1.

A blood pressure cuff thats too narrow

can cause a falsely elevated blood pressure
reading.
2.
When preparing a single injection for a
patient who takes regular and neutral protein
Hagedorn insulin, the nurse should draw the
regular insulin into the syringe first so that it
does not contaminate the regular insulin.
3.
Rhonchi are the rumbling sounds heard
on lung auscultation. They are more
pronounced during expiration than during
inspiration.
4.
Gavage is forced feeding, usually
through a gastric tube (a tube passed into the
stomach through the mouth).
5.
According to Maslows hierarchy of
needs, physiologic needs (air, water, food,
shelter, sex, activity, and comfort) have the
highest priority.
6.
The safest and surest way to verify a
patients identity is to check the identification
band on his wrist.
7.
In the therapeutic environment, the
patients safety is the primary concern.
8.
Fluid oscillation in the tubing of a chest
drainage system indicates that the system is
working properly.
9.
The nurse should place a patient who
has a Sengstaken-Blakemore tube in semiFowler position.
10.
The nurse can elicit Trousseaus sign by
occluding the brachial or radial artery. Hand
and finger spasms that occur during occlusion
indicate Trousseaus sign and suggest
hypocalcemia.
11.
For blood transfusion in an adult, the
appropriate needle size is 16 to 20G.
12.
Intractable pain is pain that
incapacitates a patient and cant be relieved by
drugs.
13.
In an emergency, consent for treatment
can be obtained by fax, telephone, or other
telegraphic means.
14.
Decibel is the unit of measurement of
sound.
15.
Informed consent is required for any
invasive procedure.
16.
A patient who cant write his name to
give consent for treatment must make an X in
the presence of two witnesses, such as a
nurse, priest, or physician.

17.

The Z-track I.M. injection technique

seals the drug deep into the muscle, thereby
minimizing skin irritation and staining. It
requires a needle thats 1 (2.5 cm) or longer.
18.
In the event of fire, the acronym most
often used is RACE. (R) Remove the patient.
(A) Activate the alarm. (C) Attempt to contain
the fire by closing the door. (E) Extinguish the
fire if it can be done safely.
19.
A registered nurse should assign a
licensed vocational nurse or licensed practical
nurse to perform bedside care, such as
suctioning and drug administration.
20.
If a patient cant void, the first nursing
action should be bladder palpation to assess
for bladder distention.
21.
The patient who uses a cane should
carry it on the unaffected side and advance it at
the same time as the affected extremity.
22.
To fit a supine patient for crutches, the
nurse should measure from the axilla to the
sole and add 2 (5 cm) to that measurement.
23.
Assessment begins with the nurses first
encounter with the patient and continues
throughout the patients stay. The nurse
obtains assessment data through the health
history, physical examination, and review of
diagnostic studies.
24.
The appropriate needle size for insulin
injection is 25G and 5/8 long.
25.
Residual urine is urine that remains in
the bladder after voiding. The amount of
residual urine is normally 50 to 100 ml.
26.
The five stages of the nursing process
are assessment, nursing diagnosis, planning,
implementation, and evaluation.
27.
Assessment is the stage of the nursing
process in which the nurse continuously
collects data to identify a patients actual and
potential health needs.
28.
Nursing diagnosis is the stage of the
nursing process in which the nurse makes a
clinical judgment about individual, family, or
community responses to actual or potential
health problems or life processes.
29.
Planning is the stage of the nursing
process in which the nurse assigns priorities to
nursing diagnoses, defines short-term and
long-term goals and expected outcomes, and
establishes the nursing care plan.
30.
Implementation is the stage of the
nursing process in which the nurse puts the

nursing care plan into action, delegates

specific nursing interventions to members of
the nursing team, and charts patient responses
to nursing interventions.
31.
Evaluation is the stage of the nursing
process in which the nurse compares objective
and subjective data with the outcome criteria
and, if needed, modifies the nursing care plan.
32.
Before administering any as needed
pain medication, the nurse should ask the
patient to indicate the location of the pain.
33.
Jehovahs Witnesses believe that they
shouldnt receive blood components donated
by other people.
34.
To test visual acuity, the nurse should
ask the patient to cover each eye separately
and to read the eye chart with glasses and
without, as appropriate.
35.
When providing oral care for an
unconscious patient, to minimize the risk of
aspiration, the nurse should position the patient
on the side.
36.
During assessment of distance vision,
the patient should stand 20 (6.1 m) from the
chart.
37.
For a geriatric patient or one who is
extremely ill, the ideal room temperature is 66
to 76 F (18.8 to 24.4 C).
38.
Normal room humidity is 30% to 60%.
39.
Hand washing is the single best method
of limiting the spread of microorganisms. Once
gloves are removed after routine contact with a
patient, hands should be washed for 10 to 15
seconds.
40.
To perform catheterization, the nurse
should place a woman in the dorsal recumbent
position.
41.
A positive Homans sign may indicate
thrombophlebitis.
42.
Electrolytes in a solution are measured
in milliequivalents per liter (mEq/L). A
milliequivalent is the number of milligrams per
100 milliliters of a solution.
43.
Metabolism occurs in two phases:
anabolism (the constructive phase) and
catabolism (the destructive phase).
44.
The basal metabolic rate is the amount
of energy needed to maintain essential body
functions. Its measured when the patient is
awake and resting, hasnt eaten for 14 to 18
hours, and is in a comfortable, warm
environment.

45.

The basal metabolic rate is expressed in

calories consumed per hour per kilogram of
body weight.
46.
Dietary fiber (roughage), which is
derived from cellulose, supplies bulk, maintains
intestinal motility, and helps to establish regular
bowel habits.
47.
Alcohol is metabolized primarily in the
liver. Smaller amounts are metabolized by the
kidneys and lungs.
48.
Petechiae are tiny, round, purplish red
spots that appear on the skin and mucous
membranes as a result of intradermal or
submucosal hemorrhage.
49.
Purpura is a purple discoloration of the
skin thats caused by blood extravasation.
50.
According to the standard precautions
recommended by the Centers for Disease
Control and Prevention, the nurse shouldnt
recap needles after use. Most needle sticks
result from missed needle recapping.
51.
The nurse administers a drug by I.V.
push by using a needle and syringe to deliver
the dose directly into a vein, I.V. tubing, or a
catheter.
52.
When changing the ties on a
tracheostomy tube, the nurse should leave the
old ties in place until the new ones are applied.
53.
A nurse should have assistance when
changing the ties on a tracheostomy tube.
54.
A filter is always used for blood
transfusions.
55.
A four-point (quad) cane is indicated
when a patient needs more stability than a
regular cane can provide.
56.
A good way to begin a patient interview
is to ask, What made you seek medical help?
57.
When caring for any patient, the nurse
should follow standard precautions for handling
blood and body fluids.
58.
Potassium (K+) is the most abundant
cation in intracellular fluid.
59.
In the four-point, or alternating, gait, the
patient first moves the right crutch followed by
the left foot and then the left crutch followed by
the right foot.
60.
In the three-point gait, the patient moves
two crutches and the affected leg
simultaneously and then moves the unaffected
leg.
61.
In the two-point gait, the patient moves
the right leg and the left crutch simultaneously

and then moves the left leg and the right crutch
simultaneously.
62.
The vitamin B complex, the watersoluble vitamins that are essential for
metabolism, include thiamine (B1), riboflavin
(B2), niacin (B3), pyridoxine (B6), and
cyanocobalamin (B12).
63.
When being weighed, an adult patient
should be lightly dressed and shoeless.
64.
Before taking an adults temperature
orally, the nurse should ensure that the patient
hasnt smoked or consumed hot or cold
substances in the previous 15 minutes.
65.
The nurse shouldnt take an adults
temperature rectally if the patient has a cardiac
disorder, anal lesions, or bleeding hemorrhoids
or has recently undergone rectal surgery.
66.
In a patient who has a cardiac disorder,
measuring temperature rectally may stimulate
a vagal response and lead to vasodilation and
decreased cardiac output.
67.
When recording pulse amplitude and
rhythm, the nurse should use these descriptive
measures: +3, bounding pulse (readily
palpable and forceful); +2, normal pulse (easily
palpable); +1, thready or weak pulse (difficult to
detect); and 0, absent pulse (not detectable).
68.
The intraoperative period begins when a
patient is transferred to the operating room bed
and ends when the patient is admitted to the
postanesthesia care unit.
69.
On the morning of surgery, the nurse
should ensure that the informed consent form
has been signed; that the patient hasnt taken
anything by mouth since midnight, has taken a
shower with antimicrobial soap, has had mouth
care (without swallowing the water), has
removed common jewelry, and has received
preoperative medication as prescribed; and
that vital signs have been taken and recorded.
Artificial limbs and other prostheses are usually
removed.
70.
Comfort measures, such as positioning
the patient, rubbing the patients back, and
providing a restful environment, may decrease
the patients need for analgesics or may
enhance their effectiveness.
71.
A drug has three names: generic name,
which is used in official publications; trade, or
brand, name (such as Tylenol), which is
selected by the drug company; and chemical

name, which describes the drugs chemical

composition.
72.
To avoid staining the teeth, the patient
should take a liquid iron preparation through a
straw.
73.
The nurse should use the Z-track
method to administer an I.M. injection of iron
dextran (Imferon).
74.
An organism may enter the body
through the nose, mouth, rectum, urinary or
reproductive tract, or skin.
75.
In descending order, the levels of
consciousness are alertness, lethargy, stupor,
light coma, and deep coma.
76.
To turn a patient by logrolling, the nurse
folds the patients arms across the chest;
extends the patients legs and inserts a pillow
between them, if needed; places a draw sheet
under the patient; and turns the patient by
slowly and gently pulling on the draw sheet.
77.
The diaphragm of the stethoscope is
used to hear high-pitched sounds, such as
breath sounds.
78.
A slight difference in blood pressure (5
to 10 mm Hg) between the right and the left
arms is normal.
79.
The nurse should place the blood
pressure cuff 1 (2.5 cm) above the antecubital
fossa.
80.
When instilling ophthalmic ointments,
the nurse should waste the first bead of
ointment and then apply the ointment from the
inner canthus to the outer canthus.
81.
The nurse should use a leg cuff to
measure blood pressure in an obese patient.
82.
If a blood pressure cuff is applied too
loosely, the reading will be falsely lowered.
83.
Ptosis is drooping of the eyelid.
84.
A tilt table is useful for a patient with a
spinal cord injury, orthostatic hypotension, or
brain damage because it can move the patient
gradually from a horizontal to a vertical
(upright) position.
85.
To perform venipuncture with the least
injury to the vessel, the nurse should turn the
bevel upward when the vessels lumen is larger
than the needle and turn it downward when the
lumen is only slightly larger than the needle.
86.
To move a patient to the edge of the bed
for transfer, the nurse should follow these
steps: Move the patients head and shoulders
toward the edge of the bed. Move the patients

feet and legs to the edge of the bed (crescent

position). Place both arms well under the
patients hips, and straighten the back while
moving the patient toward the edge of the bed.
87.
When being measured for crutches, a
patient should wear shoes.
88.
The nurse should attach a restraint to
the part of the bed frame that moves with the
head, not to the mattress or side rails.
89.
The mist in a mist tent should never
become so dense that it obscures clear
visualization of the patients respiratory pattern.
90.
To administer heparin subcutaneously,
the nurse should follow these steps: Clean, but
dont rub, the site with alcohol. Stretch the skin
taut or pick up a well-defined skin fold. Hold the
shaft of the needle in a dart position. Insert the
needle into the skin at a right (90-degree)
angle. Firmly depress the plunger, but dont
aspirate. Leave the needle in place for 10
seconds. Withdraw the needle gently at the
angle of insertion. Apply pressure to the
injection site with an alcohol pad.
91.
For a sigmoidoscopy, the nurse should
place the patient in the knee-chest position or
Sims position, depending on the physicians
preference.
92.
Maslows hierarchy of needs must be
met in the following order: physiologic (oxygen,
food, water, sex, rest, and comfort), safety and
security, love and belonging, self-esteem and
recognition, and self-actualization.
93.
When caring for a patient who has a
nasogastric tube, the nurse should apply a
water-soluble lubricant to the nostril to prevent
soreness.
94.
During gastric lavage, a nasogastric
tube is inserted, the stomach is flushed, and
ingested substances are removed through the
tube.
95.
In documenting drainage on a surgical
dressing, the nurse should include the size,
color, and consistency of the drainage (for
example, 10 mm of brown mucoid drainage
noted on dressing).
96.
To elicit Babinskis reflex, the nurse
strokes the sole of the patients foot with a
moderately sharp object, such as a thumbnail.
97.
A positive Babinskis reflex is shown by
dorsiflexion of the great toe and fanning out of
the other toes.

98.

When assessing a patient for bladder

distention, the nurse should check the contour
of the lower abdomen for a rounded mass
above the symphysis pubis.
99.
The best way to prevent pressure ulcers
is to reposition the bedridden patient at least
every 2 hours.
100.
Antiembolism stockings decompress the
superficial blood vessels, reducing the risk of
thrombus formation.
101.
In adults, the most convenient veins for
venipuncture are the basilic and median cubital
veins in the antecubital space.
102.
Two to three hours before beginning a
tube feeding, the nurse should aspirate the
patients stomach contents to verify that gastric
emptying is adequate.
103.
People with type O blood are
considered universal donors.
104.
People with type AB blood are
considered universal recipients.
105.
Hertz (Hz) is the unit of measurement of
sound frequency.
106.
Hearing protection is required when the
sound intensity exceeds 84 dB. Double hearing
protection is required if it exceeds 104 dB.
107.
Prothrombin, a clotting factor, is
produced in the liver.
108.
If a patient is menstruating when a urine
sample is collected, the nurse should note this
on the laboratory request.
109.
During lumbar puncture, the nurse must
note the initial intracranial pressure and the
color of the cerebrospinal fluid.
110.
If a patient cant cough to provide a
sputum sample for culture, a heated aerosol
treatment can be used to help to obtain a
sample.
111.
If eye ointment and eyedrops must be
instilled in the same eye, the eyedrops should
be instilled first.
112.
When leaving an isolation room, the
nurse should remove her gloves before her
mask because fewer pathogens are on the
mask.
113.
Skeletal traction, which is applied to a
bone with wire pins or tongs, is the most
effective means of traction.
114.
The total parenteral nutrition solution
should be stored in a refrigerator and removed
30 to 60 minutes before use. Delivery of a

chilled solution can cause pain, hypothermia,

venous spasm, and venous constriction.
115.
Drugs arent routinely injected
intramuscularly into edematous tissue because
they may not be absorbed.
116.
When caring for a comatose patient, the
nurse should explain each action to the patient
in a normal voice.
117.
Dentures should be cleaned in a sink
thats lined with a washcloth.
118.
A patient should void within 8 hours after
surgery.
119.
An EEG identifies normal and abnormal
brain waves.
120.
Samples of feces for ova and parasite
tests should be delivered to the laboratory
without delay and without refrigeration.
121.
The autonomic nervous system
regulates the cardiovascular and respiratory
systems.
122.
When providing tracheostomy care, the
nurse should insert the catheter gently into the
tracheostomy tube. When withdrawing the
catheter, the nurse should apply intermittent
suction for no more than 15 seconds and use a
slight twisting motion.
123.
A low-residue diet includes such foods
as roasted chicken, rice, and pasta.
124.
A rectal tube shouldnt be inserted for
longer than 20 minutes because it can irritate
the rectal mucosa and cause loss of sphincter
control.
125.
A patients bed bath should proceed in
this order: face, neck, arms, hands, chest,
abdomen, back, legs, perineum.
126.
To prevent injury when lifting and
moving a patient, the nurse should primarily
use the upper leg muscles.
127.
Patient preparation for cholecystography
includes ingestion of a contrast medium and a
low-fat evening meal.
128.
While an occupied bed is being
changed, the patient should be covered with a
bath blanket to promote warmth and prevent
exposure.
129.
Anticipatory grief is mourning that
occurs for an extended time when the patient
realizes that death is inevitable.
130.
The following foods can alter the color of
the feces: beets (red), cocoa (dark red or
brown), licorice (black), spinach (green), and
meat protein (dark brown).

131.
When preparing for a skull X-ray, the
patient should remove all jewelry and dentures.
132.
The fight-or-flight response is a
sympathetic nervous system response.
133.
Bronchovesicular breath sounds in
peripheral lung fields are abnormal and
suggest pneumonia.
134.
Wheezing is an abnormal, high-pitched
breath sound thats accentuated on expiration.
135.
Wax or a foreign body in the ear should
be flushed out gently by irrigation with warm
saline solution.
136.
If a patient complains that his hearing
aid is not working, the nurse should check the
switch first to see if its turned on and then
check the batteries.
137.
The nurse should grade hyperactive
biceps and triceps reflexes as +4.
138.
If two eye medications are prescribed
for twice-daily instillation, they should be
administered 5 minutes apart.
139.
In a postoperative patient, forcing fluids
helps prevent constipation.
140.
A nurse must provide care in
accordance with standards of care established
by the American Nurses Association, state
regulations, and facility policy.
141.
The kilocalorie (kcal) is a unit of energy
measurement that represents the amount of
heat needed to raise the temperature of 1
kilogram of water 1 C.
142.
As nutrients move through the body,
they undergo ingestion, digestion, absorption,
transport, cell metabolism, and excretion.
143.
The body metabolizes alcohol at a fixed
rate, regardless of serum concentration.
144.
In an alcoholic beverage, proof reflects
the percentage of alcohol multiplied by 2. For
example, a 100-proof beverage contains 50%
alcohol.
145.
A living will is a witnessed document
that states a patients desire for certain types of
care and treatment. These decisions are based
on the patients wishes and views on quality of
life.
146.
The nurse should flush a peripheral
heparin lock every 8 hours (if it wasnt used
during the previous 8 hours) and as needed
with normal saline solution to maintain patency.
147.
Quality assurance is a method of
determining whether nursing actions and
practices meet established standards.

148.
The five rights of medication
administration are the right patient, right drug,
right dose, right route of administration, and
right time.
149.
The evaluation phase of the nursing
process is to determine whether nursing
interventions have enabled the patient to meet
the desired goals.
150.
Outside of the hospital setting, only the
sublingual and translingual forms of
nitroglycerin should be used to relieve acute
anginal attacks.
151.
The implementation phase of the
nursing process involves recording the
patients response to the nursing plan, putting
the nursing plan into action, delegating specific
nursing interventions, and coordinating the
patients activities.
152.
The Patients Bill of Rights offers
patients guidance and protection by stating the
responsibilities of the hospital and its staff
toward patients and their families during
hospitalization.
153.
To minimize omission and distortion of
facts, the nurse should record information as
soon as its gathered.
154.
When assessing a patients health
history, the nurse should record the current
illness chronologically, beginning with the onset
of the problem and continuing to the present.
155.
When assessing a patients health
history, the nurse should record the current
illness chronologically, beginning with the onset
of the problem and continuing to the present.
156.
A nurse shouldnt give false assurance
to a patient.
157.
After receiving preoperative medication,
a patient isnt competent to sign an informed
consent form.
158.
When lifting a patient, a nurse uses the
weight of her body instead of the strength in
her arms.
159.
A nurse may clarify a physicians
explanation about an operation or a procedure
to a patient, but must refer questions about
informed consent to the physician.
160.
When obtaining a health history from an
acutely ill or agitated patient, the nurse should
limit questions to those that provide necessary
information.

161.
If a chest drainage system line is broken
or interrupted, the nurse should clamp the tube
immediately.
162.
The nurse shouldnt use her thumb to
take a patients pulse rate because the thumb
has a pulse that may be confused with the
patients pulse.
163.
An inspiration and an expiration count
as one respiration.
164.
Eupnea is normal respiration.
165.
During blood pressure measurement,
the patient should rest the arm against a
surface. Using muscle strength to hold up the
arm may raise the blood pressure.
166.
Major, unalterable risk factors for
coronary artery disease include heredity, sex,
race, and age.
167.
Inspection is the most frequently used
assessment technique.
168.
Family members of an elderly person in
a long-term care facility should transfer some
personal items (such as photographs, a
favorite chair, and knickknacks) to the persons
room to provide a comfortable atmosphere.
169.
Pulsus alternans is a regular pulse
rhythm with alternating weak and strong beats.
It occurs in ventricular enlargement because
the stroke volume varies with each heartbeat.
170.
The upper respiratory tract warms and
humidifies inspired air and plays a role in taste,
smell, and mastication.
171.
Signs of accessory muscle use include
shoulder elevation, intercostal muscle
retraction, and scalene and
sternocleidomastoid muscle use during
respiration.
172.
When patients use axillary crutches,
their palms should bear the brunt of the weight.
173.
Activities of daily living include eating,
bathing, dressing, grooming, toileting, and
interacting socially.
174.
Normal gait has two phases: the stance
phase, in which the patients foot rests on the
ground, and the swing phase, in which the
patients foot moves forward.
175.
The phases of mitosis are prophase,
metaphase, anaphase, and telophase.
176.
The nurse should follow standard
precautions in the routine care of all patients.
177.
The nurse should use the bell of the
stethoscope to listen for venous hums and
cardiac murmurs.

178.
The nurse can assess a patients
general knowledge by asking questions such
as Who is the president of the United States?
179.
Cold packs are applied for the first 20 to
48 hours after an injury; then heat is applied.
During cold application, the pack is applied for
20 minutes and then removed for 10 to 15
minutes to prevent reflex dilation (rebound
phenomenon) and frostbite injury.
180.
The pons is located above the medulla
and consists of white matter (sensory and
motor tracts) and gray matter (reflex centers).
181.
The autonomic nervous system controls
the smooth muscles.
182.
A correctly written patient goal
expresses the desired patient behavior, criteria
for measurement, time frame for achievement,
and conditions under which the behavior will
occur. Its developed in collaboration with the
patient.
183.
Percussion causes five basic notes:
tympany (loud intensity, as heard over a gastric
air bubble or puffed out cheek),
hyperresonance (very loud, as heard over an
emphysematous lung), resonance (loud, as
heard over a normal lung), dullness (medium
intensity, as heard over the liver or other solid
organ), and flatness (soft, as heard over the
thigh).
184.
The optic disk is yellowish pink and
circular, with a distinct border.
185.
A primary disability is caused by a
pathologic process. A secondary disability is
caused by inactivity.
186.
Nurses are commonly held liable for
failing to keep an accurate count of sponges
and other devices during surgery.
187.
The best dietary sources of vitamin B6
are liver, kidney, pork, soybeans, corn, and
whole-grain cereals.
188.
Iron-rich foods, such as organ meats,
nuts, legumes, dried fruit, green leafy
vegetables, eggs, and whole grains, commonly
have a low water content.
189.
Collaboration is joint communication and
decision making between nurses and
physicians. Its designed to meet patients
needs by integrating the care regimens of both
professions into one comprehensive approach.
190.
Bradycardia is a heart rate of fewer than
60 beats/minute.

191.
A nursing diagnosis is a statement of a
patients actual or potential health problem that
can be resolved, diminished, or otherwise
changed by nursing interventions.
192.
During the assessment phase of the
nursing process, the nurse collects and
analyzes three types of data: health history,
physical examination, and laboratory and
diagnostic test data.
193.
The patients health history consists
primarily of subjective data, information thats
supplied by the patient.
194.
The physical examination includes
objective data obtained by inspection,
palpation, percussion, and auscultation.
195.
When documenting patient care, the
nurse should write legibly, use only standard
abbreviations, and sign each entry. The nurse
should never destroy or attempt to obliterate
documentation or leave vacant lines.
196.
Factors that affect body temperature
include time of day, age, physical activity,
phase of menstrual cycle, and pregnancy.
197.
The most accessible and commonly
used artery for measuring a patients pulse rate
is the radial artery. To take the pulse rate, the
artery is compressed against the radius.
198.
In a resting adult, the normal pulse rate
is 60 to 100 beats/minute. The rate is slightly
faster in women than in men and much faster
in children than in adults.
199.
Laboratory test results are an objective
form of assessment data.
200.
The measurement systems most
commonly used in clinical practice are the
metric system, apothecaries system, and
household system.
201.
Before signing an informed consent
form, the patient should know whether other
treatment options are available and should
understand what will occur during the
preoperative, intraoperative, and postoperative
phases; the risks involved; and the possible
complications. The patient should also have a
general idea of the time required from surgery
to recovery. In addition, he should have an
opportunity to ask questions.
202.
A patient must sign a separate informed
consent form for each procedure.
203.
During percussion, the nurse uses
quick, sharp tapping of the fingers or hands
against body surfaces to produce sounds. This

procedure is done to determine the size,

shape, position, and density of underlying
organs and tissues; elicit tenderness; or
assess reflexes.
204.
Ballottement is a form of light palpation
involving gentle, repetitive bouncing of tissues
against the hand and feeling their rebound.
205.
A foot cradle keeps bed linen off the
patients feet to prevent skin irritation and
breakdown, especially in a patient who has
peripheral vascular disease or neuropathy.
206.
Gastric lavage is flushing of the stomach
and removal of ingested substances through a
nasogastric tube. Its used to treat poisoning or
drug overdose.
207.
During the evaluation step of the nursing
process, the nurse assesses the patients
response to therapy.
208.
Bruits commonly indicate life- or limbthreatening vascular disease.
209.
O.U. means each eye. O.D. is the right
eye, and O.S. is the left eye.
210.
To remove a patients artificial eye, the
nurse depresses the lower lid.
211.
The nurse should use a warm saline
solution to clean an artificial eye.
212.
A thready pulse is very fine and scarcely
perceptible.
213.
Axillary temperature is usually 1 F
lower than oral temperature.
214.
After suctioning a tracheostomy tube,
the nurse must document the color, amount,
consistency, and odor of secretions.
215.
On a drug prescription, the abbreviation
p.c. means that the drug should be
administered after meals.
216.
After bladder irrigation, the nurse should
document the amount, color, and clarity of the
urine and the presence of clots or sediment.
217.
After bladder irrigation, the nurse should
document the amount, color, and clarity of the
urine and the presence of clots or sediment.
218.
Laws regarding patient selfdetermination vary from state to state.
Therefore, the nurse must be familiar with the
laws of the state in which she works.
219.
Gauge is the inside diameter of a
needle: the smaller the gauge, the larger the
diameter.
220.
An adult normally has 32 permanent
teeth