Who is likely to suffer from a hospital acquired infection?

80 y/o woman who lives in an SNF and has Diabetes

insulin administration

Draw regular insulin first if mix with NPH, Site rotation within general area: prevent lipohypertrophy (1inch apart), Abdomen best for consistent insulin levels, arm and thigh (slow absorption), Roll NPH insulin to disperse suspension

What is an example of the "O" in SOAPIER

patients HR is 102, and facial grimacing upon assessment

Cleaning the mouth, teeth, gums

Optic Medication Administration: Identify appropriate steps

Drop medication in conjunctival sac.

define the scope of nursing in the state

when giving a fellow nurse report what would be included in the SBAR as the B.

History of HTN, Diabets, stroke

If you make an error in your written documentation you should?

single line through the error, write error and inital

what statements are true about abbreviations?

PRN means as needed, STAT means to give immeadiately, Hyper means increased

A stage 2 pressure injury has what characteristics?

loss of the dermis and shallow wound bed

Which of the following is an objective of pain?

Patient HR is 120 bpm (tachycardia)

select all that apply; when transferring a patient, you should.

use a wide base for support, Use a gait belt when avaiable

whats good hand hygeine

turn faucet off with seperate paper towel, warm water and soap

Techniques of therapeutic communication include... (SATA)

Restating, Clarifying questions, Active listening

You should tell a patient who is providing a urine specimen for culture:

"Clean the genital area prior to collection."

What does the S stand for in the OPQRSTUV

Patient states pain is rated 8 (severity)

What action by the Nurse violates HIPPA regulations?

Talking to a physcian about a patient at a local restaurant

higher score less risk, Can change during hospitalization

What activites would be included in the Lawtons tool?

Able to get to appointments by themselves, being able to pay bills independently

6 Rights of Med. administration

right PT, Med, Dose, Route, Time, & document

Health insurance portability and accountability act

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NUR 150 Final exam review

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Questions 80

Answers

1
When administering a intradermal injection what angle with the needle be held?
45 degree
10 - 15 degrees
90 degrees
20 degrees
2
What is the correct sequence for applying PPE
gloves, mask, gown, goggles
goggles, mask, gloves, gown
mask, gloves, gown, goggles
gown, mask, goggles, gloves
3
When administering a subcutaneous injection what angle with the needle be held?
10 - 15 degrees
20 degrees
45 degree
95 degrees
4
Client rights include leaving AMA?
True
False
5
Who is likely to suffer from a hospital acquired infection?
48 y/o admitted with constipation
80 y/o woman who lives in an SNF and has Diabetes
18 y/o with a fractured femur
a nursing student in with a migraine headache
6
When administering a tube feeding what is the first step prior to starting?
Auscultate bowel sounds
check for edema in their legs
Flush the g-tube
Check residual
7
The ____ ____ is the proper place for optic medication.
Water line
None of the above
Eye socket
Conjunctival sack
8
insulin administration
Draw regular insulin first if mix with NPH
Site rotation within general area: prevent lipohypertrophy (1inch apart)
Abdomen best for consistent insulin levels, arm and thigh (slow absorption)
Roll NPH insulin to disperse suspension
9
Screening a patient is an example of ____ prevention
Secondary
Tertiary
Primary
10
What is an example of the "O" in SOAPIER
patients HR is 102, and facial grimacing upon assessment
describes pain as sharp
Patient has jaw pain
11
What is oral care?
Taking a temperature in the mouth
Using a swab stick in the mouth
Brushing dentures
Cleaning the mouth, teeth, gums
12
Your patient needs his insulin where will you administer it?
vastus lateralis
Deltoid
lower abdomen
Forearm
13
Optic Medication Administration: Identify appropriate steps
Touch the eye with the dropper.
Immediately administer other eye drops.
Drop medication in conjunctival sac.
Apply gentle pressure to the nasolacrimal duct (Puncta) for 1 minute
14
What position should an unconscious resident be put in for oral care?
semi-fowler's
fowler's
lateral
supine
15
Nurse practice acts:
regulate nurse licensure
define the scope of nursing in the state
protect patient privacy
protect patient financial well being
16
When administering Insulin what would the insulin be measured in?
mls
cc
grams
units
17
when giving a fellow nurse report what would be included in the SBAR as the B.
History of HTN, Diabets, stroke
BP 120/88, HR 95, Resp 20, temp 98.6 O2sat 98%
Complains of abdominal pain
frequent abdominal assessments
18
If you make an error in your written documentation you should?
use marker to black out
single line through the error, write error and inital
leave it in the chart
Scribble it out
19
what statements are true about abbreviations?
PRN means as needed
QD means every other day
HS means before meals
STAT means to give immeadiately
Hyper means increased
TID means twice daily
20
optic route means administring medication via?
Nose
Eyes
Ear
Mouth
21
The braden scale measures what?
Risk for pressure injury
Level of immobility
Risk for falls
Depth of infection
22
What method of injection would you use to administer the a vaccine?
intravenously
Intramuscular
intradermal
subcutaneous
23
Leaving AMA mean
Leaving Against More Advice
Actions Made Admissions
Arguing Medical Advice
Leaving Against Medical Advice
24
A stage 2 pressure injury has what characteristics?
loss of the dermis and shallow wound bed
Red area that is not blanchable
A deep wound bed that exposes tendons
A area that is deep red or maroon but the skin is intact.
25
Which of the following is an objective of pain?
Patient HR is 120 bpm (tachycardia)
Patient states "my ankle hurts"
Patient describes the pain as achey
Patient states he going to vomit
26
select all that apply; when transferring a patient, you should.
Lift heavy patients alone
position yourself on the patients strong side
use a wide base for support
Use a gait belt when avaiable
27
Use teach-back technique for educating patients
False
True
28
If a patient has a bacterial pneumonia what medication would expect them to be prescribed?
Bactrim
Lisinopril
Warfarin
Namenda
29
whats good hand hygeine
turn faucet off with seperate paper towel
warm water and soap
rub nose when finished
flick fingers all over
30
It is important to protect the skin around a colostomy with barrier wafer.
True
False
31
Braden Scale
18 or higher you should worry
12 or less is normal
11 or less you should worry
cognition is a category
32
Techniques of therapeutic communication include... (SATA)
Threats
Restating
Clarifying questions
Active listening
33
Nursing care is never effected by religious beliefs.
True
False
34
To find out if someone can walk without assistance, we would use the Katz tool to assess.
True
False
35
I drank 480ml of milk and 350ml of water. Then I vomited 400 ml. calculate my total Intake
430ml
830ml
400ml
1230ml
36
You should tell a patient who is providing a urine specimen for culture:
"Capture the initial stream of urine."
"Label the lid prior to collection."
"Fill the container to capacity."
"Clean the genital area prior to collection."
37
Proper care of oral hygiene helps prevent infection
False
True
38
**What is not one of the 6 rights
Right Route
Right Drug
Right Room
Right Dose
39
What does the S stand for in the OPQRSTUV
Patient states pain is rated 8 (severity)
patient states pain is in the left knee
the pain started 2 days ago
pain level of 3 is acceptable
40
Hospital nurses are responsible for admitting and discharging patients.
True
False
41
What action by the Nurse violates HIPPA regulations?
Logging out of the computer when its not in use
Talking to a physcian about a patient at a local restaurant
the nurse only talks about the patient with others providing care.
The nurse asks the patient who she can talk to about her care.
42
Braden Scale
lower score less risk
higher score less risk
should only be done once
Can change during hospitalization
43
Theraputic Communication helps people
True
False
44
Which medication order is incomplete
Xanax 0.5 mg PO as needed at HS for anxiety
Lisinopril 10 mg PO
Coumadin PO daily 5mg on MWF and 2.5 mg T TH Sat
Artificial tears 1 drop each eye three times a day
45
A patient with a BMI of 17 may suffer from these symptoms.
Painful joints
SOB (shortness of breath)
hair loss
cold or shivering
46
A pressure injury can be caused by:
inadequate turning
abrasion
fatigue
burns
47
What activites would be included in the Lawtons tool?
Able to get to appointments by themselves
being able to pay bills independently
being able to brush their teeth without assistance
able to feed themselves independently
48
What can be the cause of a pressure injury?
A bed with wrinkles
Mold or fungus
Clean environment
balanced diet
49
6 Rights of Med. administration
Right PT, doctor, med, route, at night, & document
right PT, Med, Dose, Route, Time, & document
Right doctor order, time, med, route, dose, & document
Right room #, Med, dose, Time, Route, & document
50
Does educating patients increase adherence to treatments?
True
False
51
HIPPA stands for
Health insurance privacy and accountability act
Health insurance privacy and affairs act
Hospital insurance portability and accountability act
Health insurance portability and accountability act
52
Which should you emphasize when educating patients about preventing disease transmission
shower or bathe twice a week
wash your hands frequently
routinely clean the bathroom and kitchen with water
avoid using tissues when coughing or sneezing
53
How can collaborative medical communication be described?
Provider & patient work as partners to find a health outcome
Patient tells the doctor that WebMD has a better diagnosis
Provider tells the patient to make strict lifestyle changes
The patient tells their life story
54
If a patient has pneumonia what is the likely cause
virus
Aspiration
Bacteria
fungus
55
STEPS TO PATIENT EDUCATION Are:
All the above
Goals and objectives
Assess client needs
Information/instruction
56
If you were to describe an unstageable pressure injury how would you describe it?
wound covered with slough and eschar
an area that is painful dark and boggy
wound into the subcutaneous tissue
wound open to bone and muscle
57
Where are otic medications administered?
nose
throat
eyes
ears
58
Educating patients about their conditions can improve cooperation with the treatment plan.
False
True
59
What would you include in your education to a diabetic about foot care?
dry well especially between toes
wash daily
inspect feet daily
file toe nails straight across
make sure to put lotion between the toes
ignore temperature changes
60
What would increase the risk for a patient to aspirate?
Patient sitting in Fowlers position
Checking patients G-tube for residual
NPO patient being given mechanical soft diet
Recent Stroke
61
What is the most important factor for discharging patients?
Medication
Communication
Checklists
Discharge summary
62
Care that focuses on educating patients and preventing disease
Primary Care
Secondary Care
Common sense
Tertiary Care
63
Montreal/Mini cogg assessments are which type of prevention
primary prevention
tertiary prevention
overall prevention
secondary prevention
64
Theraputic Communication is important because...
Focus is not important
Focus is placed on the patient
Focus is placed on only one situation
Focus is placed on the nurse
65
Nurse practice acts
Teach classes for nursing and nursing assistants
only affect RNs and LPN/LVNs
Define RNs and LPNs/LVNs and sometimes also regulate nursing assistants
Are exactly the same in every state
66
When giving oral care, observe the mouth for....
size of uvula
drool
germs
odor, cracks, sores, color, moisture
67
Effective therapeutic communication skills require _____________.
English-speaking patients of family members
correct use of complex medical terminology
supervision by advanced life support personnel
verbal and nonverbal communication techniques
68
All Physician Phone orders need to be?
Written down and read back
Read back
no special orders
taken by a CNA
69
What will cause injury to the skin for those with a colostomy?
The wafer barrier not being close enough to the stoma
emptying colostomy bag when its 2/3 full
using barrier prep to protect the skin
Not keeping tract of stoma output
70
When taking a blood pressure at which point is the diastolic pressure noted
Third Korotkoff sound
First Korotkoff sound
Last Korotkoff sound
Forth Korotkoff sound
71
Which of the following is key to patient compliance when providing patient education?
Information
Criticism
Motivation
Nonchalance
72
Nursing Education ends when you finish nursing school.
True
False
73
Educating patients should include which aspects?
The patient's marital status and living arrangements.
The patient's education level and readiness to learn.
Giving all discharge instructions at admission.
The physician's schedule.
74
Wound cultures will determine
pressure injury stage
type of wound dressing
type of antibiotics
pain medications
75
Oral care also involves:
caring for eyes
brushing tongue and caring for lips
caring for lips
brushing tongue
76
Educating and immunizing patients are examples of
Quaternary Prevention
Secondary Prevention
Primary Prevention
Tertiary Prevention
77
When interacting with a patient of another ethnic group or culture:
Never allow yourself to make value judgments
Never try to speak their language
Never talk to a family member of the patient
Assume they have the same attitudes toward medicine as you
78
Nursing action for a patient leaving AMA
Notify the provider
educate patient on importance of continuing care
Contact hospital security
Administer prescribed meds
Have patient sign an AMA form
Reinforce discharge instruction
79
When discharging patients what is least important?
Asking where they get their hair done
Going over medication
Giving special instructions for wound care
Answering their questions
80
As an LPN you can delegate an CNA, to assess a patient after falling.
False
True

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