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1. DIURETIC DRUGS LIKE CHLOROTHIAZIDE AND FUROSEMIDE INCREASE URINE FORMATION BY:

PREVENTING THE REABSORPTION OFWATER AND ELECTROLYTES FROM THE TUBULES OF THE KIDNEY INTO THE BLOOD STREAM

NONE OF THE ABOVE

INCREASING THE REABSORPTION OF WATER AND ELECTROLYTES FROM THE TUBULES OF THE KIDNEY IN TO THE BLOOD STREAM

ALLOWING FLUID FROM THE BLOODSTREAM TO SHIFT TO INTRACELLULAR COMPARMENTS

2. THIS IS A CONDITION WHEREIN THE CLIENT HAS INVOLUNTARY LEAKAGE OF URINE AS IS RELATED TO AGING PROCESS:

URINARY INCONTINENCE

NONE OF THE ABOVE

NOCTURNAL ENURESIS

STRESS URINARY INCONTINENCE

5. THE FOLLOWING ARE NORMAL URINE OUTPUTS, EXCEPT FOR ONE:

60 ML PER HOUR

1500 ML PER DAY

1 ML PER MINUTE

NONE OF THESE

 

7. WHAT IS APPROPRIATE SIZE OF THE BALLOON FOR CHILDREN?

3ML

2ML

1ML

4ML

 

9. IN LUBRICATING AN INDWELLING CATHETER FOR ADULT FEMALE, THE NURSE MUST LUBRICATE FROM THE TIP TO

2.5-5 INCHES DOWN

2.5- 5CMS DOWN

6-7 CMS DOWN

6-7 INCHES DOWN

10. YOU HAVE EXPLAINED TO THE CLIENT THE REASON FOR AND STEPS INVOLVED FOR INSERTION OF AN INDWELLING URINARY CATHETER (IUC). LIST THE FOLLOWING ACTIONS IN THE CORRECT SEQUENCE:

APPLY STERILE GLOVES.
ATTACHED PREFILLED SYRINGE.
SECURE IUC APPROPRIATELY TO PREVENT URETHURAL IRRITATION.
PERFORM PERICARE.
INSERT CATHETER TO APPROPRIATE LENGTH AND CHECK URINE FLOW.
LUBRICATE THE CATHETER.
INFLATE BALLOON.
PERFORM HAND HYGIENE.
CLEAN URINARY MEATUS WITH ANTISEPTIC SOLUTION
OPEN CATHETER KIT.

10,4,8,1,7,2,6,9,5, 3

4,8,10, 1,6,2,9, 5,7,3

4,8,1,10,6, 2, 9,5,7,3

8,10, 4,1,2,6,9,5,7,3

11. A CLIENT NEED A TEST TO DETERMINE THE AMOUNT OF RESIDUAL URINE. WHICH OF THE FOLLOWING WOULD THE NURSE USE THIS ASSESSMENT FOR? SELECT ALL THAT APPLY

TO EVALUATE GLOMERULAR FILTRATION RATE

TO DETERMINE EXTENT OF RENAL FAILURE

TO DETERMINE AMOUNT OF RESIDUAL URINE

TO DETERMINE THE NEED FOR MEDICATION 

TO EVALUATE FLUID VOLUME STATUS

 

13. WHAT DO YOU A DRUG THAT INDUCES DEFECATION?

ANTIPASMODIC

CARMINATIVE

CATHARTIC

 

17. INSERT THE RECTAL TUBE FOR AN ADULT CLIENT UP TO 3-4 INCHES. WHAT IS THE RATIONALE FOR THIS?

TO PLACE THE TIP OF THE RECTAL TUBE WITHIN THE ANAL CANAL 

TO PLACE THE TIP OF THE RECTAL TUBE BEYOND THE ANAL SPHICTER

TO PLACE THE TIP OF THE RECTAL TUBE AT THE END OF THE DESCENDING COLON 

TO AVOID DAMAGING THE CECUM

18. WHAT IS THE RECOMMENDED HEIGHT OF THE ENEMA CONTAINER FOR LOW ENEMA?

NOT MORE THAN 12 INCHES ABOVE ANAL LEVEL

6 INCHES ABOVE THE ANAL LEVEL 

UP TO 18 INCHES FROM THE ANAL LEVEL

19. IF THE DESIRED AMOUNT OF ENEMA SOLUTION IS NOT YET ADMINISTERED AND THE CLIENT IS HAVING THE URGE TO DEFECATE, WHICH OF THE FOLLOWING CAN THE NURSE DO TO DELAY THE CLIENT’S URGE TO DEFECATE? SELECT ALL THAT APPLY

LOWER THE HEIGHT OF THE ENEMA CONTAINER

CLAMP THE TUBING TO STOP INFUSION

SLOW DOWN THE INFUSION OF THE ENEMA SOLUTION

ASK CLIENT TO DO DEEP BREATHING 

 

20. A CLIENT HAS RECEIVED AN OIL RETENTION ENEMA. WHAT TIME FRAME SHOULD THE NURSE PROVIDE THE CLIENT FOR THE ENEMA TO TAKE EFFECT?

10-20 MINS

1-3 HRS

10-15 MINS

5-10 MINS

 

22.  WHICH OF THE FOLLOWING METHODS OF OXYGEN THERAPY DELIVERS THE HIGHEST OXYGEN CONCENTRATION?

CANNULA

NON-REBREATHER MASK

PARTIAL RE-BREATHER MASK

VENTURI

 

27. WHAT IS THE RECOMMENDED SIZE OF SUCTION CATHETERS FOR INFANTS?

FR. 3

FR. 5

FR. 14

FR. 8

 

29. WAYS TO MOBILIZE SECRETIONS ARE: SELECT ALL THAT APPLY

DEEP BREATHING AND COUGHING EXERCISES

SUCTIOING

INCREASE HYDRATION

PERCUSSIOIN

POSTURAL DRAINAGE

 

37. EXCESS INTERSTITIAL FLUID IS KNOWN AS EDEMA.  IN A 4-POINT SCALE EDEMA, A POSITIVE 2 EDEMA MEANS THE MEASURED ACCUMULATED
4MM 
8 MM 
2MM 
6MM

 

41. IN ADULTS, WHERE IS THE MOST COMMON SITE OF IV INSERTION?
DORSAL METACARPAL VEIN
DORSAL METATARSAL VEIN
BASILIC VEIN
CEPHALIC VEIN

 

52. ON JULY 30, 2022 AT 8:45 AM, THE DOCTOR ORDERED THE 7-3 PM SHIFT NURSE TO INFUSE D5 LR 1 LITER TO RUN FOR 10 HRS TO HER CLIENT ROB. THE MACROSET IV TUBING DELIVERS A DROP FACTOR OF 20 GTTS/MIN. AFTER PREPARING THE MATERIALS AND THE CLIENT, THE INFUSION STARTED AT 9:00 AM.
HOW MANY ML OF IV FLUID TO YOU EXPECT ROB TO CONSUME WITH THE NURSE’S SHIFT?
700 ML 
500 ML 
400 ML 
600 ML

SCIENCE
HEALTH SCIENCE
NURSING

 

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