Bullets

10. The nurse can elicit Trousseaus sign by

occluding the brachial or radial artery.

1. A blood pressure cuff thats too narrow

Hand and finger spasms that occur

can cause a falsely elevated blood

during occlusion indicate Trousseaus

pressure reading.

sign and suggest hypocalcemia.

2. When preparing a single injection for a

patient who takes regular and neutral
protein Hagedorn insulin, the nurse

11. For blood transfusion in an adult, the

appropriate needle size is 16 to 20G.
12. Intractable pain is pain that

should draw the regular insulin into the

incapacitates a patient and cant be

syringe first so that it does not

relieved by drugs.

contaminate the regular insulin.

3. Rhonchi are the rumbling sounds heard
on lung auscultation. They are more
pronounced during expiration than
during inspiration.
4. Gavage is forced feeding, usually
through a gastric tube (a tube passed
into the stomach through the mouth).

13. In an emergency, consent for treatment

can be obtained by fax, telephone, or
other telegraphic means.
14. Decibel is the unit of measurement of
sound.
15. Informed consent is required for any
invasive procedure.
16. A patient who cant write his name to

5. According to Maslows hierarchy of

give consent for treatment must make

needs, physiologic needs (air, water,

an X in the presence of two witnesses,

food, shelter, sex, activity, and comfort)

such as a nurse, priest, or physician.

have the highest priority.

6. The safest and surest way to verify a

17. The Z-track I.M. injection technique

seals the drug deep into the muscle,

patients identity is to check the

thereby minimizing skin irritation and

identification band on his wrist.

staining. It requires a needle thats 1

7. In the therapeutic environment, the

patients safety is the primary concern.
8. Fluid oscillation in the tubing of a chest

(2.5 cm) or longer.

18. In the event of fire, the acronym most
often used is RACE. (R) Remove the

drainage system indicates that the

patient. (A) Activate the alarm. (C)

system is working properly.

Attempt to contain the fire by closing

9. The nurse should place a patient who

has a Sengstaken-Blakemore tube in
semi-Fowler position.

the door. (E) Extinguish the fire if it can

be done safely.
19. A registered nurse should assign a
licensed vocational nurse or licensed

practical nurse to perform bedside care,

28. Nursing diagnosis is the stage of the

such as suctioning and drug

nursing process in which the nurse

administration.

makes a clinical judgment about

20. If a patient cant void, the first nursing

individual, family, or community

action should be bladder palpation to

responses to actual or potential health

assess for bladder distention.

problems or life processes.

21. The patient who uses a cane should

29. Planning is the stage of the nursing

carry it on the unaffected side and

process in which the nurse assigns

advance it at the same time as the

priorities to nursing diagnoses, defines

affected extremity.

short-term and long-term goals and

22. To fit a supine patient for crutches, the

nurse should measure from the axilla to
the sole and add 2 (5 cm) to that
measurement.
23. Assessment begins with the nurses first

expected outcomes, and establishes the

nursing care plan.
30. Implementation is the stage of the
nursing process in which the nurse puts
the nursing care plan into action,

encounter with the patient and

delegates specific nursing interventions

continues throughout the patients stay.

to members of the nursing team, and

The nurse obtains assessment data

charts patient responses to nursing

through the health history, physical

interventions.

examination, and review of diagnostic

studies.
24. The appropriate needle size for insulin
injection is 25G and 5/8 long.
25. Residual urine is urine that remains in

31. Evaluation is the stage of the nursing

process in which the nurse compares
objective and subjective data with the
outcome criteria and, if needed,
modifies the nursing care plan.

the bladder after voiding. The amount

32. Before administering any as needed

of residual urine is normally 50 to 100

pain medication, the nurse should ask

ml.

the patient to indicate the location of

26. The five stages of the nursing process

are assessment, nursing diagnosis,

the pain.
33. Jehovahs Witnesses believe that they

planning, implementation, and

shouldnt receive blood components

evaluation.

donated by other people.

27. Assessment is the stage of the nursing

34. To test visual acuity, the nurse should

process in which the nurse continuously

ask the patient to cover each eye

collects data to identify a patients

separately and to read the eye chart

actual and potential health needs.

with glasses and without, as

body functions. Its measured when the

appropriate.

patient is awake and resting, hasnt

35. When providing oral care for an

unconscious patient, to minimize the
risk of aspiration, the nurse should
position the patient on the side.
36. During assessment of distance vision,
the patient should stand 20 (6.1 m)
from the chart.
37. For a geriatric patient or one who is
extremely ill, the ideal room
temperature is 66 to 76 F (18.8 to
24.4 C).
38. Normal room humidity is 30% to 60%.
39. Hand washing is the single best method

eaten for 14 to 18 hours, and is in a

comfortable, warm environment.
45. The basal metabolic rate is expressed in
calories consumed per hour per
kilogram of body weight.
46. Dietary fiber (roughage), which is
derived from cellulose, supplies bulk,
maintains intestinal motility, and helps
to establish regular bowel habits.
47. Alcohol is metabolized primarily in the
liver. Smaller amounts are metabolized
by the kidneys and lungs.
48. Petechiae are tiny, round, purplish red

of limiting the spread of

spots that appear on the skin and

microorganisms. Once gloves are

mucous membranes as a result of

removed after routine contact with a

intradermal or submucosal hemorrhage.

patient, hands should be washed for 10

to 15 seconds.
40. To perform catheterization, the nurse
should place a woman in the dorsal
recumbent position.
41. A positive Homans sign may indicate
thrombophlebitis.
42. Electrolytes in a solution are measured
in milliequivalents per liter (mEq/L). A
milliequivalent is the number of

49. Purpura is a purple discoloration of the

skin thats caused by blood
extravasation.
50. According to the standard precautions
recommended by the Centers for
Disease Control and Prevention, the
nurse shouldnt recap needles after use.
Most needle sticks result from missed
needle recapping.
51. The nurse administers a drug by I.V.

milligrams per 100 milliliters of a

push by using a needle and syringe to

solution.

deliver the dose directly into a vein, I.V.

43. Metabolism occurs in two phases:

anabolism (the constructive phase) and
catabolism (the destructive phase).
44. The basal metabolic rate is the amount
of energy needed to maintain essential

tubing, or a catheter.
52. When changing the ties on a
tracheostomy tube, the nurse should
leave the old ties in place until the new
ones are applied.

53. A nurse should have assistance when

64. Before taking an adults temperature

changing the ties on a tracheostomy

orally, the nurse should ensure that the

tube.

patient hasnt smoked or consumed hot

54. A filter is always used for blood

transfusions.
55. A four-point (quad) cane is indicated

or cold substances in the previous 15

minutes.
65. The nurse shouldnt take an adults

when a patient needs more stability

temperature rectally if the patient has a

than a regular cane can provide.

cardiac disorder, anal lesions, or

56. A good way to begin a patient interview

is to ask, What made you seek medical
help?
57. When caring for any patient, the nurse

bleeding hemorrhoids or has recently

undergone rectal surgery.
66. In a patient who has a cardiac disorder,
measuring temperature rectally may

should follow standard precautions for

stimulate a vagal response and lead to

handling blood and body fluids.

vasodilation and decreased cardiac

58. Potassium (K+) is the most abundant

cation in intracellular fluid.
59. In the four-point, or alternating, gait,

output.
67. When recording pulse amplitude and
rhythm, the nurse should use these

the patient first moves the right crutch

descriptive measures: +3, bounding

followed by the left foot and then the

pulse (readily palpable and forceful);

left crutch followed by the right foot.

+2, normal pulse (easily palpable); +1,

60. In the three-point gait, the patient

thready or weak pulse (difficult to

moves two crutches and the affected leg

detect); and 0, absent pulse (not

simultaneously and then moves the

detectable).

unaffected leg.
61. In the two-point gait, the patient moves

68. The intraoperative period begins when

a patient is transferred to the operating

the right leg and the left crutch

room bed and ends when the patient is

simultaneously and then moves the left

admitted to the postanesthesia care unit.

leg and the right crutch simultaneously.

62. The vitamin B complex, the water-

69. On the morning of surgery, the nurse

should ensure that the informed consent

soluble vitamins that are essential for

form has been signed; that the patient

metabolism, include thiamine (B1),

hasnt taken anything by mouth since

riboflavin (B2), niacin (B3), pyridoxine

midnight, has taken a shower with

(B6), and cyanocobalamin (B12).

antimicrobial soap, has had mouth care

63. When being weighed, an adult patient

should be lightly dressed and shoeless.

(without swallowing the water), has

removed common jewelry, and has

received preoperative medication as

patient; and turns the patient by slowly

prescribed; and that vital signs have

and gently pulling on the draw sheet.

been taken and recorded. Artificial

77. The diaphragm of the stethoscope is

limbs and other prostheses are usually

used to hear high-pitched sounds, such

removed.

as breath sounds.

70. Comfort measures, such as positioning

78. A slight difference in blood pressure (5

the patient, rubbing the patients back,

to 10 mm Hg) between the right and the

and providing a restful environment,

left arms is normal.

may decrease the patients need for

79. The nurse should place the blood

analgesics or may enhance their

pressure cuff 1 (2.5 cm) above the

effectiveness.

antecubital fossa.

71. A drug has three names: generic name,

80. When instilling ophthalmic ointments,

which is used in official publications;

the nurse should waste the first bead of

trade, or brand, name (such as Tylenol),

ointment and then apply the ointment

which is selected by the drug company;

from the inner canthus to the outer

and chemical name, which describes

canthus.

the drugs chemical composition.

72. To avoid staining the teeth, the patient
should take a liquid iron preparation
through a straw.
73. The nurse should use the Z-track
method to administer an I.M. injection
of iron dextran (Imferon).
74. An organism may enter the body

81. The nurse should use a leg cuff to

measure blood pressure in an obese
patient.
82. If a blood pressure cuff is applied too
loosely, the reading will be falsely
lowered.
83. Ptosis is drooping of the eyelid.
84. A tilt table is useful for a patient with a

through the nose, mouth, rectum,

spinal cord injury, orthostatic

urinary or reproductive tract, or skin.

hypotension, or brain damage because

75. In descending order, the levels of

it can move the patient gradually from a

consciousness are alertness, lethargy,

horizontal to a vertical (upright)

stupor, light coma, and deep coma.

position.

76. To turn a patient by logrolling, the

85. To perform venipuncture with the least

nurse folds the patients arms across the

injury to the vessel, the nurse should

chest; extends the patients legs and

turn the bevel upward when the vessels

inserts a pillow between them, if

lumen is larger than the needle and turn

needed; places a draw sheet under the

it downward when the lumen is only

slightly larger than the needle.

86. To move a patient to the edge of the bed

for transfer, the nurse should follow
these steps: Move the patients head

position or Sims position, depending

on the physicians preference.
92. Maslows hierarchy of needs must be

and shoulders toward the edge of the

met in the following order: physiologic

bed. Move the patients feet and legs to

(oxygen, food, water, sex, rest, and

the edge of the bed (crescent position).

comfort), safety and security, love and

Place both arms well under the patients

belonging, self-esteem and recognition,

hips, and straighten the back while

and self-actualization.

moving the patient toward the edge of

the bed.
87. When being measured for crutches, a
patient should wear shoes.
88. The nurse should attach a restraint to

93. When caring for a patient who has

a nasogastric tube, the nurse should
apply a water-soluble lubricant to the
nostril to prevent soreness.
94. During gastric lavage, a nasogastric

the part of the bed frame that moves

tube is inserted, the stomach is flushed,

with the head, not to the mattress or

and ingested substances are removed

side rails.

through the tube.

89. The mist in a mist tent should never

95. In documenting drainage on a surgical

become so dense that it obscures clear

dressing, the nurse should include the

visualization of the patients respiratory

size, color, and consistency of the

pattern.

drainage (for example, 10 mm of

90. To administer heparin subcutaneously,

the nurse should follow these steps:
Clean, but dont rub, the site with

brown mucoid drainage noted on

dressing).
96. To elicit Babinskis reflex, the nurse

alcohol. Stretch the skin taut or pick up

strokes the sole of the patients foot

a well-defined skin fold. Hold the shaft

with a moderately sharp object, such as

of the needle in a dart position. Insert

a thumbnail.

the needle into the skin at a right (90-

97. A positive Babinskis reflex is shown

degree) angle. Firmly depress the

by dorsiflexion of the great toe and

plunger, but dont aspirate. Leave the

fanning out of the other toes.

needle in place for 10 seconds.

98. When assessing a patient for bladder

Withdraw the needle gently at the angle

distention, the nurse should check the

of insertion. Apply pressure to the

contour of the lower abdomen for a

injection site with an alcohol pad.

rounded mass above the symphysis

91. For a sigmoidoscopy, the nurse should

place the patient in the knee-chest

pubis.

99. The best way to prevent pressure ulcers

is to reposition the bedridden patient at
least every 2 hours.
100.

Antiembolism stockings

pressure and the color of the

cerebrospinal fluid.
110.

If a patient cant cough to provide a

sputum sample for culture, a heated

decompress the superficial blood

aerosol treatment can be used to help to

vessels, reducing the risk of thrombus

obtain a sample.

formation.
101.

In adults, the most convenient veins

for venipuncture are the basilic and

median cubital veins in the antecubital
space.
102.

Two to three hours before beginning

a tube feeding, the nurse should

aspirate the patients stomach contents

111.

If eye ointment and eyedrops must

be instilled in the same eye, the

eyedrops should be instilled first.
112.

When leaving an isolation room, the

nurse should remove her gloves before

her mask because fewer pathogens are
on the mask.
113.

Skeletal traction, which is applied

to verify that gastric emptying is

to a bone with wire pins or tongs, is the

adequate.

most effective means of traction.

103.

People with type O blood are

considered universal donors.

104.

People with type AB blood are

considered universal recipients.

105.

Hertz (Hz) is the unit of

measurement of sound frequency.

106.

Hearing protection is required when

the sound intensity exceeds 84 dB.

114.

The total parenteral nutrition

solution should be stored in a

refrigerator and removed 30 to 60
minutes before use. Delivery of a
chilled solution can cause pain,
hypothermia, venous spasm, and
venous constriction.
115.

Drugs arent routinely injected

Double hearing protection is required if

intramuscularly into edematous tissue

it exceeds 104 dB.

because they may not be absorbed.

107.

Prothrombin, a clotting factor, is

produced in the liver.

108.

If a patient is menstruating when a

urine sample is collected, the nurse

should note this on the laboratory
request.
109.

During lumbar puncture, the nurse

must note the initial intracranial

116.

When caring for a comatose patient,

the nurse should explain each action to

the patient in a normal voice.
117.

Dentures should be cleaned in a

sink thats lined with a washcloth.

118.

A patient should void within 8

hours after surgery.

119.

An EEG identifies normal and

abnormal brain waves.

120.

Samples of feces for ova and

129.

Anticipatory grief is mourning that

parasite tests should be delivered to the

occurs for an extended time when the

laboratory without delay and without

patient realizes that death is inevitable.

refrigeration.
121.

The autonomic nervous system

130.

The following foods can alter the

color of the feces: beets (red), cocoa

regulates the cardiovascular and

(dark red or brown), licorice (black),

respiratory systems.

spinach (green), and meat protein (dark

122.

When providing tracheostomy care,

the nurse should insert the catheter

brown).
131.

When preparing for a skull X-ray,

gently into the tracheostomy tube.

the patient should remove all jewelry

When withdrawing the catheter, the

and dentures.

nurse should apply intermittent suction

for no more than 15 seconds and use a
slight twisting motion.
123.

A low-residue diet includes such

foods as roasted chicken, rice, and

pasta.
124.

A rectal tube shouldnt be inserted

for longer than 20 minutes because it

can irritate the rectal mucosa and cause
loss of sphincter control.
125.

A patients bed bath should proceed

in this order: face, neck, arms, hands,

chest, abdomen, back, legs, perineum.
126.

To prevent injury when lifting and

132.

The fight-or-flight response is a

sympathetic nervous system response.

133.

Bronchovesicular breath sounds in

peripheral lung fields are abnormal and

suggest pneumonia.
134.

Wheezing is an abnormal, high-

pitched breath sound thats accentuated

on expiration.
135.

Wax or a foreign body in the ear

should be flushed out gently by

irrigation with warm saline solution.
136.

If a patient complains that his

hearing aid is not working, the nurse

should check the switch first to see if

moving a patient, the nurse should

its turned on and then check the

primarily use the upper leg muscles.

batteries.

127.

Patient preparation for

cholecystography includes ingestion of

a contrast medium and a low-fat
evening meal.
128.

While an occupied bed is being

changed, the patient should be covered

with a bath blanket to promote warmth
and prevent exposure.

137.

The nurse should grade hyperactive

biceps and triceps reflexes as +4.

138.

If two eye medications are

prescribed for twice-daily instillation,

they should be administered 5 minutes
apart.
139.

In a postoperative patient, forcing

fluids helps prevent constipation.

140.

A nurse must provide care in

accordance with standards of care

established by the American Nurses

and practices meet established

standards.
148.

The five rights of medication

Association, state regulations, and

administration are the right patient,

facility policy.

right drug, right dose, right route of

141.

The kilocalorie (kcal) is a unit of

energy measurement that represents the

administration, and right time.

149.

The evaluation phase of the nursing

amount of heat needed to raise the

process is to determine whether nursing

temperature of 1 kilogram of water 1

interventions have enabled the patient

C.

to meet the desired goals.

142.

As nutrients move through the

150.

Outside of the hospital setting, only

body, they undergo ingestion, digestion,

the sublingual and translingual forms

absorption, transport, cell metabolism,

of nitroglycerinshould be used to

and excretion.

relieve acute anginal attacks.

143.

The body metabolizes alcohol at a

151.

The implementation phase of the

fixed rate, regardless of serum

nursing process involves recording the

concentration.

patients response to the nursing plan,

144.

In an alcoholic beverage, proof

putting the nursing plan into action,

reflects the percentage of alcohol

delegating specific nursing

multiplied by 2. For example, a 100-

interventions, and coordinating the

proof beverage contains 50% alcohol.

patients activities.

145.

A living will is a witnessed

152.

The Patients Bill of Rights offers

document that states a patients desire

patients guidance and protection by

for certain types of care and treatment.

stating the responsibilities of the

These decisions are based on the

hospital and its staff toward patients

patients wishes and views on quality of

and their families during

life.

hospitalization.

146.

The nurse should flush a peripheral

153.

To minimize omission and

heparin lock every 8 hours (if it wasnt

distortion of facts, the nurse should

used during the previous 8 hours) and

record information as soon as its

as needed with normal saline solution

gathered.

to maintain patency.
147.

Quality assurance is a method of

determining whether nursing actions

154.

When assessing a patients health

history, the nurse should record the

current illness chronologically,

beginning with the onset of the problem

and continuing to the present.
155.

When assessing a patients health

165.

During blood pressure

measurement, the patient should rest

the arm against a surface. Using muscle

history, the nurse should record the

strength to hold up the arm may raise

current illness chronologically,

the blood pressure.

beginning with the onset of the problem

and continuing to the present.
156.

A nurse shouldnt give false

assurance to a patient.
157.

After receiving preoperative

medication, a patient isnt competent to

sign an informed consent form.
158.

When lifting a patient, a nurse uses

166.

Major, unalterable risk factors for

coronary artery disease include

heredity, sex, race, and age.
167.

Inspection is the most frequently

used assessment technique.

168.

Family members of an elderly

person in a long-term care facility

should transfer some personal items

the weight of her body instead of the

(such as photographs, a favorite chair,

strength in her arms.

and knickknacks) to the persons room

159.

A nurse may clarify a physicians

explanation about an operation or a

to provide a comfortable atmosphere.

169.

Pulsus alternans is a regular pulse

procedure to a patient, but must refer

rhythm with alternating weak and

questions about informed consent to the

strong beats. It occurs in ventricular

physician.

enlargement because the stroke volume

160.

When obtaining a health history

from an acutely ill or agitated patient,

varies with each heartbeat.

170.

The upper respiratory tract warms

the nurse should limit questions to

and humidifies inspired air and plays a

those that provide necessary

role in taste, smell, and mastication.

information.
161.

If a chest drainage system line is

171.

Signs of accessory muscle use

include shoulder elevation, intercostal

broken or interrupted, the nurse should

muscle retraction, and scalene and

clamp the tube immediately.

sternocleidomastoid muscle use during

162.

The nurse shouldnt use her thumb

to take a patients pulse rate because the

respiration.
172.

When patients use axillary crutches,

thumb has a pulse that may be confused

their palms should bear the brunt of the

with the patients pulse.

weight.

163.

An inspiration and an expiration

count as one respiration.

164.

Eupnea is normal respiration.

173.

Activities of daily living include

eating, bathing, dressing, grooming,

toileting, and interacting socially.

174.

Normal gait has two phases: the

stance phase, in which the patients foot

rests on the ground, and the swing

developed in collaboration with the

patient.
183.

Percussion causes five basic notes:

phase, in which the patients foot

tympany (loud intensity, as heard over a

moves forward.

gastric air bubble or puffed out cheek),

175.

The phases of mitosis are prophase,

metaphase, anaphase, and telophase.

176.

The nurse should follow standard

hyperresonance (very loud, as heard

over an emphysematous lung),
resonance (loud, as heard over a normal

precautions in the routine care of all

lung), dullness (medium intensity, as

patients.

heard over the liver or other solid

177.

The nurse should use the bell of the

stethoscope to listen for venous hums

and cardiac murmurs.
178.

The nurse can assess a patients

general knowledge by asking questions

organ), and flatness (soft, as heard over

the thigh).
184.

The optic disk is yellowish pink and

circular, with a distinct border.

185.

A primary disability is caused by a

such as Who is the president of the

pathologic process. A secondary

United States?

disability is caused by inactivity.

179.

Cold packs are applied for the first

186.

Nurses are commonly held liable

20 to 48 hours after an injury; then heat

for failing to keep an accurate count of

is applied. During cold application, the

sponges and other devices during

pack is applied for 20 minutes and then

surgery.

removed for 10 to 15 minutes to

187.

The best dietary sources of vitamin

prevent reflex dilation (rebound

B6 are liver, kidney, pork, soybeans,

phenomenon) and frostbite injury.

corn, and whole-grain cereals.

180.

The pons is located above the

188.

Iron-rich foods, such as organ

medulla and consists of white matter

meats, nuts, legumes, dried fruit, green

(sensory and motor tracts) and gray

leafy vegetables, eggs, and whole

matter (reflex centers).

grains, commonly have a low water

181.

The autonomic nervous system

controls the smooth muscles.

182.

A correctly written patient goal

content.
189.

Collaboration is joint

communication and decision making

expresses the desired patient behavior,

between nurses and physicians. Its

criteria for measurement, time frame

designed to meet patients needs by

for achievement, and conditions under

integrating the care regimens of both

which the behavior will occur. Its

professions into one comprehensive

the pulse rate, the artery is compressed

approach.

against the radius.

190.

Bradycardia is a heart rate of fewer

than 60 beats/minute.
191.

A nursing diagnosis is a statement

198.

In a resting adult, the normal pulse

rate is 60 to 100 beats/minute. The rate

is slightly faster in women than in men

of a patients actual or potential health

and much faster in children than in

problem that can be resolved,

adults.

diminished, or otherwise changed by

nursing interventions.
192.

During the assessment phase of the

199.

Laboratory test results are an

objective form of assessment data.

200.

The measurement systems most

nursing process, the nurse collects and

commonly used in clinical practice are

analyzes three types of data: health

the metric system, apothecaries

history, physical examination, and

system, and household system.

laboratory and diagnostic test data.

193.

The patients health history consists

201.

Before signing an informed consent

form, the patient should know whether

primarily of subjective data,

other treatment options are available

information thats supplied by the

and should understand what will occur

patient.

during the preoperative, intraoperative,

194.

The physical examination includes

and postoperative phases; the risks

objective data obtained by inspection,

involved; and the possible

palpation, percussion, and auscultation.

complications. The patient should also

195.

When documenting patient care, the

have a general idea of the time required

nurse should write legibly, use only

from surgery to recovery. In addition,

standard abbreviations, and sign each

he should have an opportunity to ask

entry. The nurse should never destroy

questions.

or attempt to obliterate documentation

or leave vacant lines.
196.

Factors that affect body temperature

include time of day, age, physical

202.

A patient must sign a separate

informed consent form for each

procedure.
203.

During percussion, the nurse uses

activity, phase ofmenstrual cycle, and

quick, sharp tapping of the fingers or

pregnancy.

hands against body surfaces to produce

197.

The most accessible and commonly

sounds. This procedure is done to

used artery for measuring a patients

determine the size, shape, position, and

pulse rate is the radial artery. To take

density of underlying organs and

tissues; elicit tenderness; or assess

reflexes.
204.

Ballottement is a form of light

213.

Axillary temperature is usually 1 F

lower than oral temperature.

214.

After suctioning a tracheostomy

palpation involving gentle, repetitive

tube, the nurse must document the

bouncing of tissues against the hand

color, amount, consistency, and odor of

and feeling their rebound.

secretions.

205.

A foot cradle keeps bed linen off the

215.

On a drug prescription, the

patients feet to prevent skin irritation

abbreviation p.c. means that the drug

and breakdown, especially in a patient

should be administered after meals.

who has peripheral vascular disease or

neuropathy.
206.

Gastric lavage is flushing of the

stomach and removal of ingested

substances through anasogastric tube.

216.

After bladder irrigation, the nurse

should document the amount, color, and

clarity of the urine and the presence of
clots or sediment.
217.

After bladder irrigation, the nurse

Its used to treat poisoning or drug

should document the amount, color, and

overdose.

clarity of the urine and the presence of

207.

During the evaluation step of the

nursing process, the nurse assesses the

patients response to therapy.
208.

Bruits commonly indicate life- or

limb-threatening vascular disease.

209.

O.U. means each eye. O.D. is the

right eye, and O.S. is the left eye.

210.

To remove a patients artificial eye,

the nurse depresses the lower lid.

211.

The nurse should use a warm saline

solution to clean an artificial eye.

212.

A thready pulse is very fine and

scarcely perceptible.

clots or sediment.
218.

Laws regarding patient self-

determination vary from state to state.

Therefore, the nurse must be familiar
with the laws of the state in which she
works.
219.

Gauge is the inside diameter of a

needle: the smaller the gauge, the larger

the diameter.
220.

An adult normally has 32

permanent teeth.