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NUR 206: Module II Informatics& Documentation, Hygiene, Safety, Activity and Exercise eg. Flashcards | StudBud
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NUR 206: Module II Informatics& Documentation, Hygiene, Safety, Activity and Exercise eg.
NUR 206: Module II Informatics& Documentation, Hygiene, Safety, Activity and Exercise eg.
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1
What factors commonly influence Urinary elimnation?
Personal Habits and Fluid Intake
Sociocultural and Psychological Factors
All of the they above.
Growth and Development
2
Which patient maybe at risk of self-care deficits?
Infant
Patient with Osteparosis
All of they above
Dementia Patient
3
A nurse discovers. electrical fireman patient's room. Which action should the nurse take first?
Evacuate any patients/ visitors in immediate danger
Close all doors and windows
Turn off the oxygen to the unit
Use the nearest fire extinguisher to put the fire out.
4
What organ of the body influences bladder function?
Lungs
Heart
Spinal cord
Brain
5
What organs make up the urinary tract?
Esophagus, Ovary, Pancreas,
Kidney, Liver Stomach, Lungs
Kidneys, Urteters, Bladder, and Urethra
Heart, Large Intestine, Small Instestine, Lungs
6
Bed bath that consist of bathing only body parts such as hands, face, axillae, and perineal area.
Tub bath
Sponge bath at the sink
Complete bed bath
Partial bed bath
7
What external catheter , it is soft, pliable condom-like sheath that fits over the penis.
Indwelling Catheters
Condom Catheters
Suprapubic Catheters
Intermittent Catheters
8
Involves bathing from a basin/sink with patient sitting in a chair. You help patient with hard to reach places.
Tub bath
Sponge bath at the sink/ Assisted bath
Partial bed bath
Complete bed bath
9
Prepreinted, established guidelines used to care for patients who have similar health problems.
Standardized care plans
Patient care summary/ Kardex
Discharge summary
Flow sheets and graphic records
10
___, occurs anytime one health care provider transfers care of a patient to another health care provider.
Transfer Reports
Telephone Reports
Hand-off Report
Change-of-shift Report
11
What is the function of the urinary tract?
To pump blood through out the body
Act of eliminating urine
To break down food
To inspirate and expiate
12
What types of catheter if often inserted if leaking urine interferes with wound healing( Double-lumen catheters)?
Suprapubic Catheters
Intermittent Catheters
Indwelling Catheters
Condom Catheters
13
What is the normal color for urine?
Pale-straw to amber color
Blue to Green
Brown
Red to Orange
14
Relationship of one body part to another is called?
Coordinated Body Movement
Body Balance
Friction
Body Alignment
15
What is the improper technique for lifting a patient? ( Select All that Apply)
Loose abdomen muscles and tuck your pelvis.
Keep close to your body
Keep your trunk erect and knees bent.
Bend at the knees
16
A patient who has immobilization while in the bed could be at risk for?
C-Diff
Influenza
Pressure Ulcers
MRSA
17
When beginning a record entry on a patients chart , what should you begin with?
Your name and date of birth
Signature and title and end with date and time
Signature and date
Date and Time and end with signature and title
18
Entire bed from tilted with foot of bed down; promotes gastric emptying.
Trendelenburg's
Fowlers/ High Fowler's
Semi-Fowler's
Reverse Trendelenburg's
19
What are risk factors for patients ages infant, toddler, and preschooler?
Lifestyle habits( smoking, alcohol, drugs, motor vehicle accidents)
Smoking, drinking, alcohol and using drugs( Peer pressure)
Falls, Ingesting Foreign Objects, and Burns.
Head injures, falls, Motor Vehicle injures, and bicycle injuries.
20
What transfers method would be most appropriate from bed to chair for a patient who is 250 lbs and can hardly assist?
Drawsheet with two caregivers
Walker
Sliding board
Mechanical Lift
21
What are ways we can promote safety for Infant, Toddlers, and Preschoolers?
Educate parent about reducing risk for injure, preventing access to poison.
Educate patient about safe sexual practices, bullying, and driver's safety.
Educate parents about the importance of child wearing a helmet/seatbelt.
Educate patient and family on resources for pt. to maintain independence.
22
How often should a patient be reposition if in chair?
At least every q6h
At least every q2h
At least every qhr
As needed
23
Force that occurs in a direction to oppose movement.
Body Balance
Body Alignment
Coordinated Body Movement
Friction
24
____, requires urine collection testing either a specific time of day or urine collect over a specific time period.
Clen-catch midstream specimen
Urinalysis
Diagnostic Examination
Timed Urine Test
25
___, are oral, written, or audiotaped exchanges of information between members of health care team.
Documentation
Reports
Confidentiality
Communication
26
__, is a hand-off report that involves communication of information about patients from sending unit to receiving unit.
Telephone Reports
Hand-off Report
Transfer Reports
Change-of-shift Report
27
What are risk factors for patients for adolescent?
Falls, Ingesting Foreign Objects, and Burns.
Lifestyle habits( smoking, alcohol, drugs, motor vehicle accidents)
Smoking, drinking, alcohol and using drugs( Peer pressure)
Head injures, falls, Motor Vehicle injures, and bicycle injuries.
28
A result of weight, center of gravity, and balance.
Body Balance
Friction
Body Alignment
Coordinated Body Movement
29
If a mistake was made on a record, how would you make the correction properly?
Add physician made an error
Erase apply correction fluid or scratch out error made while recording.
Allow another nurse to correct it for you on shift change.
Draw a single line through error write error above; sign/ initial and title
30
What are ways nurses can promote normal urination and control incontinence?
Developmental and Cultural Considerations
Infection Control and Hygiene
Psychosocial Consideration
All of they above
31
Method of documentation of progress notes includes subjective, objective, assessment, and planning.
PIE Note
SOAP Documentation
Focus Charting
Narrative Documentation
32
Are the most common health care- acquired infections; 80% of these infections result from indwelling urinary catheter.
Urinary Retention
Urinary Tract Infection
Urinary Diversion
Urinary Incontinence
33
What type of catheter is inserted for a one-time bladder emptying( single lumen catheters)?
Condom Catheters
Indwelling Catheters
Intermittent Catheters
Suprapubic Catheters
34
When assisting a patient to walk, what should you assess first?
Assess environment for safety before ambulation.
Asses patient activity tolerance, strength, coordination and balance.
Dangling legs on the side of the bed.
Use gait belt to assist patient up.
35
When a routine__, is ordered you usually collect random or first morning specimen.
Clen-catch midstream specimen
Urinalysis
Diagnostic Examination
Timed Urine Test
36
What are ways we can promote safety for School-Age children?
Educate patient about safe sexual practices, bullying, and driver's safety.
Educate parent about reducing risk for injure, preventing access to poison.
Educate patient and family on resources for pt. to maintain independence.
Educate parents about the importance of child wearing a helmet/seatbelt.
37
Guides the nurse through a complete assessment to identify relevant nursing diagnoses/ problems.
Discharge summary
Admission nursing history form
Flow sheets and graphic records
Patient care summary/ Kardex
38
What are risk factors for older adults?
Head injures, falls, Motor Vehicle injures, and bicycle injuries.
Falls, multiple medications, psychological factors
Falls, Ingesting Foreign Objects, and Burns.
Smoking, drinking, alcohol and using drugs( Peer pressure)
39
A health care provider sometimes orders a medication to be given only when a patient requires.
PRN Orders
STAT Orders
Single( One-time) Order
Standing Orders
40
What does urine commonly smell like?
Ammonia in nature
No smell at all
Sweet Odor
Foul-smelling
41
What are risk factors for adults?
Lifestyle habits( smoking, alcohol, drugs, motor vehicle accidents)
Smoking, drinking, alcohol and using drugs( Peer pressure)
Head injures, falls, Motor Vehicle injures, and bicycle injuries.
Falls, Ingesting Foreign Objects, and Burns.
42
Order means tax you give a single dose of medication immediately and only once.
Single( One-time) Order
PRN Orders
Standing Orders
STAT Orders
43
What type of catheter is a urinary drainage tube inserted surgically into the bladder through the abdominal wall?
Intermittent Catheters
Indwelling Catheters
Suprapubic Catheters
Condom Catheters
44
What act provides legislation to protect patients privacy for health information eg.
CDC
FDA
HIPPA
TJC
45
What are ways we can promote safety for Adolescents?
Educate patient and family on resources for pt. to maintain independence.
Educate parents about the importance of child wearing a helmet/seatbelt.
Educate parent about reducing risk for injure, preventing access to poison.
Educate patient about safe sexual practices, bullying, and driver's safety.
46
What are pathological influences on body alignment, exercise, and activity?
Congenital Defects
Disorders of Bones, Joints, and Muscles.
All of the above
CNS Damage and Musoskeletal Trauma
47
What does RACE stand for?
Rescue, Animate,Confine, Extinguish
None of they above
Rescue, Activate, Confine, Extinguish
Rescue, Activate, Confine, Exit
48
______ specimen is used when you want to obtain a specimen relatively free of contaminating microorganisms.
Urine for culture and sensitivity
Diagnostic Examinations
Clean-catch midstream specimen
Timed Urine Test
49
____, is an innovative approach to reduce the time required to complete documentation.
Pie Note
Problem-Oriented Documentation
SOAP Note
Charting by exception(CBE)
50
A structured method of documentation that emphasizes the patients problems
Charting by exception(CBE)
PIE note
Problem-Oriented Medical Records(POMR)
SOAP
51
What is the purpose of documentations and record keeping for patients?
Education and Research
All of they above
Communication and Legal Documentation
Reimbursement and Quality Process and Performance Improvement.
52
How often should a patient be reposition if in bed?
As needed
At least every q2h
At least every q6h
At least every q4h
53
___, is one type of hand-off report that occurs at the end of each shift.
Transfer Reports
Telephone Reports
Hand-off Report
Change-of-shift Report
54
A patients ability to move his or her joints are called?
Active Range of Motion
Passive Range of Motion
Ambulation
Transferring
55
Motor vehicle Accidents, Poison, Fires, Falls,Disasters and Pollution are all examples of what types of hazards?
Physical and Environmental Hazards
Chemical and Physical restraints
Risk in Health Care Agencies
Factors influencing Patient Safety
56
Do not use manual lifting when you need to lift most or all of patient's weight.
True
False
57
Nurses are legally and ethically obligated to keep information about patients confidential.
False
True
58
A system that determines the hours of care for a nursing unit and the number of staff required to care for patients.
Patient care summary/ Kardex
Standardized care plans
Discharge summary
Acuity recording
59
__, I occurs when there is an actual or potential injury; this report is not part of the patient record.
Hand-off Report
Telephone Reports
Incident Report
Change-of-shift Report
60
What factors influence hygiene practices?
Socioeconomics Status/ Cultural Variables
Developmental Stages/Preferences
Physical and Mental Status
All of the above
61
Which of the following would best motivate a patient to participate in an exercise program?
Given information on exercise.
Being at the stage of readiness to change behavior.
Ordered by the health care provider to begin an exercise program.
Diagnosed with chronic disease such as diabetes.
62
All are necessary safety precautions when ambulating a patient except:
Having at least two people present to assist patient.
Being sure no pain medication was given for 3 hours prior to ambulating.
Placing a transfer belt around patient waist.
Having a patient wear well-fitting rubber soled socks or slippers.
63
Urine collected determines the presence of bacteria and identify the appropriate antibiotic needed to treat a bacteria.
Diagnostic Examinations
Urine for culture and sensitivity
Clean-catch midstream specimen
Timed Urine Test
64
____, is classified as functional, urge, stress, reflex, and overflow.
Incontinent
Preventing UTI
Continent
Types of catheters
65
Head of bed is raised to angle of 45 degrees or more; used during meals and oral medication.
Trendelenburg's
Reverse Trendelenburg's
Semi-Fowler's
Fowlers/ High Fowler's
66
What agencies are in charge of regulatory and accreditation?
IOM Report
CDC and FDA
MedWatch
TJC and CMS
67
___,are medications such as anxiolytics and sedatives used to manage a patient's behavior.
Mental Restraints
Chemical Restraints
Physical Restraints
Psychosocial Restraints
68
What assistive walking device has 4 sturdy legs , pt. takes a step, moves device forward, and then takes another step?
Wheel-chair
Walker
Crutches
Cane
69
Defined by the International Continence Society " as involuntary loss of urine"
Urinary Diversion
Urinary Retention
Urinary Incontinence
Urinary Tract Infection
70
Head of the bed raised approx. 30 degrees; promotes lung expansion.
Reverse Trendelenburg's
Semi-Fowler's
Fowlers/ High Fowler's
Trendelenburg's
71
Bath adminstered to totally dependent patient in the bed.
Tub bath
Complete bed bath
Partial bed bath
Sponge bath at the sink
72
What are ways we can promote safety for Older Adults?
Educate patient and family on resources for pt. to maintain independence.
Educate patient about safe sexual practices, bullying, and driver's safety.
Educate parent about reducing risk for injure, preventing access to poison.
Educate parents about the importance of child wearing a helmet/seatbelt.
73
What are some techniques to improve patients control over bladder emptying and restore some degree of urinary continent?
Pelvic floor muscle training
All of the above
Lifestyle changes
Skin care and toileting schedules
74
Computerized systems provide certain basic information in the form ____; is a portable " flip-over" file.
Flow sheets and graphic records
Discharge summary
Admission nursing history form
Patient care summary/ Kardex
75
What are the guidelines for quality documentation and reporting?
Organized
Complete and Current
All of they above
Factual and Accurate
76
A patient begins to fall during ambulation. Which of the following actions should you do first?
Slide patient down your body to the floor.
Call for assistance
Contact the health care provider and document the fall.
Instruct the patient to sit in the nearest chair.
77
What are risk factors for school-age children?
Head injures, falls, Motor Vehicle injures, and bicycle injuries.
Lifestyle habits( smoking, alcohol, drugs, motor vehicle accidents)
Falls, Ingesting Foreign Objects, and Burns.
Smoking, drinking, alcohol and using drugs( Peer pressure)
78
It is a unique narrative format in that it places less emphasis on patient problems and instead on pt. concerns.
Narrative Documentation
Focus Charting
SOAP Documentation
PIE Note
79
What types of aseptic technique will you use to insert a urinary catheters into a patient?
No aseptic technique is needed
PPE: Clean mask and gown
Clean technique
Sterile technique and sterile equipment
80
How many bedrails are considered restraints?
2
1
3
4
81
When using crutches were should the patient weight be distributed?
On handgrips
On feet
None of they above
On crutch pads under the axillary
82
The traditional method for recording nursing care.
Problem-Oriented Medical Records(POMR)
SOAP
PIE note
Narrative Documentation
83
Method of documentation of progress notes problem, interventions, and evaluation.
Focus Charting
PIE Note
Narrative Documentation
SOAP Documentation
84
____, is a vital aspect in nursing practice. It is the key element of nursing practice and key communication.
Recording
Communicating
Documentation
Assessment
85
Patients who are at greater risk for skin breakdown should be repositioned more frequently.
False
True
86
____, is any manual method, physical or mechanical device that immobilizes or reduces patient ability to move legs etc.
Chemical Restraints
Physical Restraints
Mental Restraints
Psychosocial Restraints
87
How many finger widths should be between the crutch pad and patients axilla?
1-2 finger widths
3 - 4 finger widths
5-6 finger widths
6-9 finger widths
88
Achieved by low center of gravity; enhanced by posture.
Body Balance
Coordinated Body Movement
Body Alignment
Friction
89
A prescriber often orders a medication to be given only once
Standing Orders
PRN Orders
Single( One-time) Order
STAT Orders
90
What is the nurses responsibilities before diagnostic testing of the urinary tract include?
Ensure that a signed consent is completed
All of they above
Asses if patient has allergies or has experienced a previous reactions
Administer bowel-cleaning agents as ordered
91
Patients their bladder removed because of cancer or significant bladder dysfunction.
Urinary Diversion
Urinary Retention
Urinary Incontinence
Urinary Tract Infection
92
Restraints are the first order to request from a physician when a patient is combative.
True
False
93
A longitudinal electronic record of patient health information generated by one or more encounters for any care receive
Charting by exception(CBE)
PIE note
Electronic Health Record ( EHR)
SOAP
94
What are three basic human needs?
Oxygen
Temperature
All of the above
Nutrition
95
The ability to partially or completely empty the bladder.
Urinary Diversion
Urinary Incontinence
Urinary Rentention
Urinary Tract Infections
96
What types of crutches would a paralysis patient use?
Lofstrand/ forearm crutch
Quad cane
Single straight-legged cane
Axillary Crutch
97
In what positions do you assess body alignment for of a patient?
Standing
Recumbent
All of the above
Sitting
98
What is the nurses responsibilities after diagnostic testing of the urinary tract include?
All of they above
Asses voiding and urine( color, clarity, presence of blood, dysuria, eg)
Asses Intake and Output
Encourage fluids intake, especially if radiopaque dye is used.
99
A registered nurse makes a telephone report when significant change events in a patients condition occurs.
False
True
100
When changing pt. bed linens and you notice bodily fluids, what PPE will you use to change the linen?
Gloves
Gown
Mask
Eye goggles
