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LPN Fundamentals Qtr 2 test 1
Chapters 28 29 30 31
Terms in this set (71)
Average hourly urine output
UTI is also called _____
Average daily output of urine 1000 mL to _____
The bladder holds 1000 mL to ________ mL of urine
To reduce moisture and help a patient avoid UTIs the patient should wear _____
First sign of a UTI in an older patient _______
altered mental status
Urinalysis will no longer be accurate if not taken to the lab within ______
5 to 10 minutes
The first collection at the start time of a 24 hour urine test is always _________
Urine is collected from an infant by attaching a _______________________ ____________________________ _________________ _____________________ ___________________
plastic bag with adhesive backing
To collect a urinary stone from a patient with urolithiasis you must place this over the commode __________________
Less than 100 mL of urine in a 24 hour period is called __________
When a bedpan is placed under a patient the bed position should be at _______________________
When a patient needs to void but has difficulty, you can encourage elimination by using the sound of _________________ _________________
To allow urine to drain, a condom catheter should leave space at the tip of the penis of ______________ to __________ inches
1 to 2
When there is resistance inserting a catheter in your male patient it may be helpful to ask the patient to _______________ __________ ________ ___________
take a deep breath
Urinary catheterization is considered a ____________________ procedure.
After a urinary catheter is removed the patient needs to void within __________ _______________
Catheter Acquired Urinary Tract Infection (CAUTI) will not be paid for by _______________________ or __________________________
Medicare or Medicaid
Dark sticky stool would indicate a presence of __________ ______________
Frothy, foul-smelling stool that float on the surface of the water is called __________________
Patients undergoing barium studies may be more prone to have bowel complications such as __________________________________
When consuming OTC dietary fiber supplements the patient should be instructed to take the fiber with plenty of __________________
water or fluid
Patients exhibiting signs of diarrhea may offer small frequent sips of this beverage (Hint: brand name) _______________________
To restore normal intestinal flora to combat infection in the intestinal tract, the patient should be encouraged to consume buttermilk and _______________________
Bowel elimination should occur at least every _____________ ____________
The volume of a cleansing enema for an adult is between _______________ and ________________ mL
500 and 1000 mL
Before a patient can have a bowel movement an oil retention enema should remain in place _________________ _________________
Cleansing enema temperature should be warmed to ___________
To avoid electrolyte depletion a patient should be given no more than ________________ enemas
Patients with constipation should increase fiber and ______________________
When giving enemas be sure to place the patient in the ___________ ___________ position
When digitally removing a fecal impaction from a patient the nurse should stop immediately if the ___________________ _________________ decreases
An ostomy bag should be changed when the bag is _______ full.
The small intestines functions is to absorb food from the _________________
A colostomy is an opening into the colon, the ileostomy is an opening at the ___________________
Age related changes in the intestinal tract include: atrophy of the villi, decreased absorption of fats and B12, and creation of excessive ________________
After age 50, colonoscopies should be done every
A pale stoma is abnormal and should be reported immediately. A normal stoma should be __________________ or ____________________
pink or red
The stage of sleep when the body receives the most rest is _______________
Severe arthritis would be an example of monitored controlled pain with no cure and is considered ___________________ pain
When applying cold pressure to an injury a barrier such as a _____________ should be placed between the skin and the cold pack.
A common relaxation technique for pain management is to tense and relax individual muscle groups starting with the ______________ and ____________________
toes and feet
Some patient experience and increase in discomfort when an ice pack is placed on an injury. If this happens, discontinue use immediately. If an ice application is well tolerated the maximum time to leave on an injury is _____________ to _______________ minutes.
15 to 20
Patient controlled analgesia pumps are programmed and monitored by the _________________________
PCA pump advantage is that it reduces patient anxiety and gives the patient a feeling of ___________________ over their pain.
If an overdose of a Fentanyl patch is suspected the first step for the nurse would be to ____________________ the patch
Pain can be reduced by opioid receptors and ____________________ attaching.
Three reasons older adults may not express that they are in pain are, they believe pain is a natural consequence of aging, they do not want to bother the nursing staff, and they have been trained by their ___________________ not to express pain.
The fifth vital sign is considered _______________
Pain that is short in duration, lasting a few hours or days is considered _______________ pain
Negative pressure in the thoracic space pulls air into the lungs when the diaphragm moves _____________________
Decreased amount of oxygen in the blood is called _____________
Proper coughing procedure is to take in _______________ deep breaths, inhale deeply again and force out the air quickly.
The best time to schedule postural drainage is in the __________________
Patients with COPD should not have their oxygen flow rate set to no more than ___________________ L
The most PRECISE method of oxygen delivery is the _____________________ mask.
To loosen phlegm you should percuss over the area of the ________________
Pressure of the oral suctioning machine on an adult patient should be set between ______________ and _____________ mm Hg
80 and 120
A patient breathing independently but has trouble maintaining an airway because of their tongue would benefit by having a ________________________ airway placed.
The need for suctioning and tracheostomy care is determined by
auscultating the lungs
After the tracheostomy cuff is deflated the patient should immediately have the __________________ suctioned.
When monitoring a patient with a water seal type chest drainage the nurse should document when she sees constant bubbling in the suction chamber that the machine is functioning _____________________
To thin respiratory secretions for easier expectoration the patient should hydrate and consume at least __________________ to _______________ mL/day.
1500 to 2000
The patient using an incentive spirometer properly should be taking ___________________ slow deep breaths using the device every hour.
Patients with emphysema benefit most by sitting ___________________ and leaning forward.
Before beginning care of a tracheotomy proper care would include ___________________ the tracheotomy
A condition that would inhibit a pulse oximeter from providing an accurate reading would be if the patient is ___________________
Foreign substances are propelled toward the entrance of the respiratory tract by the ______________
A wheezing sound that can be heard on auscultation or even with the naked ear is called ___________________
Reasons for hypoxia include, high altitude, pulmonary fibrosis, and aspirated ____________________
During CPR, how many compressions should be delivered per minute?
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