nurs funds midterm
Factors that affect pain - CORRECT ANSWER-Culture
The first action a nurse takes in the general assessment of pain - CORRECT ANSWER-• Location
of pain
Pain assessment tool for adults who speak another language: - CORRECT ANSWER-•
Wong-Baker FACES
The best judge of the existence and severity of pain• - CORRECT ANSWER-• The patient
self-report
Numeric Sedation Scale - CORRECT ANSWER-• S: Sleep, easy to arouse; no action necessary
• 1: awake and alert; no action necessary
• 2: occasionally drowsy, but easy to arouse; no action necessary
• 3: frequently drowsy, drifts off to sleep during conversation; reduce dosage
• 4: somnolent with minimal or no response to stimuli; discontinue opioid, consider use of naloxone
A type of communication style when a nurse asks the patient to teach back - CORRECT
ANSWER-• Feedback
Infection control - CORRECT ANSWER-• Demonstrated by effective hand hygiene
5 moments of hand hygiene - CORRECT ANSWER-1) Before touching a patient
2) Before a clean or aseptic procedure
3) After a body fluid exposure risk
4) After touching a patient
5) After touching a patients surroundings
**even with gloves you have to wash your hands
Adequate for routine mechanical cleansing of the hands - CORRECT ANSWER-• Nonantimicrobial
agents
Normal ranges of vital signs for healthy adults - CORRECT ANSWER-• Oral temperature: 37.0 C,
98.6 F
• Pulse rate: 60 to 100 (80 average)
• Respirations: 12 to 20 breaths/min
• Blood Pressure: 120/80
Normal temperatures for healthy adults - CORRECT ANSWER-• Oral: 37.0 C, 98.6 F
• Rectal: 37.5 C, 99.5 F
• Axillary: 36.5 C, 97.7 F
• Typanic: 37.5 C, 99.5 F
• Forehead/Temporal: 34.4 C, 94.0 F
Sites for detecting pulse by light palpations - CORRECT ANSWER-• Temporal
• Carotid
• Brachial
• Radial
• Popliteal
When the UAP needs further instruction when taking the proper measurement for blood pressure -
CORRECT ANSWER-• Raising the arm above the heart
When a nurse voices that it's unfair to a charge nurse this level of communication is: - CORRECT
ANSWER-• Interpersonal
When a patient tells the nurse to Go away and that no one can help me, a nurse's response: -
CORRECT ANSWER-• I will leave you alone and will come back to talk
Goals of the orientation phase or how to elicit information from the client: - CORRECT ANSWER-•
Establish tone and guidelines for the relationship
• Identify each other by name i.e what the patient prefers to be called by
• Clarify roles of both people
• Establish an agreement about the relationship
• Provide the patient with orientation to the health care system
Working phase - CORRECT ANSWER-• Work together to meet the patient's needs
• Provide whatever assistance is needed to achieve each goal
• Provide teaching and counseling
Termination phase: - CORRECT ANSWER-• Examine goals of helping relationship for attainment
• Make suggestions for future efforts, if necessary
• Encourage patient to express emotions about the termination
• If appropriate, help the patient establish a helping relationship with another nurse
• Assist the patient transferring from one agency to another or from one unit in an agency to
another
Types of fever: - CORRECT ANSWER-• Intermittent: returns to normal at least once every 24 hrs
• Remittent: doesn't return to normal and fluctuates a few degrees up and down
• Sustained/continuous: temperature remains above normal w/ minimal variations
• Relapsing/recurrent: temperature returns to normal for one/more days w/ one/more episodes of
fever each as long as several days
Aseptic Technique - CORRECT ANSWER-• Includes all activities to prevent or break the chain of
infection. It includes two categories: surgical asepsis and medical asepsis
Medical Asepsis: - CORRECT ANSWER-• Clean technique
Evaluating patients goals: - CORRECT ANSWER-• Use techniques of medical asepsis
• Identify health habits and lifestyle patterns promoting health
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