pneumonia. Which order should the nurse do first? 1. encourage deep breathing and cough 2. administer azithromycin 3. obtain sputum culture ✔✔sputum culture Pt is having a procedure in the morning. What should the night shift nurse report to the surgeon? ✔✔-NPO since 2300. [WRONG] -allergy to shellfish [right?] Pt comes in having a MI. Complains of mid sternal chest pain, diaphoretic, shaky. What should the nurse addess first? ✔✔acute pain [right?] anxiety [WRONG] How to document drainage from a wound? ✔✔-outer dressing dry and intact. Moderate drainage noted underneath. [WRONG] -two 4x4 saturated [right?] When to take alendronate? ✔✔before eating. with 6-8 oz of milk is WRONG What traits to observe for when a person has addictive behaviors? ✔✔-aggressive [WRONG] -antisocial [right?] post prandial blood sugar ✔✔test for glucose in blood, two hours after a meal [Show More]

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