NURSING 101 FUNDAMENTALS OF NURSING PRACTIICE QUESTION AND ANSWERS

A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the venipuncture site is red and swollen. Which of the following interventions would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site - ansA. Stop the infusion

The sign and symptoms indicate extravasation so the IVF should be stopped immediately and put warm not cold towel on the affected site.

A patient states that he has difficulty sleeping in the hospital because of noise. Which of the following would be an appropriate nursing action?
A. Administer a sedative at bedtime, as ordered by the physician
B. Ambulate the patient for 5 minutes before he retires
C. Give the patient a glass of warm milk before bedtime
D. Close the patient's door from 9pm to 7am - ansC. Give the patient a glass of warm milk before bedtime

Warm milk will relax the patient because it contains tryptophan, a natural sedative.

A skin lesion which is fluid-filled, less than 1 cm in size is called:
A. Papule
B. Vesicle
C. Bulla
D. Macule - ansB. Vesicle

Vesicle is a circumscribed circulation containing serous fluid or blood and less than 1 cm (ex. Blister, chicken pox).

A sudden redness of the skin is known as:
A. Flush
B. Cyanosis
C. Jaundice
D. Pallor - ansA. Flush

Flush is a sudden redness of the skin. Cyanosis is a slightly bluish, grayish skin discoloration caused by abnormal amounts or reduced hemoglobin in the blood. Jaundice is a yellow discoloration of the skin, mucous membranes and sclera caused by excessive amounts of bilirubin in the blood. Pallor is an unnatural paleness or absence of color in the skin indicating insufficient oxygen and excessive carbon dioxide in the blood.

According to Maslow's hierarchy of needs, which of the following is a basic physiologic need after oxygen?
A. Safety
B. Activity
C. Love
D. Self esteem - ansB. Activity