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NUR150 Final Part 2 Flashcards | StudBud
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NUR150 Final Part 2
NUR150 Final Part 2
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Answers
1
Which IS NOT one of the 6 rights to medication administration
right color
right route
right documentation
right dose
2
what type of isolation is for C-diff?
droplet
Airborne
contact
3
A strong patient-provider relationship
IS NOT
essential to patient-centered care!
True
False
4
Susceptible Host
hands
children
Elderly
Immunocompromised
5
Which IS NOT one of the 6 rights to medication administration
right medication
right doctor
right patient
right time
6
Restraints should be assessed every 15 minutes
True
False
7
"R" in PQRST pain assessment
Region/radiation
where does it hurt/does it radiate
when did pain start
how does it feel
8
Scope of self-management ranges from optimal to absence
True
False
9
when discussing culture with a patient, assess the extent to which they embrace their beliefs
False
True
10
What is the best way to determine if the eduction was successful and the patient understands
Patient cannot explain how to do what they were taught
Patient can demonstrate it back
The patient wants you to teach a family member
The patient asks you to show them again
11
It is okay to use a toothbrush on dentures
True
False
12
Signs of dehydration
fatigue/decreased urine output
poor skin turgor
dry mucus membranes in mouth
Pink moist membranes in mouth
13
Patients should receive care based on the best scientific knowledge
True
False
14
#1 way to break the chain of infection
Hand washing
nothing
double glove
use hand sanitizer with C-diff patients
15
Adherence is the extent to which a person's actions or behaviors coincide with advice or instruction from provider
True
False
16
Evidence based guidelines are determined by a panel of experts conducting a systematic review of research in a study
False
True
17
use warm water for a sitz bath
True
False
18
Evidence based practice
DOES NOT
need to be scritinized by comparing with other info to make it credible
False
True
19
What should you do if you have a patient that falls?
Call and ask the DON what to do
Assess the patient/document
fill out incident report
call the doctor
20
When transferring or ambulating a patient use a gait belt for safety
True
False
21
Admin ear med: pull up/back on penna, place drops in with head slightly tilted to the side for drops to enter canal
False
True
22
Assessments: SECONDARY
Braden/Montreal assessment tools
treating
Screening
Before diagnosis
23
Isolation door signs state the protective measures (type of isolation) in use for the patient
False
True
24
Which of the following are related to collaboration?
go home and tell your friends about the problem patients you had
working together to make sure the patient receives the best care
it is intended to keep patients safe
it is intended to prevent errors
25
It is okay to use comments like "This is how i was taught 20 years ago."
False
True
26
Restraints need to be released every 4 hours
False
True
27
UAPs
cannot
assess the patient's restraints
False
True
28
BMI of 44
underweight
normal weight
Healthy
Obesity
29
Positions: head of bed 45-60 degrees
Fowlers
sims
lateral
trendelenberg
30
Normal temperature range is 97-99.6
False
True
31
Just culture is when you make a mistake, you can be fired
False
True
32
A method in which health data are stored, analyzed, and dispersed through the application of info and communication tech
health information technology
health informatics
computers
software
33
It is important to document on patient transfers
True
False
34
The Health Belief Model looks at:
Perceived severity
perceived barriers
Perceived Susceptibility
Perceived benefits
35
.edu websites are most reputable
False
True
36
What makes a patient at risk for skin breakdown
poor nutrition
impaired mobility/incontinence
staying hydrated
chronic illness
37
Tepid baths are for breaking fevers
True
False
38
Positions: laying on left side with left leg straight and right knee flexed
fowler
prone
supine
sims
39
All internet sites are reliable
True
False
40
Patient education starts with "assessing a patient's learning needs"
True
False
41
If one of the 6 rights of medication administration are missing, you do not need to call the doctor (take a guess)
False
True
42
The following can be part of the collaboration team
friends
the patient
Patient's family
another nurse/healthcare team
43
An order is not necessary for patient transfers
False
True
44
water is room temp for tepid baths
False
True
45
What IS NOT documented regarding restraints?
How they made your job easier
skin assessment/types of restraint used
reason they are needed/interventions you have tried
time restraints applied/ effectiveness/pt response
46
Positions: sitting up, possibly have head on bedside table to help with breathing
supine
orthopneic
sims
high fowler
47
Pain is the first vital sign
False
True
48
What would you use a sitz bath for?
postpartum
fever
constipation
hemorrhoids
49
Isolation door signs state what infection the patient has
False
True
50
When providing patient education, which of the following are important?
Find another nurse to do the teaching
Make sure to mak the environment is appropriate for teaching
LPNs are not allowed to teach
Assess whether or not the patient is ready to accept your teaching
51
Assessments: Tertiary
treating
after diagnosis
preventing
screening
52
"Q" in PQRST pain assessment
what makes it better/worse
Quality/quantity
Severity
sharp, dull, aching, stabbing
53
Where can you put a wash cloth to decrease a temperature?
axillary
groin
head
bottom of feet
54
Pulse on the thumb side of forearm
axillary
brachial
apical
radial
55
BMI 25-29.9
Class 2 obesity
extreme obesity
overweight
optimal
56
A Learner's assessment
DOES NOT
include:
assessing the patient's literacy level
Tell the patient you do not know how to do the assessment
assessing patient's education level
Looking at what resources the patient has
57
Restraints are tied to the movable part of the bed
True
False
58
The best diet for a patient at high risk for skin breakdown
high sodium
low carb
High calorie
high protein
59
BMI <19-24
optimal body weight
extremely obese
class 1 obesity
overweight
60
Reservoir
animals
Where/what the illness is living in
People
HIV
61
Assessment tools used for: checking cognitive ability
Katz
Montreal
Braden
Mini Cog
62
Coughing is a sign of dysphagia
False
True
63
When transferring a patient, you should have a wide base (shoulder width apart)
True
False
64
Assessment tool used for: Risk for skin breakdown
Montreal
Lawton
Katz
Braden scale
65
What is the most important, first thing, the nurse will do upon admission?
head-to-toe assessment
take them to bathroom
introduce themselves
take vitals
66
Positions: in bed with head down and feet elevated (helps with low BP)
prone
supine
sims
Trendelenberg
67
Assessments: PRIMARY
Preventing
treating
screening
vaccinations
68
Positions: face down
sims
supine
high fowler
prone
69
What PPE is worn for C-diff
goggles
gloves
mask
gown
70
Self-management is the day-to-day tasks an individual must undertake to control or reduce the impact of disease
True
False
71
Taking tympanic (ear) temp: pull the pinna up and back
False
True
72
Assessment tool used for: Ability to perform IADLs
Braden
Montreal
Lawton
Katz
73
"T" in PQRST pain assessment
time
is pain constant/anything make it better or worse
severity
where does it hurt
74
What should the nurse
NOT DO
during an admission?
introduce yourself
Tell the patient you will answer questions after your assessment
conduct a cultural assessment
assess immediate needs
75
When giving an intradermal injection, the bevel needs to be up
True
False
76
Just Culture focuses on admitting mistakes without the worry of being fired
False
True
77
Positions: on your back
sims
prone
fowlers
supine
78
which scale is used to determine a patients risk for pressure ulcers
Katz
Lawtons
Braden
Montreal
79
"P" in PQRST pain assessment
Pain scale
provocative/palliative
what makes the pain better/worse
Does it radiate
80
An example of health information technology/health informatics
paper charting
collaboration
EMR
email
81
Just culture encourages you to admit to a mistake and fix it instead of hiding it
False
True
82
"S" in PQRST pain assessment
where does it hurt
quality
severity
Use Wong-Baker scale 0-10
83
The best nursing intervention for pressure ulcer prevention is repositioning and turning every 2 hours
False
True
84
Why is evidenced based practice fundamental to healthcare?
It is based on assumptions
it establishes benefit or harm
it is a testimony of facts tending to prove or disprove any conclusion
supports or disputes the efficacy of a treatment
85
Clinical practice of nurses
DOES NOT
need to be based on scientific knowledge with proof it was effective
True
False
86
What National Patient Safety Goals are the same for long term care and hospitals
hydration
nutrition
2 patient identifiers
falls
87
Positions: laying on back with legs flexed 90 degrees at your hips (vaginal exams/childbirth)
sims
trendelenberg
prone
lithotomy
88
Health information technoligy is the application of info processing involving both computer hardware/software
False
True
89
scope of adherence goes from total to non-adherence
False
True
90
To clean dentures: label cup, tablets, water
False
True
91
Assessment tool used for: ADLs
Montreal
Braden
Lawton
Katz
92
Infectious agent
nose
pathogen (HIV)
hands
human
