Which of the following methods is the best method for determining nasogastric tube placement in the stomach? a) X-ray Radiologic identification of tube placement in the stomach is most reliable. b) Observation of gastric aspirate Gastric fluid may be grassy green, brown, clear, or odorless while an aspirate from the lungs may be off-white or tan. Hence, checking aspirate is not the best method of determining nasogastric tube placement in the stomach.

Which of the following methods is the best method for
determining nasogastric tube placement in the stomach?
a) X-ray
Radiologic identification of tube placement in the stomach is most
reliable.
b) Observation of gastric aspirate
Gastric fluid may be grassy green, brown, clear, or odorless while an
aspirate from the lungs may be off-white or tan. Hence, checking
aspirate is not the best method of determining nasogastric tube
placement in the stomach.
c) Testing of pH of gastric aspirate
Gastric pH values are typically lower or more acidic than that of the
intestinal or respiractory tract, but not always.
d) Placement of external end of tube under water
Placement of external end of tube under water and watching for air
bubbles is not a reliable method for determining nasogastric tube
placement in the stomach.
by

1 Answer

Answer :

a) X-ray
Radiologic identification of tube placement in the stomach is most
reliable.
by

Related questions

Mercury is typically used in the placement of which of the following tubes? a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location. b) Gastric sump A gastric sump is used to decompress and empty the stomach. c) Dobbhoff Dobbhoff tubes are used for enteric feeding. d) EnterafloW Enteraflow tubes are used for enteric feeding

Description : Mercury is typically used in the placement of which of the following tubes? a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location. b) ... Dobbhoff tubes are used for enteric feeding. d) EnterafloW Enteraflow tubes are used for enteric feeding

Last Answer : a) Miller-Abbott Most nasoenteric tubes use mercury to carry the tube by gravity to its desired location.

Medium -length nasoenteric tubes are used for: a) Feeding Placement of the tube must be verified prior to any feeding. b) Decompression A gastric sump and nasoenteric tube are used for gastrointestinal decompression. c) Aspiration Nasoenteric tubes are used for gastrointestinal aspiration. d) Emptying Gastric sump tubes are used to decompress the stomach and keep it empty.

Description : Medium -length nasoenteric tubes are used for: a) Feeding Placement of the tube must be verified prior to any feeding. b) Decompression A gastric sump and nasoenteric tube are used for ... aspiration. d) Emptying Gastric sump tubes are used to decompress the stomach and keep it empty.

Last Answer : a) Feeding Placement of the tube must be verified prior to any feeding.

If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding. b) every hour. Checking for placement each hour is unnecessary unless the patient is extremely restless or there is basis for rechecking the tube based on other patient activities. c) every 24 hours. Checking for placement every 24 hours does not meet the standard of care due the patient receiving continuous tube feedings. d) when a tube feeding is continuous, it is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Description : If tube feeding is continuous, the placement of the feeding tube should be checked a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located ... is unnecessary to check placement. Even though the feedings are continuous, the placement must be assessed.

Last Answer : a) every shift. Each nurse caring for the patient is responsible for verifying that the tube is located in the proper area for continuous feeding.

The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Description : The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the ... Complaints of the knee locking are associated with functioning of the injured knee prior to arthroscopy.

Last Answer : a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Asking the patient questions to determine if the person understands the health teaching provided would be included during which step of the nursing process? a) Evaluation Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes. b) Assessment Assessment includes determining the patient’s readiness regarding learning. c) Planning and goals Planning includes identification of teaching strategies and writing the teaching plan. d) Implementation Implementation is the step during which the teaching plan is put into action.

Description : Asking the patient questions to determine if the person understands the health teaching provided would be included during which step of the nursing process? a) Evaluation Evaluation includes observing ... ) Implementation Implementation is the step during which the teaching plan is put into action.

Last Answer : a) Evaluation Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes.

Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.

Description : Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, ... in smoked foods and low in fruits and vegetables may increase the risk of gastric cancer.

Last Answer : a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.

77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a vial that is almost empty. She was able to aspirate 60 mg only. Nurse Kristine decided to inject it instead of making the client wait until the next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Description : 77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a ... next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Last Answer : A. Justice

Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

Description : Which of the following observations in the patient who has undergone allograft for treatment of burn site must be reported to the physician immediately? a) Crackles in the lungs Crackles in the lungs ... pain at the recipient site is anticipated since the wound has been protected by the graft.

Last Answer : a) Crackles in the lungs Crackles in the lungs may indicate a fluid buildup indicative of congestive heart failure and pulmonary edema.

For which of the following medications must the nurse contact the pharmacist in consultation when the patient receives all oral medications by feeding tube? a) Enteric-coated tablets Enteric-coated tablets are meant to be digested in the intestinal tract and may be destroyed by stomach acids. A change of form of medication is required by patients with tube feedings.

Description : For which of the following medications must the nurse contact the pharmacist in consultation when the patient receives all oral medications by feeding tube? a) Enteric-coated tablets Enteric-coated ... make an opening in the capsule and squeeze out contents for administration by feeding tube.

Last Answer : a) Enteric-coated tablets Enteric-coated tablets are meant to be digested in the intestinal tract and may be destroyed by stomach acids. A change of form of medication is required by patients with tube feedings.

A little pool with two layers of wall around it. One white and soft and the other dark and hard, amidst a light brown grassy lawn with an outline of a green grass. What am I? -Riddles

Description : A little pool with two layers of wall around it. One white and soft and the other dark and hard, amidst a light brown grassy lawn with an outline of a green grass. What am I? -Riddles

Last Answer : A Coconut.

Of the following bariatric surgical procedures, which is the best procedure for long-term weight loss? a) Roux-en-Y The Roux-en-Y gastric bypass is the recommended procedure for longterm weight loss. In this procedure, a horizontal row of staples creates a stomach pouch with a 1-cm stoma that is anastomosed with a portion of distal jejunum, creating a gastroenterostomy.

Description : Of the following bariatric surgical procedures, which is the best procedure for long-term weight loss? a) Roux-en-Y The Roux-en-Y gastric bypass is the recommended procedure ... This procedure, which resulted in significant complications, has been largely replaced by gastric restriction procedures

Last Answer : a) Roux-en-Y The Roux-en-Y gastric bypass is the recommended procedure for longterm weight loss. In this procedure, a horizontal row of staples creates a stomach pouch with a 1-cm stoma that is anastomosed with a portion of distal jejunum, creating a gastroenterostomy.

Of the following categories of medications, which is used in combination with bismuth salts to eradicate Helicobacter pylori? a) Antibiotics Antibiotics and bismuth salts are given to eradicate H. pylori. b) Antacids Antacids are given to manage gastric acidity. c) Proton pump inhibitors Proton pump inhibitors are given to decrease acid secretion. d) Histamine-2 receptor antagonists Histamine-2 receptor antagonists are given to decrease the acid secretion in the stomach.

Description : Of the following categories of medications, which is used in combination with bismuth salts to eradicate Helicobacter pylori? a) Antibiotics Antibiotics and bismuth salts are given to eradicate ... antagonists Histamine-2 receptor antagonists are given to decrease the acid secretion in the stomach.

Last Answer : a) Antibiotics Antibiotics and bismuth salts are given to eradicate H. pylori.

When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

Description : When the nurse prepares to give a bolus tube feeding to the patient and determines that the residual gastric content is 150 cc, her best action is to a) reassess the residual gastric content in ... residual exceeds 100 cc, the tube feeding should be withheld at that time, but not indefinitely.

Last Answer : a) reassess the residual gastric content in 1 hour. If the gastric residual exceeds 100 cc 2 hours in a row, the physician should be notified.

The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion

Description : The client complained of abdominal pain, nausea and vomiting with abdominal distention. The nurse anticipates which of the following priority management after referring to the surgeon? A. Gastric decompression B. Possible surgery C. Endoscopy D. Rectal tube insertion

Last Answer : A. Gastric decompression

A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the following statement(s) is/are true concerning the patient’s management? a. Feeding into the stomach results in stimulation of the biliary/pancreatic axis which is probably trophic for small bowel b. Gastric secretions will dilute the feedings increasing the risk of diarrhea c. The major risk in this patient is tracheobronchial aspiration d. Placement of the feeding catheter through the pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration

Description : A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the ... pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration

Last Answer : Answer: a, c, d The use of transnasal feeding catheters for intragastric feeding or for duodenal intubation are popular adjuncts for providing nutritional support by the enteral route. The ... the fourth portion of the duodenum reduces the risk of regurgitation and aspiration of feeding formulas

Natalie had fourteen balls. Each one color. She alternated the colors each day, there was a blue, pink, purple, green, red, yellow, black, white, orange, turquoise, tan, neon pink, and brown. Each day of the week she also alternated fast food places. McDonald's, Chick-fil-A, In-and-out, Wendy's, Good eats, Burger King, and Arby's None in respective order. What day of the week will she go to Arby's? What ball will she have while she is at Arby's? -Riddles

Description : Natalie had fourteen balls. Each one color. She alternated the colors each day, there was a blue, pink, purple, green, red, yellow, black, white, orange, turquoise, tan, neon pink, and brown. Each day of the ... the week will she go to Arby's? What ball will she have while she is at Arby's? -Riddles

Last Answer : She will go to Arby's on Monday, for that is the first day of the week and A is the first letter of the alphabet. So on Tuesday she would go to Burger King. On Wednesday she would go to Chick- ... because red is the first color of the rainbow. So on Tuesday she would have a Orange ball. And so on.

A gaseous organic compound that is best known for its use in preservative solutions has the chemical formula HCHO (read: H - C - H CHEM-92; Short Answer: Give me the name and atomic number of the element I am thinking about. It occupies the same column in the periodic table as selenium. Under standard conditions of temperature and pressure this element is a clear, odorless gas. This element is one of the essential ingredients in the burning process.

Description : A gaseous organic compound that is best known for its use in preservative solutions has the chemical formula HCHO (read: H - C - H CHEM-92; Short Answer: Give me the name and atomic number ... element is a clear, odorless gas. This element is one of the essential ingredients in the burning process.

Last Answer : ANSWER: OXYGEN ATOMIC NUMBER = 8

Which of the following methods of physical examination refers to the translation of physical force into sound? a) Percussion Percussion translates the application of physical force into sound. b) Palpation Palpation refers to examination by non-forceful touching. c) Auscultation Auscultation refers to the skill of listening to sounds produced within the body created by movement of air or fluid. d) Manipulation Manipulation refers to the use of the hands to determine motion of a body part.

Description : Which of the following methods of physical examination refers to the translation of physical force into sound? a) Percussion Percussion translates the application of physical force into sound. b) Palpation ... Manipulation refers to the use of the hands to determine motion of a body part.

Last Answer : a) Percussion Percussion translates the application of physical force into sound.

Which of the following medications are used to reverse the effects of heparin? a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin. b) Streptokinase Streptokinase is a thrombolytic agent. c) Clopidigrel (Plavix) Clopidigrel (Plavix) is an antiplatelet medication that is given to reduce the risk of thrombus formation post coronary stent placement. d) Aspirin The antiplatelet effect of aspirin does not reverse the effects of heparin.

Description : Which of the following medications are used to reverse the effects of heparin? a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin. b) Streptokinase Streptokinase is a ... placement. d) Aspirin The antiplatelet effect of aspirin does not reverse the effects of heparin.

Last Answer : a) Protamine sulfate Protamine sulfate is known as the antagonist to heparin.

When x-ray demonstrates a fracture in which bone has splintered into several pieces, that fracture is described as a) comminuted. A comminuted fracture may require open reduction and internal fixation.

Description : When x-ray demonstrates a fracture in which bone has splintered into several pieces, that fracture is described as a) comminuted. A comminuted fracture may require open reduction and internal fixation. b ... . An impacted fracture is one in which a bone fragment is driven into another bone fragment.

Last Answer : a) comminuted. A comminuted fracture may require open reduction and internal fixation.

The individual who demonstrates displacement of the sternum is described as having a a) pigeon chest. Pigeon chest may occur with rickets, Marfan’s syndrome, or severe kyphoscoliosis. b) barrel chest. A barrel chest is seen in patients with emphysema as a result of overinflation of the lungs. c) funnel chest. A funnel chest occurs when there is a depression in the lower portion of the sternum. d) kyphoscoliosis. Kyphoscoliosis is characterized by elevation of the scapula and a corresponding S-shaped spine.

Description : The individual who demonstrates displacement of the sternum is described as having a a) pigeon chest. Pigeon chest may occur with rickets, Marfan's syndrome, or severe kyphoscoliosis. ... kyphoscoliosis. Kyphoscoliosis is characterized by elevation of the scapula and a corresponding S-shaped spine.

Last Answer : a) pigeon chest. Pigeon chest may occur with rickets, Marfan’s syndrome, or severe kyphoscoliosis.

The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief. b) vomiting. Vomiting is uncommon in the patient with duodenal ulcer. c) hemorrhage. Hemorrhage is less likely in the patient with duodenal ulcer than the patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Description : The nurse recognizes that the patient with a duodenal ulcer will likely experience a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain ... patient with gastric ulcer. d) weight loss. The patient with a duodenal ulcer may experience weight gain.

Last Answer : a) pain 2-3 hours after a meal. The patient with a gastric ulcer often awakens between 1-2 A.M. with pain and ingestion of food brings relief.

Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption. b) C Lack of vitamin C may cause development of signs and symptoms of scurvy. c) D Vitamin D deficiency results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Description : Decrease in absorption of which of the following vitamins in the geriatric patient results in pernicious anemia? a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for ... results in an inability to absorb calcium. d) B6 Vitamin B6 affects neuromuscular function.

Last Answer : a) B12 Vitamin B12 requires the intrinsic factor secreted by the gastric mucosa for absorption.

Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting. b) Venturi mask The Venturi mask provides low levels of supplemental oxygen. c) Catheter The catheter is an inexpensive device that provides a variable fraction of inspired oxygen and may cause gastric distention. d) Face tent A face tent provides a fairly accurate fraction of inspired oxygen, but is bulky and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Description : Of the following oxygen administration devices, which has the advantage of providing high oxygen concentration? a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is ... and uncomfortable. It would not be the device of choice to provide high oxygen concentration.

Last Answer : a) Non-rebreather mask The non-rebreather mask provides high oxygen concentration but is usually poor fitting.

The figure shows a diagrammatic view of human respiratory system with labels A, B, C and D. Select the option which gives correct identification and main function and / or characteristic. (a) C - Alveoli - Thin walled vascular bag like structures for exchange of gases. (b) D - Lower end of lungs - Diaphragm pulls it down during inspiration. (c) A - Trachea - Long tube supported by complete cartilaginous rings for conducting inspired air. (d) B - Pleural membrane - Surround ribs on both sides to provide cushion against rubbing.

Description : The figure shows a diagrammatic view of human respiratory system with labels A, B, C and D. Select the option which gives correct identification and main function and / or characteristic. (a) C - ... air. (d) B - Pleural membrane - Surround ribs on both sides to provide cushion against rubbing.

Last Answer : (a) C - Alveoli - Thin walled vascular bag like structures for exchange of gases.

Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Description : Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest ... finding to the physician immediately. Subcutaneous emphysema results from air entering the tissue planes.

Last Answer : a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

Which of the following terms, according to Lazarus, refers to the process through which an event is evaluated with respect to what is at stake and what might and can be done? a) Cognitive appraisal The outcome of cognitive appraisal is identification of the situation as either stressful or non-stressful. b) Coping Coping consists of both cognitive and behavioral efforts made to manage the specific external or internal demand that taxes a person’s resources. c) Hardiness Hardiness is a personality characteristic that is composed of control, commitment, and challenge. d) Adaptation Lazarus believed adaptation was affected by emotion that subsumed stress and coping.

Description : Which of the following terms, according to Lazarus, refers to the process through which an event is evaluated with respect to what is at stake and what might and can be done? a) ... and challenge. d) Adaptation Lazarus believed adaptation was affected by emotion that subsumed stress and coping.

Last Answer : a) Cognitive appraisal The outcome of cognitive appraisal is identification of the situation as either stressful or non-stressful.

During which step of the nursing process does the nurse analyze data related to the patient’s health status? a) Assessment Analysis of data is included as part of the assessment. b) Implementation Implementation is the actualization of the plan of care through nursing interventions. c) Diagnosis Diagnosis is the identification of patient problems. d) Evaluation Evaluation is the determination of the patient’s responses to the nursing interventions and the extent to which the outcomes have been achieved.

Description : During which step of the nursing process does the nurse analyze data related to the patient's health status? a) Assessment Analysis of data is included as part of the assessment. b) ... patient's responses to the nursing interventions and the extent to which the outcomes have been achieved.

Last Answer : a) Assessment Analysis of data is included as part of the assessment.

Which skill needed by the nurse to think critically involves identification of patient problems indicated by data? a) Analysis Analysis is used to identify patient problems indicated by data. b) Interpretation Interpretation is used to determine the significance of data that is gathered. c) Inferencing Inferences are used by the nurse to draw conclusions. d) Explanation Explanation is the justification of actions or interventions used to address patient problems and to help a patient move toward desired outcomes.

Description : Which skill needed by the nurse to think critically involves identification of patient problems indicated by data? a) Analysis Analysis is used to identify patient problems indicated by data. b) ... or interventions used to address patient problems and to help a patient move toward desired outcomes.

Last Answer : a) Analysis Analysis is used to identify patient problems indicated by data.

Ductal lavage is used for a) women at higher risk for benign proliferative breast disease. Performed in the doctor’s office, a microcatheter is inserted through the nipple while instilling saline and retrieving the fluid for analysis. It has been shown to identify atypical cells in this population and has been found to be adept at detecting cellular changes within the breast tissue.

Description : Ductal lavage is used for a) women at higher risk for benign proliferative breast disease. Performed in the doctor's office, a microcatheter is inserted through the nipple while instilling saline ... risk for benign proliferative breast disease; it is not specific for women with breast implants.

Last Answer : a) women at higher risk for benign proliferative breast disease. Performed in the doctor's office, a microcatheter is inserted through the nipple while instilling saline and retrieving the fluid ... population and has been found to be adept at detecting cellular changes within the breast tissue.

Which of the following solutions should the nurse anticipate for fluid replacement in the male patient? a) Lactated Ringer’s solution Replacement fluids may include isotonic electrolyte solutions and blood component therapy.

Description : Which of the following solutions should the nurse anticipate for fluid replacement in the male patient? a) Lactated Ringer's solution Replacement fluids may include isotonic electrolyte solutions and ... only to treat severe symptomatic hyponatremia and should be used only in intensive care units.

Last Answer : a) Lactated Ringer’s solution Replacement fluids may include isotonic electrolyte solutions and blood component therapy.

Which of the following terms describes the passage of a hollow instrument into a cavity for the withdrawal of fluid? a) Paracentesis Paracentesis may be used to withdraw ascitic fluid if the fluid accumulation is causing cardiorespiratory compromise.

Description : Which of the following terms describes the passage of a hollow instrument into a cavity for the withdrawal of fluid? a) Paracentesis Paracentesis may be used to withdraw ascitic fluid if the ... . d) Dialysis Dialysis refers to a form of filtration to separate crystalloid from colloid substances.

Last Answer : a) Paracentesis Paracentesis may be used to withdraw ascitic fluid if the fluid accumulation is causing cardiorespiratory compromise.

Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient’s fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed. b) Minimal urine output of 50 milliliters per hour Minimal urine output may be less than 50 mL/hr. c) Minimal urine output of 10 milliliters per hour Minimal urine output must exceed 10 mL/hr. d) Minimal intake of 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Description : Which of the following statements accurately reflects a rule of thumb upon which the nurse may rely in assessing the patient's fluid balance? a) Minimal intake of 1.5 liters per day If food and fluids are ... 2 liters per day Minimal intake, as a rule of thumb, is less than 2 liters per day.

Last Answer : a) Minimal intake of 1.5 liters per day If food and fluids are withheld, IV fluids (3L/day) are usually prescribed.

When the nurse notes that the post cardiac surgery patient demonstrates low urine output (< 25 ml/hr) with high specific gravity (> 1.025), the nurse suspects: a) Inadequate fluid volume Urine output of less than 25 ml/hr may indicate a decrease in cardiac output. A high specific gravity indicates increased concentration of solutes in the urine which occurs with inadequate fluid volume. b) Normal glomerular filtration Indices of normal glomerular filtration are output of 25 ml or greater per hour and specific gravity between 1.010 and 1.025. c) Overhydration Overhydration is manifested by high urine output with low specific gravity. d) Anuria The anuric patient does not produce urine.

Description : When the nurse notes that the post cardiac surgery patient demonstrates low urine output (< 25 ml/hr) with high specific gravity (> 1.025), the nurse suspects: a) Inadequate fluid volume Urine ... by high urine output with low specific gravity. d) Anuria The anuric patient does not produce urine.

Last Answer : a) Inadequate fluid volume Urine output of less than 25 ml/hr may indicate a decrease in cardiac output. A high specific gravity indicates increased concentration of solutes in the urine which occurs with inadequate fluid volume.

In cold places frost damage can be reduced in horticultural crops using these methods except a) Overhead sprinklers at night b) Green houses and shade nets c) Wind breaks placement d) Appropriate fungicide application

Description : In cold places frost damage can be reduced in horticultural crops using these methods except a) Overhead sprinklers at night b) Green houses and shade nets c) Wind breaks placement d) Appropriate fungicide application

Last Answer : b) Green houses and shade nets

When x-ray demonstrates a fracture in which the fragments of bone are driven inward, the fracture is described as a) depressed. Depressed skull fractures occur as a result of blunt trauma.

Description : When x-ray demonstrates a fracture in which the fragments of bone are driven inward, the fracture is described as a) depressed. Depressed skull fractures occur as a result of blunt trauma. b) ... impacted. An impacted fracture is one in which a bone fragment is driven into another bone fragment.

Last Answer : a) depressed. Depressed skull fractures occur as a result of blunt trauma.

A diagnostic test that involves injection of a contrast media into the venous system through a dorsal vein in the foot is termed a) contrast phlebography. When a thrombus exists, an x-ray image will disclose an unfilled segment of a vein. b) air plethysmography Air plethysmography quantifies venous reflux and calf muscle pump ejection.

Description : A diagnostic test that involves injection of a contrast media into the venous system through a dorsal vein in the foot is termed a) contrast phlebography. When a thrombus exists, an x ... d) lymphoscintigraphy. In lymphoscintigraphy, a radioactive-labeled colloid is injected into the lymph system.

Last Answer : a) contrast phlebography. When a thrombus exists, an x-ray image will disclose an unfilled segment of a vein.

92. Which doctrine is invoked if an abdominal X-ray of a postoperative patient shows a forcep inside the abdomen?

Description : 92. Which doctrine is invoked if an abdominal X-ray of a postoperative patient shows a forcep inside the abdomen?

Last Answer : C. Res ipsa loquitor

When the female client reports a frothy yellow-brown vaginal discharge, the nurse suspects the client has a vaginal infection caused by a) trichomonas vaginalis. Trichomonas vaginalis causes a frothy yellow-white or yellow-brown vaginal discharge.

Description : When the female client reports a frothy yellow-brown vaginal discharge, the nurse suspects the client has a vaginal infection caused by a) trichomonas vaginalis. Trichomonas vaginalis causes a ... the external vulva and vaginal walls. d) chlamydia. Chlamydia causes a profuse purulent discharge.

Last Answer : a) trichomonas vaginalis. Trichomonas vaginalis causes a frothy yellow-white or yellow-brown vaginal discharge.

Which of the following items is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs? a) History of present illness The history of the present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs. b) Physical examination The physical examination is helpful but often only validates the information obtained from the history. c) Diagnostic test results Diagnostic test results can be helpful, but they often only verify rather than establish the diagnosis. d) Biographical data Biographical information puts the health history in context but does not focus the diagnosis.

Description : Which of the following items is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person's needs? a) History of ... data Biographical information puts the health history in context but does not focus the diagnosis.

Last Answer : a) History of present illness The history of the present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

Which respiratory volume is the maximum volume of air that can be inhaled after maximal expiration? a) Inspiratory reserve volume Inspiratory reserve volume is normally 3000 mL. b) Tidal volume Tidal volume is the volume of air inhaled and exhaled with each breath. c) Expiratory reserve volume Expiratory reserve volume is the maximum volume of air that can be exhaled forcibly after a normal exhalation. d) Residual volume Residual volume is the volume of air remaining in the lungs after a maximum exhalation.

Description : Which respiratory volume is the maximum volume of air that can be inhaled after maximal expiration? a) Inspiratory reserve volume Inspiratory reserve volume is normally 3000 mL. b) Tidal volume Tidal ... volume Residual volume is the volume of air remaining in the lungs after a maximum exhalation.

Last Answer : a) Inspiratory reserve volume Inspiratory reserve volume is normally 3000 mL.

The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding may be indicative of a) anemia. In the light-skinned individual, generalized pallor is a manifestation of anemia. In brown- and black-skinned individuals, anemia is demonstrated as a dull skin appearance.

Description : The nurse notes that the patient demonstrates generalized pallor and recognizes that this finding may be indicative of a) anemia. In the light-skinned individual, generalized pallor is a ... . d) local arterial insufficiency. Local arterial insufficiency is characterized by marked localized pallor.

Last Answer : a) anemia. In the light-skinned individual, generalized pallor is a manifestation of anemia. In brown- and black-skinned individuals, anemia is demonstrated as a dull skin appearance.

Which of the following statements describe refractive surgery? a) Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea. Refractive surgery is an elective procedure and is considered a cosmetic procedure (to achieve clear vision without the aid of prosthetic devices). It is performed to reshape the cornea for the purpose of correction of all refractive errors.

Description : Which of the following statements describe refractive surgery? a) Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea. Refractive surgery is an elective procedure and is ... a stable refractive error. The corneal structure must be normal and refractive error stable.

Last Answer : a) Refractive surgery is an elective, cosmetic surgery performed to reshape the cornea. Refractive surgery is an elective procedure and is considered a cosmetic procedure (to achieve clear vision without ... is performed to reshape the cornea for the purpose of correction of all refractive errors.

The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, “I will A. Call you when the return flow is clear” B. Stop the enema only if the return flow is without formed fecal material” C. Need 1 liter of tap water to have clear return flow” D. Put the client in left Sim’s position to achieve the desired return flow.”

Description : The nurse instructs the nursing attendant to perform cleansing enema until the return flow is clear. The nursing attendant understood the instruction when she says, I will A. Call you when the return flow is ... flow D. Put the client in left Sim's position to achieve the desired return flow.

Last Answer : A. Call you when the return flow is clear”

Which of the following body substances causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle? a) Histamine When cells are damaged, histamine is released.

Description : Which of the following body substances causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle? a) Histamine When cells are damaged, ... Prostaglandin Prostaglandins are unsaturated fatty acids that have a wide assortment of biologic activity.

Last Answer : a) Histamine When cells are damaged, histamine is released.

Which of the following medications represents the category proton (gastric acid) pump inhibitors? a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine-triphosphatase pump on the surface of the parietal cells. b) Sucralfate (Carafate) Sucralfate is a cytoprotective drug. c) Famotidine (Pepcid) Famotidine is a histamine-2 receptor antagonist. d) Metronidazole (Flagyl) Metronidazole is an antibiotic, specifically an amebicide.

Description : Which of the following medications represents the category proton (gastric acid) pump inhibitors? a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine ... antagonist. d) Metronidazole (Flagyl) Metronidazole is an antibiotic, specifically an amebicide.

Last Answer : a) Omeprazole (Prilosec) Omeprazole decreases gastric acid by slowing the hydrogenpotassium-adenosine-triphosphatase pump on the surface of the parietal cells.

When gastric analysis testing reveals excess secretion of gastric acid, which of the following diagnoses is supported? a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess amount of hydrochloric acid.

Description : When gastric analysis testing reveals excess secretion of gastric acid, which of the following diagnoses is supported? a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess ... anemia Patients with pernicious anemia secrete no acid under basal conditions or after stimulation.

Last Answer : a) Duodenal ulcer Patients with duodenal ulcers usually secrete an excess amount of hydrochloric acid.