Description
Taylors Clinical Nursing Skills A Nursing Process 3rd Edition Lynn Test Bank
| ISBN-13: 978-0781793841
ISBN-10: 078179384X |
How can a nursing test bank help me in school?
Think about it like this. You have one text book in your class. So does your teacher. Each text book has one test bank that teachers use to test students with. This is the nursing test bank for the book you have. All authentic chapters and questions and answers are included.
Do I get to download this nursing test bank today?
Since we know that students want their files fast, we listened and made it exactly the way you want. So you can download your entire test bank today without waiting for it.
Is this site anonymous and discreet?
We try our best to give nursing students exactly what they want. So your order is 100 percent anonymous and discreet. We do not keep any logs of any kind on our website and use a 256 bit SSL encryption on our site which you can verify.
What if I order the wrong test bank?
As long as the file is not downloaded, we can give you the correct file. Please send us an email and we will send you the correct file right away.
Can I request a sample before I purchase to make sure its authentic?
If this is the nursing test bank that you want. You can use it right now without having to wait for it. Add this exact test bank to your shopping basket on this website. Thereafter, checkout. Your download link will be provided to you automatically.
What format are the nursing test banks in when I download them?
Most of the formats are going to be in a PDF format. We also have files in Microsoft Word. They can be viewed on your computer or phone.
Amazon has this text book if you would like that as well: textbook, Email us if you have any questions.
Can I write a review and leave a testimonial on this site?
You certainly can. Please email us sending an email to us. Many students send us emails thanking us for helping them.
Below you will find some free nursing test bank questions from this test bank:
| 1. | A physician orders a large volume cleansing enema for a patient postabdominal surgery. What is one of the usual outcomes of this procedure? | |
| A) | It stimulates peristalsis and provides a passageway for gas to escape. | |
| B) | It removes hardened fecal impactions from the rectum. | |
| C) | It provides an outlet for diarrhea to be funneled into a collection unit. | |
| D) | It softens and facilitates the removal of intestinal polyps. | |
| 2. | A student nurse studying human anatomy knows that the following is a structure of the large intestine: | |
| A) | Duodenum | |
| B) | Jejunum | |
| C) | Ileum | |
| D) | Cecum | |
| 3. | A nurse is performing an abdominal assessment of a patient before administering a large-volume cleansing enema. Which of the following assessment techniques would be performed last? | |
| A) | Palpation | |
| B) | Percussion | |
| C) | Auscultation | |
| D) | Inspection | |
| 4. | Which of the following enema solutions lubricates the stool and intestinal mucosa without distending the intestine? | |
| A) | Water | |
| B) | Soap | |
| C) | Normal saline | |
| D) | Oil | |
| 5. | A physician orders an enema to effect rapid colonic emptying in a patient who is experiencing severe abdominal cramping due to constipation. What type of solution would be best suited to this patient’s needs? | |
| A) | Large-volume cleansing enema with hypotonic solution | |
| B) | Small-volume cleansing enema with hypotonic solution | |
| C) | Small-volume cleansing enema with isotonic solution | |
| D) | Large-volume cleansing enema with oil | |
| 6. | For which one of the following patients would a hypertonic solution enema be contraindicated? | |
| A) | A patient who is constipated | |
| B) | A patient with renal impairment | |
| C) | A patient who has diarrhea | |
| D) | A patient who has cancer | |
| 7. | A nurse assesses the abdomen of a patient before and after administering a small-volume cleansing enema. What condition would be an expected finding? | |
| A) | Increased bowel sounds | |
| B) | Abdominal tenderness | |
| C) | Areas of distention | |
| D) | Muscular resistance | |
| 8. | A nurse checks the laboratory report for a patient who has an order for a small-volume cleansing enema. The nurse finds that the patient has a WBC of 19,050 and notifies the primary care provider. For what conditions would this patient be at risk? Select all that apply. | |
| A) | Hyperphosphatemia | |
| B) | Bleeding | |
| C) | Abscesses | |
| D) | Infection | |
| E) | Anal fissures | |
| F) | Hypervolemia | |
| 9. | A nurse is giving an enema to a patient who doubles over in pain with severe cramping. What intervention would be appropriate in this situation? | |
| A) | Remove the tubing and discontinue the procedure. | |
| B) | Lower the solution container and check the temperature and flow rate. | |
| C) | Place the patient on a bedpan in the supine position while receiving the enema. | |
| D) | Reposition the rectal tube and check for any fecal content. | |
| 10. | A physician orders a retention enema for a patient to destroy intestinal parasites. Which of the following enemas would be indicated for this patient? | |
| A) | Oil retention enema | |
| B) | Carminative enema | |
| C) | Anthelmintic enema | |
| D) | Nutritive enema | |
| 11. | A nurse follows a physician’s order to administer an oil retention enema to a constipated adult patient. Which of the following is a recommended guideline for this procedure? | |
| A) | Put on sterile gloves to perform the procedure. | |
| B) | Slowly and gently insert rectal tube 4 to 6 inches. | |
| C) | Direct the rectal tube at an angle pointing toward the umbilicus. | |
| D) | Instruct the patient to retain the enema solution for at least 45 minutes. | |
| 12. | A nurse attempts to administer a nutritive retention enema to a patient who is dehydrated and finds that the patient cannot retain the enema for the prescribed amount of time. Which of the following would be a recommended intervention for this patient? | |
| A) | Do not attempt to re-administer the enema because part of the solution has already been absorbed; notify the physician. | |
| B) | Place the patient in a sitting position on the toilet and lower the enema solution. | |
| C) | Stop the enema and reposition the rectal tube or remove it to check for any fecal contents. | |
| D) | Place the patient on a bedpan in supine position while receiving the enema and elevate the head of the bed 30 degrees. | |
| 13. | For which of the following patients would digital removal of stool be contraindicated? | |
| A) | A patient recovering from prostate surgery | |
| B) | A diabetic patient with renal complications | |
| C) | An elderly patient who is incontinent of stool | |
| D) | A patient with a UTI | |
| 14. | A nurse is ordered to perform digital removal of stool on a patient with stool impaction. Which of the following is an appropriate step in this procedure? | |
| A) | Position the patient in supine position as dictated patient comfort and condition. | |
| B) | Insert generously lubricated finger gently into the anal canal, pointing away from the umbilicus. | |
| C) | Gently work the finger around and into the hardened mass to break it up and then remove pieces of it. | |
| D) | Instruct the patient not to bear down while extracting feces to prevent vagal response. | |
| 15. | How often should a fecal incontinence pouch be removed to check for signs of skin breakdown? | |
| A) | Every shift | |
| B) | Every 24 hours | |
| C) | Every 36 hours | |
| D) | Every 72 hours | |
| 16. | A nurse is teaching a patient how to change his ostomy appliance. Which of the following is an accurate step that should be incorporated into the teaching plan? | |
| A) | Gently remove the pouch faceplate from the skin pulling the appliance from the skin. | |
| B) | If the appliance is reusable, set it aside to wash it in alcohol and allow it to air dry. | |
| C) | Use toilet tissue to remove any excess stool from the stoma. | |
| D) | Apply skin protectant to a 6-inch radius around the stoma, and allow it to dry completely for 30 minutes. | |
| 17. | A nurse assessing a patient with an ostomy appliance documents the condition “prolapse” in the patient chart and notifies the physician. Which of the following statements describes this condition? | |
| A) | The peristomal skin is excoriated or irritated because the appliance is cut too large. | |
| B) | The system has leaks or poor adhesion leading to noticeable odor. | |
| C) | The bag continues to come loose and become inverted. | |
| D) | The stoma is protruding into the bag and may become twisted. | |
| 18. | What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? | |
| A) | Sigmoid colostomy | |
| B) | Ileostomy | |
| C) | Transverse colostomy | |
| D) | Ascending colostomy | |
| 19. | A nurse is caring for a patient with an NG tube to monitor for GI bleeding. How often should the nurse irrigate the tube? | |
| A) | Every 2 to 4 hours | |
| B) | Every 4 to 6 hours | |
| C) | Every shift | |
| D) | Every 24 hours | |
| 20. | A nurse is following a physician’s order to irrigate the NG tube of a patient. Which of the following is a recommended guideline in this procedure? | |
| A) | Assist patient to 30- to 45-degree position, unless this is contraindicated. | |
| B) | Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. | |
| C) | If Salem sump or double-lumen tube is used, make sure that syringe tip is placed in the blue air vent. | |
| D) | If unable to irrigate the tube, reposition patient and attempt irrigation again; inject 20 to 30 mL of air and aspirate again. | |
Answer Key
| 1. | B |
| 2. | D |
| 3. | A |
| 4. | D |
| 5. | A |
| 6. | B |
| 7. | A |
| 8. | B, D |
| 9. | B |
| 10. | C |
| 11. | C |
| 12. | D |
| 13. | A |
| 14. | C |
| 15. | D |
| 16. | C |
| 17. | D |
| 18. | A |
| 19. | B |
| 20. | A |
