Final Exam Hondros NUR 150 100% SOLUTION 2023//2024

Final Exam Hondros NUR 150 100% SOLUTION 2023//2024 What do we want to do with chain of infection? - ANSWER break it, wash hands How does HAI spread - ANSWER not hand washing, equipment What PPE is worn for what isolation - ANSWER Contact - gloves, gown Droplet - mask, gloves, gown standard precautions - gloves What infections do we put in Contact isolation - ANSWER VRE, MRSA, C-Diff (with hand washing) What kind of precautions for Airborne - ANSWER N-95, Hood What are the rules for restraints - ANSWER check circulation every 30min release every 2 hours must have doctors order first new Doctors order every 24 hours What is best way to help with anxiety - ANSWER sit with patient, listen, use therapeutic communication What is HIPPA, how is it broken - ANSWER -protects patients information broken - posting on social media, looking up someone not your patient, keeping computer open What problems come from being immobile - ANSWER weight loss, pressure sores, pneumonia Who is at risk for HAI - ANSWER elderly, immune compromised, low economical, children What are the important rules for peri-care - ANSWER privacy, explain procedure, only expose what you need to Collaborative between nurses and doctors - ANSWER decrease risk for injury, to avoid an event where patient has died or sustained serious injury What is the nurse practice act - ANSWER guide lines , its our scope of practice How do we check a tympanic temp - ANSWER up, back for an adult What is ethics - ANSWER compassion, empathy What pulse do we check most often - ANSWER radial What is first thing we do after a fall - ANSWER vital signs, assessment What do we do if we find a patient unresponsive - ANSWER check cardioid pulse Ways to prevent CAUTI"S - ANSWER out ASAP, empty bag regularly, keep bag lower than bladder, change every 30 days, peri-care Prone position - ANSWER laying face down Sims position - ANSWER laying on right side, knee-thigh drawn up to chest Dorsal recumbent - ANSWER laying on back with knees bent with feet still flat on ground Lithotomy - ANSWER laying supine with hips knees flexed and thigh externally rotated Supine position - ANSWER laying flat on back face up Trendelenburg position - ANSWER head of bed pointed downward, feet in air Orthopnic - ANSWER sitting on side of bed with arms rested on over bed table. this is used for people with breathing problems Where is apical pulse - ANSWER mid-clavicular 5th intercostal space What are examples of portals of entry for infection - ANSWER mouth, break in skin, mucous membrane How do we prevent falls - ANSWER falls assessment on admission, keep room clutter free, toilet schedule, keep things in arms reach What is therapeutic communication - ANSWER ones that leave it open for patient to communicate to or discuss something, ask them to give you an example of something about what they mean What kind of meds can't be given by G-tube - ANSWER enteric coded, capsules, extended release What are the 6 rights of Medications - ANSWER medication, patient, dose, route, time, documentation What is term when one drug mixes with another drug - ANSWER drug interaction What is drug compatibility - ANSWER when different drugs can be given together What is drug tolerance - ANSWER when your body builds up What are drug adverse effects - ANSWER undesirable effects ex: HA, nauesa What tools are for measure functional status - ANSWER Lawton (IADL) Katz (ADL) What tools do we measure cognition - ANSWER Montreal, Mini-cog How do we reduce pressure sores - ANSWER reposition, high-fiber diet, change incont as often as possible What are signs and symptoms of dehydration - ANSWER slurred speech, skin tint, low urine output, dry mucus membranes, BP low while Pulse High What do we do when a patient refuse a med - ANSWER educate, document What are parts to drug order - ANSWER drug name, dose, frequency, route, amount What is healthy people 2020 - ANSWER website that promotes healthy living and decreasing disease What are signs/symptoms of dysphagia - ANSWER choking, drooling, pocketing food What are the dysphagia precautions - ANSWER no straws, fowlers position after food/drink , have them put chin to chest when swallowing What happens if the precautions are not put in place - ANSWER aspiration pneumonia How can we assess LOC - ANSWER ask name, place, date, situation Stage 1 - ANSWER red, nonblanchable Stage 2 - ANSWER partial thickness, skin loss of dermis, blister Stage 3 - ANSWER full-thickness skin loss extends into the dermis and subcutaneous tissue, and slough may be present, might have some tunneling Stage 4 - ANSWER full-thickness skin loss is present with exposed bone, tendon and muscle. tunneling may develop Unstagable - ANSWER full-thickness tissue loss in which wound is covered with slough and eschar P- pain assessment - ANSWER provoked - what caused it Q- pain assessment - ANSWER quality - describe the pain, dull/achy/stabbing R- pain assessment - ANSWER region - where is it located S - pain assessment - ANSWER severity - scale 0-10 T - pain assessment - ANSWER timing - is it constant, or comes/goes Protocol for heating pad - ANSWER barrier between pad/person, check skin before/during/after use, check every 5 min How long do we med a patient before doing a dressing change - ANSWER 30 min - 1 hour What do we document with pressure sores - ANSWER location, size, depth, odor, pain How do we label a specimen - ANSWER MRN, specimen source, time/date, initials, pt DOB When do we check before giving meds thru G-tube - ANSWER placement, residual fluid What are the 3 med checks - ANSWER when pulling, with MAR, in the room Good vs Bad ways to cope - ANSWER good - exercise, reduce burnout, hanging with friends bad - drugs, alcohol, being withdrawn