126. To prevent injury when lifting and moving a patient, the nurse should primarily use the upper leg muscles. 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. 129. Anticipatory grief is mourning that occurs for an extended time when the patient realizes that death is inevitable. 130. The following foods can alter the color of the feces: beets (red), cocoa (dark red or brown), licorice (black), spinach (green), and meat protein (dark brown). 131. When preparing for a skull X-ray, the patient should remove all jewelry and dentures. 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 that’s 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 it’s turned on and then check the batteries. 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 Association, state regulations, and facility policy. 141. The kilocalorie (kcal) is a unit of energy measurement that represents the amount of heat needed to raise the temperature of 1 kilogram of water 1° C. 142. As nutrients move through the body, they undergo ingestion, digestion, absorption, transport, cell metabolism, and excretion. 143. The body metabolizes alcohol at a fixed rate, regardless of serum concentration. 144. In an alcoholic beverage, proof reflects the percentage of alcohol multiplied by 2. For example, a 100-proof beverage contains 50% alcohol. 145. A living will is a witnessed document that states a patient’s desire for certain types of care and treatment. These decisions are based on the patient’s wishes and views on quality of life. 146. The nurse should flush a peripheral heparin lock every 8 hours (if it wasn’t used during the previous 8 hours) and as needed with normal saline solution to maintain patency. 147. Quality assurance is a method of determining whether nursing actions and practices meet established standards. 148. The five rights of medication administration are the right patient, right drug, right dose, right route of administration, and right time.
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