WORK OUT – FUNDAMENTALS OF NURSING KIT 1
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Which ethical principle promote self determination by the client ?
Option A autonomy means self-determination by the client. It means let the client and significant others to determine what they wish to do ,Non- maleficence means doing no harm,Justice means treat everyone equally. fidelity means faithfulness
Nurse obtains vital signs and determines level of comfort the patient . Which standard of practice is performed?
Obtaining vital signs is objective data and determining level of comfort by asking the patient is subjective data .Obtaining subjective and objective data from patient is known as assessment in nursing process.Nursing process includes assessment,Nursing diagnosis,planning,Implementation and evaluation
30 Year old Raju complaining of some mass in the abdomen . This information belongs to which among the following?
Mass in the abdomen is palpable and the healthcare worker can fee,so it belongs to sign and objective data, so option D is the correct choice
Gradual increase in rate and depth of respiration is known as…….
The given respiration is kussmaul respiration which is seen in metabolic acidosis .In this condition the hydrogen ion combine with bicarbonate and form carbonic acid , It disintegrate and form water and carbon dioxide . The carbon dioxide need to eliminate from the body ,so rate and depth of respiration will increase ,It is seen in diabetic ketoacidosis also
Which among the following sign or symptom will be present in a patient with hypovolemia?
In patient with hypovolemia , An increase in heart rate can be noted.
The only endocrine gland which can store its hormone is……
Thyroid is the only endocrine gland which can store its hormonal secretion and can secrete it into the blood whenever the body is in need
Calcium balance in the body is regulated with the help of ………
Calcitonin produced by thyroid gland help to mobilize calcium from blood to bone and parathormone produced by parathyroid gland help to mobilize calcium from bone to blood ,both these hormones involved in calcium metabolism
Cleaning of bed sore has to be done from……………
Bed sore is considered as a contaminated wound. In this wound Periphery is considered as more clean,so cleaning of the wound has to be done from outer to inner . In surgical wound cleaning has to be done from inner to outer
During the examination of ear in children the pinna need to hold in ………………. direction
Downward and backward is the appropriate method to hold pinna in children which help to straighten the ear canal ,in adult it has to be done upward and backward
Physician ordered oral as well as nasal suction to a client.you will do suction first in………..
Always do first suction in the mouth, then the nose because if do first suction in the nose first it will stimulate pharynx and cause aspiration ,so to avoid this always do suction first in the mouth
Plasma protein which determine oncotic pressure is
Albumin is the plasma protein responsible for determining oncotic pressure .Decrease in albumin cause edema over the body.
Positive Babinski is ………….
Stroking over the sole cause toe to bend downward ,it is negative Babinski and is normal for adult.But in children stroking over the sole cause toe to move upward and outward ,That is called as positive babinski and is normal for children. positive babinski is considered as abnormal for adult
Deficiency of oxygen in the tissue is Known as……….
Deficiency of oxygen in tissue is hypoxia If it is in the blood it is known as hypoxemia .Bluish discoloration of skin and mucous membrane due to the lack of oxygen is known as cyanosis.Apnea is absence of respiration more than 20 seconds
Presence of fresh blood in the stool is known as……………..
Presence of fresh blood in the stool is hematochezia,if it is old blood ,that means blood clots occur as a result of upper Gi tract bleeding which resulting in dark tarry stool that is known as malena. presence of blood is sputum is hemoptysis and blood in urine is hematuria
Difficulty in breathing is ……..
Option A is the correct answer.option B indicate the difficulty in swallowing , C indicate difficulty in drinking and D indicate difficulty ib speaking
If a narrow cuff is used for measuring BP , then what will the outcome?
Use of narrow cuff leads to falsely high reading and use of large cuff will cause falsely low reading . The BP cuff size is width of the cuff should be 40% of the circumference and length of the cuff will be 80% of the circumference
Thrombocytopenia is ……..
It means decrease in platelet count. Lecopenia means decrease in WBC count
International day for nurses is celebrated on …………….
International day for nurses is celebrated on may 12 , Which is the birthday of florence nightingale
Universal recipient blood group is…………
Blood group AB Individuals have both A and B antigens on the surface of their RBC’S, and their blood plasma does not contain any antibodies against either A or B antigen. therefor an individual with type AB blood can Receive blood from any group (With AB being preferable ) but can not donate blood to any group other than AB
Isotonic salline contain …………amount of NaCL
0.9 gm of NaCL is present in 100 ml of salline.
Hot Application cause………..
All the above given options are the result of hot application
Tubes and catheters are disinfected with …………….
2 % gluteraldehyde is used for the disinfection of tubes and catheters
Urine bile can be tested through ……………… test
Hey’s test will be used to detect urine bile presence.Benedict’s and fehling’s test will be used to detect urine sugar and cold test and hot test are used to detect urine albumin
Contra indicated I/V fluid in a condition known as Lactic acidosis is ………….
Ringer lactate solution is contra indicated in lactic acidosis.
How can we confirm the position of NG tube after insertion?
All the above methods are used to confirm the NG tube position , pH test of the aspirated content can be also done to ensure the location of tube.
Clinical manifestation of hypokalemia include
Muscle, Weakness,paralytic ileus , abdominal distention. ST wave depression, abdominal U wave are the characteristic of hypokalemia. Option A and B Indicate hyperkalemia option C indicate hypocalcemia
Infection occured following treatment modality of procedure is known as
Nosocomial infection are those infecton occur in patient after 48 hrs of hospital stay.
Length of insertion of NG is measured from ………….
NG tube insertion length is measured from tip of nose to ear lobe then to xiphoid process.
While wearing gloves, first gloves need to wear in …………. hand?
Gloves need to wear on the non-dominant hand and then dominant hand.
Stiffness occur to the body after death is known as…………..
Algor mortis :Decfrease of the body’s temperature
Livor mortis : discoloration of the skin after death
Rigor mortis : Stiffening of the body that occurs about 2-4 hours after death
Which among the following data will give more accurate information regarding an end stage renal disease client’s fluid status?
Daily weight of the client give more accurate information 1L=1 Kg
Comfort device used to prevent foot drop is ……….
Foot drop is occur because of injury to peroneal nerve.Foot board help to maintain the alignment of foot and thereby help to prevent foot drop.
One tea spoon =………..ml
One tea spoon equals 5ml of fluid
Identify the technique used in physical examination
All the technique used in physical examination. Inspection means observing , palpation means touch and find out percussion means tap the body and listen to the sound produced and one more technique ausculation is also there.
While cleaning eye , it has to be clean from ………(AIIMS 2016)
Cleaning has to be done from more clean to less clean area, so inner canthus to outer canthus
Pediculosis is treated with…………….
All the above are the drug of choice to treat pediculosis
Adequacy of collateral circulation before radial artery cannulation is done with the help of …………test
Allen’s test will be performed to find out the adequacy of ulnar circulation before radial artery cannulation. Option B and C belongs to hearing assessment. cold test is a urine test done to examine urine for albumin
Which of the following medication order is immediately and once only administered?
STAT order means the medication need to be administered immediately.
Identify isotonic fluid among the following?
All the above mentioned fluids are isotonic. Dextrose 5% in NS is hypertonic but dextrose 5% in water is isotonic. isotonic fluids are those fluids which has same osmolality as that of blood plasma
Instrument used for examining eye is ……………
Otoscope is used for examining ears and proctoscope will be used to examine the anal cavity, rectum and sigmoid colon . Endoscope is used to visualize body cavity
Core body temperature can be obtained from
All the Above mentioned , sites will provide information regarding core body temperature . Tympanic membrane is supplied by same blood vessel which is supplying hypothalamus . so it will give information related to core body temperature
Best position for client in hypovolemic shock is ………….
Trendelenburg position promote venous return in patient with hypovolemic shock.
Body tissue works better with temperature of ……………………
Best functioning of body tissue ensured with optimal body temperature of 36-38 Degree C
Heat loss mechanism includes…………
All the given except option D are heat loss mechanism from the body, irradiation is not a mechanism , radiation is the mechanism responsible for heat loss
Equipment used to measure the oxygen saturation is ……..
Pule oxymeter is the instrument used to measure the oxygen saturation
Drop is indicated by …………….. abbreviation
Option A indicate abbreviation of drop. Gtts indicate drops.
Best position given to an unconscious client while performing oral care is ………..
Side lying position is the best indicated position because it will reduce the risk of aspiration
Highest BMR is found in boys , because their body contain ……………
Testosterone hormone present in the males is responsible for highest BMR in them
What is the difference in temperature between oral cavity and rectum in a patient at same time?
oral temperature is 1 Degree F higher than axillary and 1 Degree F less than rectum
Another name for Genupectorial position is …………
Genupectorial position is also known as knee chest position
Dehydration can be assessed through…………………
All the Above factors help us to have information regarding client’s hydration status , Elasticity of skin decreases, Sunken eyes will be present , Thirst and poor drinking can be also
Most effective way to prevent bed sore is in bedridden patient is ………….
2 Hourly position change is the most effective way to prevent bed sore in a bed ridden patient , other than that good nutritional status , avoidance of moisture also need to be done since these all are the risk factors for bed sore
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