Deck 11: Nursing Intervention or Treatment Orders

Question 1

A patient is unable to urinate after surgery.The doctor will likely order which of the following?

A)TWE now MR x1 prn
B)DC cath this AM
C)Irrig cath prn patency
D)Straight cath x 1 if nec

Answer 1

Straight cath x 1 if nec

Question 2

In an order written as 1000 cc D₅0.9 NS @ 100 mL/hr if pt not tol fluids,the rate of flow is:

A)if pt not tol fluids.
B)1000 cc.
C)100 mL/hr.
D)D50.9 NS.

Answer 2

100 mL/hr.

Question 3

Autologous blood is best defined as:

A)the patient's own blood donated previously for transfusion.
B)blood of a patient's relative donated previously for transfusion.
C)blood that has been transported by the Red Cross.
D)washed blood.

Answer 3

the patient's own blood donated previously for transfusion.

Question 4

The doctor inserted a Port-A-Cath after the proper consent was signed.Characteristically:

A)the port is implanted in the patient's thigh.
B)the port may be clearly identified by its external appearance.
C)the port (container)is implanted under the skin in the chest wall.
D)a needle is not used to administer therapy.

Question 5

A percutaneous central venous catheter:

A)is sometimes referred to as a subclavian line.
B)does not require consent for placement.
C)cannot be used for antibiotic therapy.
D)cannot be used for blood draws.

Question 6

A tunneled catheter:

A)is not considered a surgical procedure,so it does not require a surgical consent.
B)employs the use of a tunneler to exit the catheter low in the patient's chest.
C)can be administered by the patient's nurse.
D)cannot be used for blood draws.

Question 7

A patient has had an abdominal surgical procedure.The cloth or elastic bandage used to provide additional support is called a:

A)binder.
B)central venous catheter.
C)Foley catheter.
D)Hemovac.

Question 8

The inability of the body to control the elimination of urine and/or feces is:

A)incontinence.
B)intermittent elimination.
C)patency.
D)urine residual.

Question 9

The needle puncture of a vein is:

A)venipuncture.
B)pneumatic puncture.
C)catheter irrigation.
D)Harris flush.

Question 10

D₅W refers to:

A)five bottles of dextrose in the same amount of water.
B)Demerol and five bottles of water.
C)5% dextrose in water.
D)dextrose at 5:00 with the water to follow.

Question 11

A patient is concerned about transmission of disease through donated blood.His mother,of the same blood type,will donate blood for his use.This blood is known as:

A)autologous blood.
B)donor-directed blood.
C)family-oriented blood.
D)intravenous infusion.

Question 12

A peripherally inserted central catheter (PICC)line is:

A)an Intracath inserted into the patient's hand that is used when it is difficult to gain access to a vein.
B)inserted into the arm and advanced until the tip lies in the superior vena cava.
C)inserted into the groin and advanced until the tip lies at the aorta.
D)used when therapy lasts less than 3 days.

Question 13

The abbreviation that indicates both sides (e.g. ,both knees,both sides of the back)is:

A)D/LR.
B)B/L.
C)B/S.
D)TWE.

Question 14

In the order 500 mL D₅W at 25 mL/hr,D₅W is the:

A)amount of solution deemed necessary by the nurse.
B)type of solution ordered by the doctor.
C)type of irrigation ordered by the nurse.
D)type of medication added to an IV solution.

Question 15

The laboratory division responsible for obtaining,storing,and processing blood for transfusion is:

A)chemistry.
B)blood bank.
C)packed cells bank.
D)autologous storage and processing.

Question 16

A specimen sent to the laboratory for a T&X-match for 2 units of packed cells (PCs)was labeled with the wrong patient's label.What will be done?

A)The patient's nurse will go to the laboratory to relabel the specimen.
B)The HUC will go to the laboratory to relabel the specimen.
C)The laboratory technician will write the correct patient's name on the label.
D)The specimen will be discarded.

Question 17

The patient is having abdominal surgery,and the resulting fluid and blood must be suctioned off.The doctor will insert which of the following into the wound?

A)Nasogastric tube
B)Peripheral intravenous catheter
C)Indwelling catheter
D)Penrose drain

Question 18

A hep-lock (saline lock)is:

A)used to maintain security of the medication room.
B)rarely used for administration of medication.
C)used to establish an intermittent line when IV fluids are no longer needed but IV entry is still required.
D)kept patent by dextrose flushes administered at specific intervals at the discretion of the registered nurse.

Question 19

An example of a return-flow enema that is used to relieve distention and gas pain is a:

A)tap-water enema.
B)Fleet enema.
C)colostomy irrigation.
D)Harris flush.

Question 20

The insertion of a tube through the urethral meatus into the bladder to remove urine is a(n):

A)Harris flush.
B)colostomy irrigation.
C)intestinal elimination.
D)urinary catheterization.

Question 21

Sequential compression devices (SCDs)are ordered by a patient's doctor to prevent:

A)bedsores.
B)deep vein thrombosis (DVT).
C)the patient from falling out of bed.
D)infection.

Question 22

After obtaining the required doctors' order for a jacket restraint for a patient,the nurse would monitor the patient's:

A)mental and physical status.
B)blood pressure.
C)hemoglobin.
D)temperature.

Question 23

To distribute the body weight more evenly and to relieve pressure,the doctor may order a(n):

A)foot cradle.
B)sheepskin.
C)immobilizer.
D)egg-crate.

Question 24

Which of the following is a commercially prepackaged sodium phosphate enema that is frequently used in hospitals?

A)Soap suds
B)Fleet
C)Oil retention
D)Harris flush

Question 25

The CSD stocks supplies used for nursing procedures in the supply closet (C-lockers or cart)located on each nursing unit.Which of the following would be found on the nursing unit?

A)Disposable or frequently used items generally are stored on the nursing unit.
B)All CSD items will likely be kept on the medical/surgical (med/surg)unit even if infrequently used.
C)The HUC is not expected to be familiar with the location of central supply items.
D)Infrequently used items are kept on the nursing units.

Question 26

A doctor would order a urine flow test for a patient to determine:

A)how many times a day the patient urinates.
B)the speed or amount the patient voids per second.
C)if the patient has any blood in the urine.
D)the amount of urine the patient voids in a day.

Question 27

The hospital department responsible for the distribution of supplies used for nursing procedures is:

A)the physical therapy (PT)department.
B)the case management department.
C)the CSD.
D)health information management system department (HIMS).

Question 28

Incorrect labeling of blood specimens for type and crossmatch may cause the patient to have blood drawn again.The HUC may avoid this type of error by:

A)matching the patient name and information on the ID label affixed to the blood specimen with the name on the doctor's order sheet.
B)directly asking patients if the doctor told them they were expected to receive blood.
C)ensuring that the name on the patient arm band matches the name on the requisition when blood is drawn.
D)making two trips to the laboratory to drop off the blood specimen and to pick up the blood for transfusion.

Question 29

Which of the following is used for the purpose of relieving distention (trapped gas)or constipation or to prepare the patient for surgery and/or diagnostic tests?

A)Enemas
B)IV solutions
C)Hypothermia machine
D)Glycerin swabs

Question 30

To determine the postresidual urine volume,the nurse would catheterize the patient:

A)before he or she has voided.
B)upon his or her awakening.
C)after he or she has voided.
D)after a bladder irrigation.

Question 31

A wound suction device attached to an incisional drain during surgery is a:

A)Jackson-Pratt (JP).
B)cell-saver.
C)Pleur-Evac.
D)Jackson Browne.

Question 32

The patient who just delivered a baby likely will be ordered application of warm water to the pelvic area.This is called a:

A)sitz bath.
B)hypothermia machine.
C)Jacuzzi bath.
D)kinair bath.

Question 33

An aquathermia pad may be:

A)placed under the patient to eliminate pressure points.
B)used for the application of heat or cold.
C)placed under the patient to prevent soiling of the sheets.
D)used to protect incisional wounds.

Question 34

When reusable equipment used by a patient on a nursing unit is discontinued by their doctor,it is important for the equipment to be:

A)placed in the dirty utility room.
B)discarded.
C)placed in the clean utility room.
D)sent home with the patient.

Question 35

Infiltration of an IV means that the:

A)tip of the IV catheter comes out of or pokes through the vein.
B)nurse or the doctor has inserted a needle into a patient's vein.
C)IV fluids have infused.
D)patient has rejected the IV fluids.

Question 36

An order for antiembolism (A-E)hose (TED hose)is indicated for:

A)a fire that could break out on the floor.
B)promoting circulation to the lower extremities.
C)preventing blood loss.
D)restraining the patient;mental and physical status must be assessed at regular intervals.

Question 37

The patient is febrile.The doctor's orders may include which of the following forms of cold therapy to help relieve the extremely elevated temperature?

A)K-pad
B)Sitz bath
C)Hypothermia machine
D)Hot compresses

Question 38

Currently the emphasis in nursing care is on a more comprehensive,total patient care philosophy,or a(n)_____ approach.

A)alternative
B)complementary
C)herbal
D)holistic

Question 39

One of the characteristics of peripheral IV therapy is that:

A)placement is verified with a radiograph.
B)it is usually initiated by the nurse at the bedside.
C)it is initiated by the doctor at the bedside.
D)it requires a consent form.

Question 40

One purpose of administering IV fluids is to:

A)meet hospital requirements.
B)cut down on the amount of fluids that have to be provided to a patient.
C)keep the patient in bed.
D)maintain or replace fluids and electrolytes.

Question 41

The purpose of Swan-Ganz catheterization is to:

A)monitor the heart's function and blood flow.
B)provide nutrients directly to the heart.
C)monitor the blood pressure in real time.
D)provide medication directly to the heart.

Question 42

One of the characteristics of central IV therapy is that:

A)the needle is usually inserted into a vein in the arm or hand.
B)it is usually initiated by the nurse at the bedside.
C)it is used for short-term treatment.
D)it requires a consent form.

Question 43

The purpose of an arterial line is to:

A)provide medication directly into an artery.
B)provide nutrition directly into an artery.
C)monitor the blood pressure in real time.
D)monitor arterial blood gases.

Question 44

A technique that may be used during painful procedures that consists of asking the patient to think of a pleasant experience,event,or place is called:

A)acupressure.
B)imagery.
C)journaling.
D)Tai chi.