Chapter 18- Special Procedures
Mt. Neva Nursing School International/Online Learning.
Being a Homemaker Home Health Aide by. Elana Zucker
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Questions and Answers
- 1.
Oxygen should be given through water to:
- A.
Prevent infection
- B.
Dilute the oxygen
- C.
Strengthen the oxygen
- D.
Prevent drying of the mucous membranes
Correct Answer
D. Prevent drying of the mucous membranesExplanation
Oxygen should be given through water to prevent drying of the mucous membranes. The moist environment created by the water helps to keep the mucous membranes hydrated, preventing them from drying out. Dry mucous membranes can lead to discomfort, irritation, and increased risk of infection. By delivering oxygen through water, the mucous membranes are kept moist and healthy, promoting overall respiratory health.Rate this question:
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- 2.
A cannula is:
- A.
An oxygen tank
- B.
An external drainage system
- C.
A tube
- D.
A hypodermic needle
Correct Answer
C. A tubeExplanation
A cannula is a tube that is used in medical procedures to either deliver or remove fluids or gases from the body. It is not an oxygen tank, which is a container for storing oxygen. It is also not an external drainage system, which is a system used to remove fluids or waste from the body. While a cannula may be used in conjunction with a hypodermic needle, they are not the same thing. A hypodermic needle is a hollow needle used to inject or withdraw fluids from the body, whereas a cannula is a tube that is inserted into the body for various purposes.Rate this question:
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- 3.
Slow, shallow breathing, headache, difficulty speaking, and sleepiness are signs of:
- A.
Too much oxygen
- B.
Too little oxygen
- C.
Overmedication
- D.
Chest infection
Correct Answer
A. Too much oxygenExplanation
Slow, shallow breathing, headache, difficulty speaking, and sleepiness are signs of too much oxygen. When there is an excess of oxygen in the body, it can lead to a condition called oxygen toxicity. This can cause symptoms such as the ones mentioned, as well as confusion, dizziness, and seizures. It is important to monitor oxygen levels and adjust the amount administered to prevent this condition.Rate this question:
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- 4.
Tiredness, blue fingernails and / or lips, anxiety, irritability, and confusion are signs of:
- A.
Too much oxygen
- B.
Too little oxygen
- C.
Overmedication
- D.
Chest infection
Correct Answer
B. Too little oxygenExplanation
Tiredness, blue fingernails and/or lips, anxiety, irritability, and confusion are all signs of too little oxygen. When the body does not receive enough oxygen, it can lead to fatigue, bluish discoloration of the extremities, and cognitive and emotional changes. These symptoms can occur in conditions such as respiratory disorders, heart problems, or high altitudes where the oxygen levels are low. Overmedication, on the other hand, may cause different symptoms depending on the medication and dosage. Chest infection can also cause respiratory symptoms but may not explain all the listed signs.Rate this question:
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- 5.
Cyanosis is the term for ______________ discoloration of the skin and mucous membranes:
- A.
Blue
- B.
Red
- C.
Yellow
- D.
White
Correct Answer
A. BlueExplanation
Cyanosis is the term for blue discoloration of the skin and mucous membranes. This occurs when there is a decrease in the amount of oxygen in the blood or a decrease in blood flow. The blue color is caused by the increased concentration of deoxygenated hemoglobin in the blood vessels near the skin surface.Rate this question:
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- 6.
Dressing is another term for :
- A.
Medication
- B.
Plaster cast
- C.
Bandage
- D.
Cream
Correct Answer
C. BandageExplanation
The term "dressing" is commonly used in the medical field to refer to a covering or material applied to a wound or injury. It is used to protect the wound, promote healing, and prevent infection. Dressings can be made of various materials such as gauze, adhesive strips, or specialized bandages. Therefore, the correct answer in this case is "bandage", as it is the term most commonly associated with dressing in a medical context.Rate this question:
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- 7.
What type of dressing can the Homemaker/Home Health Aide change?
- A.
Surgical
- B.
Medicated
- C.
Nonsterile
- D.
Sterile
Correct Answer
C. NonsterileExplanation
A Homemaker/Home Health Aide can change nonsterile dressings. Nonsterile dressings are used for minor wounds or injuries that do not require a sterile environment. These dressings are typically used to protect the wound from dirt and bacteria, promote healing, and provide comfort. Nonsterile dressings can be easily changed by the Homemaker/Home Health Aide without the need for special precautions or sterile techniques.Rate this question:
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- 8.
A dressing that does not require sterile technique is:
- A.
Dirty
- B.
Infected
- C.
Draining
- D.
Nonsterile
Correct Answer
D. NonsterileExplanation
A dressing that does not require sterile technique is nonsterile. Sterile technique is used when treating wounds or performing medical procedures to prevent infection. However, in certain situations, such as minor cuts or scrapes, a nonsterile dressing can be used as long as the wound is clean and not infected. Nonsterile dressings are typically used for wounds that are not deep, not actively bleeding, and not at risk of becoming infected.Rate this question:
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- 9.
Drainage is another term for:
- A.
Discharge
- B.
Infection
- C.
Suction
- D.
Syphoning
Correct Answer
A. Discharge -
- 10.
When performing catheter care, you clean the urinary meatus. The meatus should be wiped:
- A.
In a circular motion
- B.
Back and forth
- C.
From front to back
- D.
From front to front
Correct Answer
C. From front to backExplanation
When performing catheter care, it is important to clean the urinary meatus from front to back. This is because wiping from front to back helps to prevent the spread of bacteria from the anal area to the urinary tract, reducing the risk of urinary tract infections. Wiping in a circular motion or back and forth may spread bacteria and increase the risk of infection. Cleaning from front to front would also not be effective in preventing the spread of bacteria.Rate this question:
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- 11.
A urinary catheter is inserted into the:
- A.
Ureter
- B.
Bladder
- C.
Kidney
- D.
Nephron
Correct Answer
B. BladderExplanation
A urinary catheter is a flexible tube that is inserted into the bladder through the urethra to drain urine. It is used when a person is unable to urinate on their own or needs continuous drainage of urine. The bladder is the correct answer because it is the organ where the catheter is inserted and remains in place to collect and remove urine. The ureter is the tube that carries urine from the kidney to the bladder, while the kidney and nephron are the organs and structures involved in urine production and filtration, respectively.Rate this question:
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- 12.
Which of the following colors is abnormal for urine?
- A.
Red
- B.
Amber
- C.
Light yellow
- D.
Dark yellow
Correct Answer
A. RedExplanation
Red is an abnormal color for urine because it typically indicates the presence of blood. Blood in the urine, known as hematuria, can be caused by various factors such as urinary tract infections, kidney stones, bladder or kidney infections, or even certain medications. It is important to seek medical attention if urine appears red, as it may be a sign of an underlying health condition that needs to be addressed.Rate this question:
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- 13.
A external urinary drainage system should not be left on longer than:
- A.
2 hours
- B.
4 hours
- C.
8 hours
- D.
24 hours
Correct Answer
D. 24 hoursExplanation
An external urinary drainage system should not be left on longer than 24 hours because prolonged use can increase the risk of infection. The system collects urine from the bladder and if left for too long, bacteria can multiply and cause urinary tract infections. It is important to regularly empty and clean the drainage bag to prevent the buildup of bacteria. Additionally, leaving the system on for extended periods can lead to skin irritation and pressure ulcers. Therefore, it is recommended to change or empty the drainage bag every 24 hours to maintain proper hygiene and minimize the risk of complications.Rate this question:
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- 14.
Some people know when they will have a seizure by possibly a smell or sensation that is known as a(n):
- A.
Intuition
- B.
Precognition
- C.
Recongition
- D.
Aura
Correct Answer
D. AuraExplanation
An aura is a sensation or warning sign that some people experience before having a seizure. It can manifest as a smell, taste, visual disturbance, or a feeling of unease. This phenomenon allows individuals to anticipate and prepare for an upcoming seizure, seeking a safe environment or taking necessary precautions. Intuition refers to a general sense of knowing or understanding, while precognition refers to the ability to predict future events. Recognition is the act of identifying or remembering something. None of these terms specifically relate to the experience of a seizure warning sign.Rate this question:
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- 15.
Which of the following symptoms would you report in a client with a cast?
- A.
The cast is hot to the touch
- B.
Numbness or tingling of toes and fingers
- C.
The client feel restricted
- D.
Skin itches
Correct Answer
B. Numbness or tingling of toes and fingersExplanation
Numbness or tingling of toes and fingers could be a symptom that should be reported in a client with a cast. This could indicate that there is pressure being applied on nerves or blood vessels due to the cast, which can lead to circulation problems or nerve damage. It is important to address this issue promptly to prevent any further complications.Rate this question:
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- 16.
The seizure where there is a stiffness of the total body followed by a jerking action of the muscles is known as a:
- A.
Petit mal
- B.
Grand mal
- C.
Jacksonian
- D.
Psychomotor
Correct Answer
B. Grand malExplanation
A grand mal seizure is characterized by a stiffness of the entire body followed by muscle jerking. This type of seizure is also known as a generalized tonic-clonic seizure and is the most common type of seizure. During a grand mal seizure, the person may lose consciousness and experience convulsions. This seizure can be caused by various factors, including epilepsy, brain injury, or certain medical conditions. Treatment for grand mal seizures typically involves medications to control seizures and lifestyle modifications to minimize triggers.Rate this question:
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- 17.
The client who has blood tested for sugar and urine for ketones usually has a diagnosis of:
- A.
Tuberculosis
- B.
Hepatitis
- C.
Diabetes
- D.
Thyrotoxicosis
Correct Answer
C. DiabetesExplanation
A client who has blood tested for sugar and urine for ketones usually has a diagnosis of diabetes. This is because high levels of sugar in the blood and the presence of ketones in the urine are common indicators of diabetes. Tuberculosis, hepatitis, and thyrotoxicosis are unrelated to these specific diagnostic tests.Rate this question:
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- 18.
The seizure when the client may appear to be daydreaming, eyes may roll back, and there may be some quivering of the body muscles is known as a:
- A.
Petit mal
- B.
Grand mal
- C.
Jacksonian
- D.
Psychomotor
Correct Answer
A. Petit malExplanation
The given correct answer for this question is petit mal. Petit mal seizures, also known as absence seizures, are characterized by a brief loss of consciousness where the person may appear to be daydreaming, their eyes may roll back, and there may be some quivering of the body muscles. This type of seizure usually lasts for a few seconds and is more common in children. Grand mal seizures involve a loss of consciousness, convulsions, and muscle rigidity. Jacksonian seizures involve a progression of muscle twitching or jerking in one area of the body. Psychomotor seizures involve complex movements and behaviors.Rate this question:
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- 19.
The urine specimen needs to be:
- A.
Fresh
- B.
After meals
- C.
At least one hour old
- D.
Taken first thing in the morning
Correct Answer
A. FreshExplanation
The urine specimen needs to be fresh in order to obtain accurate results. Fresh urine is preferred because it has not had time to undergo any changes or degradation that may occur over time. This ensures that the sample is representative of the current state of the body and provides reliable information for analysis.Rate this question:
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- 20.
Anyone involved with the care of the client can administer medications.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because not just anyone involved with the care of the client can administer medications. Only qualified and authorized individuals such as doctors, nurses, or pharmacists are allowed to administer medications to ensure the safety and well-being of the client.Rate this question:
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- 21.
Medication can be discarded by flushing it down the toilet.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Flushing medication down the toilet is not recommended because it can contaminate water sources and harm the environment. Wastewater treatment plants are not designed to remove all pharmaceutical compounds, so they can end up in rivers, lakes, and oceans, affecting aquatic life. Additionally, flushing medication can lead to the development of antibiotic-resistant bacteria. Proper disposal methods, such as using drug take-back programs or mixing medications with undesirable substances like coffee grounds or kitty litter, should be followed to ensure safe and environmentally-friendly disposal of medication.Rate this question:
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- 22.
Many medications have similar names and look alike.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Many medications have similar names and look alike, which can lead to confusion and potential medication errors. This is why it is important for healthcare professionals to double-check the medication name and dosage before administering it to a patient. Patients should also be cautious and ensure they are taking the correct medication as prescribed by their healthcare provider.Rate this question:
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- 23.
Giving a Tylenol that was brought in the grocery store is not considered medication administration.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because giving a Tylenol, regardless of where it was purchased, is still considered medication administration. The location of purchase does not change the fact that it is a medication being administered.Rate this question:
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- 24.
Medication can be given from an unlabeled bottle as long as the client knows what it is.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Medication should never be given from an unlabeled bottle, even if the client knows what it is. It is crucial to have proper labeling on medication bottles to ensure accurate administration and prevent any potential errors or confusion. Labeling provides important information such as the name of the medication, dosage instructions, expiration date, and potential warnings or precautions. Without proper labeling, there is a risk of administering the wrong medication or incorrect dosage, which can have serious consequences for the client's health and safety. Therefore, the statement is false.Rate this question:
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- 25.
No smoking is allowed in a room where the client is on oxygen therapy.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Oxygen is highly flammable and can easily ignite if exposed to a spark or flame. Smoking produces an open flame or ember, which poses a significant fire hazard in an oxygen-rich environment. Therefore, to ensure the safety of the client and prevent any potential accidents, it is necessary to prohibit smoking in a room where the client is receiving oxygen therapy.Rate this question:
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- 26.
There are several safety factors involved in the storing of medication; Name them.
Correct Answer
discard old medication
store similar meds separately
do not assist with medication from unlabeled bottle
do not change place of medication storage
keep medication out of reach of children and confused clients
keep meds away from extreme heat, cold or light
dispose of meds safelyExplanation
The answer provided lists several safety factors involved in the storing of medication. These include discarding old medication, storing similar medications separately, not assisting with medication from an unlabeled bottle, not changing the place of medication storage, keeping medication out of reach of children and confused clients, keeping medications away from extreme heat, cold, or light, and disposing of medications safely. These safety measures are important to ensure the effectiveness and safety of the medication and to prevent any potential harm or misuse.Rate this question:
- 27.
Name the five rights of medication administration:
Correct Answer
client
medication
time
route
amountExplanation
The five rights of medication administration are client, medication, time, route, and amount. These rights ensure that the medication is given to the correct client, the correct medication is administered, at the correct time, through the correct route, and in the correct amount. Following these rights helps prevent medication errors and ensures the safety and effectiveness of the medication administration process.Rate this question:
- 28.
List three safety factors to be considered when a client is getting oxygen:
Correct Answer
no smoking
no electric shavers
no open flamesExplanation
The three safety factors to be considered when a client is getting oxygen are no smoking, no electric shavers, and no open flames. These precautions are necessary because oxygen is highly flammable and can easily ignite if exposed to sparks, flames, or heat sources. Smoking can also lead to a fire hazard as cigarettes produce flames and embers. Electric shavers can generate sparks, which can be dangerous in the presence of oxygen. Therefore, it is crucial to eliminate any potential ignition sources to ensure the safety of the client receiving oxygen therapy.Rate this question:
- 29.
Give four reasons for using an indwelling catheter:
Correct Answer
when a client is unable to urinate,
to measure amt. of urine left in bladder
to keep an incontinent client dry
withdrawal of urineExplanation
An indwelling catheter is used when a client is unable to urinate because it provides a way to drain the urine from the bladder. It is also used to measure the amount of urine left in the bladder, which is essential for monitoring urinary output and assessing kidney function. Additionally, an indwelling catheter helps keep an incontinent client dry by continuously draining urine and preventing leakage. Lastly, it can be used for the withdrawal of urine, such as in cases where a urine sample is needed for diagnostic purposes.Rate this question:
- 30.
Explain why an external urinary drainage system would be applied.
Correct Answer
incontinenceExplanation
An external urinary drainage system would be applied in cases of incontinence. Incontinence refers to the inability to control urination, leading to involuntary leakage. An external urinary drainage system, such as a catheter, is used to collect and drain urine from the bladder externally. This helps manage and control the flow of urine, preventing accidents and keeping the individual dry and comfortable.Rate this question:
- 31.
Remove the dressing to observe the IV site.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement suggests that the dressing should not be removed to observe the IV site. This is incorrect because it is important to regularly inspect the IV site for any signs of infection, infiltration, or other complications. By removing the dressing, healthcare professionals can assess the condition of the IV site and take appropriate actions if necessary. Therefore, the correct answer is False.Rate this question:
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- 32.
Redness or swelling of insertion site is normal.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement "Redness or swelling of insertion site is normal" is incorrect. Redness or swelling at the insertion site is not considered normal and may indicate an infection or an allergic reaction. It is important to monitor any changes in the insertion site and seek medical attention if redness or swelling persists or worsens.Rate this question:
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- 33.
While the client is walking, the bottle of fluid should be above the insertion site.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When a client is walking, the bottle of fluid should be positioned above the insertion site to ensure proper flow of the fluid into the body. This is because gravity helps in facilitating the movement of the fluid downwards. If the bottle is positioned below the insertion site, the flow of fluid may be impeded or reversed, leading to complications or ineffective treatment. Therefore, it is important to keep the bottle of fluid above the insertion site while the client is walking.Rate this question:
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- 34.
Intermittent infusion is where the fluid or medication is always running.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The explanation for the given correct answer (False) is that intermittent infusion is not where the fluid or medication is always running. Intermittent infusion refers to a method of administering fluids or medication in which the substance is given at specific intervals, rather than continuously. This allows for more precise control over the dosage and timing of the substance being administered.Rate this question:
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- 35.
List two reasons for using a plaster cast:
Correct Answer
broken bone
sprained muscle or strained muscleExplanation
A plaster cast is used for both broken bones and sprained or strained muscles because it provides support and immobilization to the affected area. For broken bones, a cast helps to keep the bone in proper alignment, allowing it to heal correctly. In the case of a sprained or strained muscle, a cast can help reduce movement and provide stability, allowing the injured muscle to rest and heal. Overall, plaster casts are commonly used for both types of injuries to promote healing and prevent further damage.Rate this question:
- 36.
Casts should not cause pain.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Casts, which are used to immobilize and support injured bones, should not cause pain. The purpose of a cast is to provide stability and protection to the injured area, not to cause discomfort. If a cast is causing pain, it may indicate that it is too tight or improperly fitted, which can lead to further complications. It is important to seek medical attention if a cast is causing pain to ensure proper adjustment or replacement.Rate this question:
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- 37.
Skin under the cast often itches.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
When a person wears a cast, the skin underneath is unable to breathe properly and can become dry. This dryness can cause itching. Additionally, the cast can cause pressure on the skin, leading to irritation and further itching. Therefore, it is common for the skin under a cast to itch.Rate this question:
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- 38.
Once a bone is broken, function in that limb will never be regained.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
This statement is false because once a bone is broken and properly treated, it can heal and regain its function over time. With proper medical care, including immobilization, physical therapy, and rehabilitation, the bone can heal and regain its strength and function. While there may be some limitations or residual effects, it is possible for the limb to regain its function after a bone fracture.Rate this question:
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- 39.
Casts are usually removed within 24 hours.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Casts are not usually removed within 24 hours. The duration for which a cast needs to be worn depends on the type and severity of the injury. It can range from a few weeks to several months. Therefore, the statement is false.Rate this question:
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- 40.
A new opening in the abdomen for the release of wastes from the bodyis an _____________.
Correct Answer
ostomyExplanation
An ostomy refers to a surgical procedure that creates a new opening in the abdomen to allow for the elimination of bodily wastes. This can be done for various reasons such as in cases of bowel or bladder dysfunction, or as a result of certain medical conditions or surgeries. The opening created during an ostomy is called a stoma, and it serves as a pathway for the waste products to exit the body, either temporarily or permanently.Rate this question:
- 41.
An opening is called ______________.
Correct Answer
stomaExplanation
An opening in biology is commonly referred to as a stoma. A stoma is a small pore or opening found in various organisms, such as plants and animals. In plants, stomata are present on the surface of leaves and stems, allowing for gas exchange and transpiration. In animals, stomata are found in certain tissues, such as the respiratory system, allowing for the exchange of gases. Therefore, the correct answer for the given question is stoma.Rate this question:
- 42.
An opening into the colon is a _______________.
Correct Answer
colostomyExplanation
An opening into the colon is called a colostomy. A colostomy is a surgical procedure that creates an artificial opening in the abdominal wall, allowing waste to bypass a diseased or damaged part of the colon and be eliminated through a stoma. This procedure is often performed to treat conditions such as colorectal cancer, diverticulitis, or inflammatory bowel disease. The colostomy can be temporary or permanent, depending on the individual's condition and the extent of the colon's damage.Rate this question:
- 43.
An opening into the ileum is an ____________.
Correct Answer
ileostomyExplanation
An opening into the ileum is referred to as an ileostomy. This surgical procedure involves creating a stoma on the abdominal wall, allowing waste to bypass the colon and exit through the small intestine. This can be necessary in cases where the colon is damaged or removed, such as in certain types of colorectal cancer or inflammatory bowel disease. The ileostomy provides a way for waste to be eliminated from the body, albeit through a different route than the usual passage through the rectum and anus.Rate this question:
- 44.
An opening into the ureter is a _____________.
Correct Answer
ureterostomyExplanation
An opening into the ureter is referred to as a ureterostomy.Rate this question:
- 45.
Shallow breathing takes place in the upper lobes of the lungs
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Shallow breathing refers to a breathing pattern where the breaths taken are small and do not fully expand the lungs. This type of breathing typically occurs in the upper lobes of the lungs, which are the parts closer to the chest and neck. The lower lobes of the lungs are responsible for deep breathing, where the breaths are larger and the lungs fully expand. Therefore, it is correct to say that shallow breathing takes place in the upper lobes of the lungs.Rate this question:
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- 46.
Coughing is forced expiration.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Coughing is a reflex action that helps to clear the airways of irritants or mucus. It involves a forceful expiration, where air is rapidly expelled from the lungs, helping to expel any foreign substances or blockages. Therefore, it can be concluded that coughing is indeed a forced expiration, making the answer "True."Rate this question:
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- 47.
Deep breathing exercises do not need a doctor's order.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Deep breathing exercises do not require a doctor's order because they are a natural and simple technique that anyone can practice on their own. Deep breathing exercises involve taking slow, deep breaths to promote relaxation, reduce stress, and improve overall well-being. These exercises can be done at any time and in any place, making them easily accessible to everyone without the need for a doctor's prescription or supervision.Rate this question:
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- 48.
Document when the procedure is completed.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement "Document when the procedure is completed" implies that it is necessary to record or write down the completion of the procedure. This is important for keeping track of the progress, ensuring accountability, and maintaining a record for future reference or audit purposes. Therefore, the correct answer is True, as documenting the completion of procedures is a good practice in many professional settings.Rate this question:
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- 49.
Clients who are learning to deep breathe are often frightened.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Clients who are learning to deep breathe are often frightened because deep breathing exercises can initially cause feelings of discomfort or anxiety. This is because deep breathing techniques involve taking slow, deliberate breaths, which can be challenging for individuals who are used to shallow breathing. Additionally, deep breathing exercises may bring up suppressed emotions or traumatic memories, leading to feelings of fear or unease. Therefore, it is true that clients who are learning to deep breathe are often frightened.Rate this question:
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- 50.
Please fill answer below
Correct Answer
N/A
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