How do you properly identify the client prior to assessment or administering care in the INPATIENT setting? patient name patient medical record number patient birth date
How do you properly identify the client prior to assessment or administering care in the LTC (long term care) setting? patient n...
NUR 311 Midterm Exam Questions and
Answers
How do you properly identify the client prior to assessment or administering care in the
INPATIENT setting? ✅patient name
patient medical record number
patient birth date
How do you properly identify the client prior to assessment or administering care in the
LTC (long term care) setting? ✅patient name
patient birth date
visual picture of patient
What are the steps for AIDET? ✅acknowledge, introduce, duration, explanation, thank
you
What are 3 rationales for hourly rounding? ✅address the 4 p's (pain, position, potty,
personal effects); perform scheduled tasks; update whiteboard information
What are the fall prevention interventions? ✅bed in lowered/locked; nonskid footwear;
orient patient with surroundings; place personal items within reach; bed/chair alarm;
move patient to a room in sight
What are the principles of body mechanics? ✅correct body alignment; maintain
balance; face the direction of movement; perform work at appropriate height; use
mechanical lifts
What are appropriate equipment and assistive devices for moving patients? ✅gait
belts; friction reducing sheets; transfer chairs; stand-assist and repositioning aids;
powered full body lifts
What are 3 expected outcomes when performing ROM? ✅prevent muscle atrophy;
strengthens muscles; maintains joint mobility
Movement away from the center or median line of the body. ✅abduction
Movement towards the center or median line of the body. ✅adduction
Bending of a joint so that the angle of the joint diminishes ✅flexion
The return movement from flexion; the joint angle is increased ✅extension
, Turning of the palm or foot downward or backward ✅palm is pronation; foot is
plantarflexion
Process of turning on an axis; twisting or revolving ✅rotation
Turning the palm or foot upward ✅Palm is supination; foot is dorsiflexion
Extreme or abnormal extension ✅hyperextension
How do you measure/fit a client for use of a walker? ✅handles at hip level; elbows
flexed at 30 degrees
How do you measure/fit a client for use of a cane? ✅at waist height with elbows flexed
at 30 degrees; position 4-12 inches forward
How do you measure/fit a client for use of crutches? ✅palm of the hand should fit
between the top of the crutches and the armpit
What are the recommended guidelines for moving and lifting patients when the client
provides no assistance ✅full body and 2 or more caregivers
What are the recommended guidelines for moving and lifting patients when the client is
able to partially assist and weighs LESS than 200lbs? ✅friction reducing sheets and 2
to 3 caregivers
What are the recommended guidelines for moving and lifting patients when the client is
able to partially assist and weighs GREATER than 200lbs? ✅friction reducing device
and at-least 3 caregivers
What are the components of ABCs? ✅hand hygiene; provide privacy; explain
procedure; raise bed to working height
What are the components of ZYCs? ✅position patient comfortably; raise side rails; bed
locked at lowest position; call light within reach; clutter free room; hand hygiene;
documentation
What education should be provided to a client and his/her family members regarding
seizure precautions? ✅prevent aspirations, protect from injury; turn on side
What actions should you take if a seizure occurs? ✅- remain with client; call for
assistance
- do not restrain client or place anything in mouth
- protect the head and turn client on side
- loosen tight clothes
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