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PNR 116 Test #1|Accurate Questions and answers
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PNR 116 Test #1|Accurate Questionsand answers
Define safety - -freedom from psychological and physical injury
- What does safety in health care include? - -1. reduction in illness/injury
2. shortens LOS + treatment
3. improves client sense of well-being
4. improve/maintain client level of functioning
- What does a safe environment involve? - -1. controlled pollution
2. maintain sanitation
3. reduce physical hazards
4. meet basic needs
- What are risk factors for safety? - -1. age
2. lifestyle
3. lack of safety education
4. impaired mobility
5. sensory impairment
6. altered communication
- What are safety risks for infants, toddlers, preschoolers? - -injury, illness
injury is #1 reason for mortality
- What are the safety risks for school-aged children? - -need safety training
- What are the safety risks for adolescents? - -drinking
drugs
texting + driving
- What are the safety risks for adults? - -older choices catching up to them
- What are the safety risks for older adults? - -falling
- What is involved in a safety assessment? - -health history
client's home environment
health care environment
risk for falls
risk for medical errors
client expectations
- What are nursing interventions for safety? - -client teaching for safety
prevention of burns/scalds
,prevention of falls
prevention of choking
prevention of poisoning
- What is a restraint? - -any physical, chemical, or environmental device
that limits mobility
- When are restraints appropriate? - -last resort
with consent
reduce injury
prevent interruption of therapy
confused or combative client removing life support
reduce injury to others
- What are examples of physical restraints? - -belts
safety straps
mitts
limb restraints
mummy restraints
side rails
brakes
- What are some consequences of restraints? - -minimal movement
constipation
lack of appetite
dehydration
skin breakdown
loss of independence
strangulation
- What is the acronym for fire? - -R - rescue
A - alarm
C - confine
E - extinguish
- What are nursing behaviours that promote safe environments? - -safe air,
water, food, sanitation, disposal of hazardous waste, climate, physical space,
equipment, policies + procedures
- How do you prepare for a bath? - -1. assess client's comfort level,
diagnosis, activity level
2. client's preference
3. identify skin conditions
4. explain procedure
5. prep room
6. wash hands
,7, gather equipment
8. offer bedpan or urinal
- How do you perform a bed abth? - -1. apply bath blanket
2. remove gown or clothes
3. warm water in basin
4. eyes first
5. client's preference for soap on face
6. arms, deodorant, soak hands
7. chest
8. abdomen
9. apply new gown or pajama top
10. foot in bath basin
11. wash back
12. change water
13. peri care
14. dressing, comb hair, makeup
- What are the steps for general peri care? - -1. determine risk for
developing infection
2. privacy, explain procedure
3. apply gloves
4. assess skin, discharge
5. position client, proper body mechanics
6. remove feces
7. cleanse buttocks
- Female peri care steps - -dorsal recumbent position
wash + dry upper thighs
wash labia majora
separate labia
dry thoroughly
- Male peri care steps - -1. supine position
2. wash and dry upper thighs
3. place towel beneath penis (if uncircumcised - retract foreskin)
4. wash tip of penis in circular motion (return foreskin)
5. shaft of penis
6. gently cleanse scrotum
7. dry thoroughly
- Nail and foot care - -1. assess
2. check agencies policy
3. siak 10-20 minutes
4. clean under nails with orange stick, push cuticles back
5. apply lotion to feet and halds
, 6. cut nails straight across
- Oral care steps - -1. assess LOC, risk of aspiration
2. wash hands, apply gloves
3. identify oral complications, client's oral hygiene practices
4. prepare equipment, explain procedure
5. towel on chest, hold emesis basin
6. brush 45 degree angle
7. denture care
- What is communication? - -part of the art of nursing - it is the intentional
creative use of oneself, based on skill and expertise, to transmit emotion and
meaning to another
- What are the levels of communication? - -intrapersonal
interpersonal
transpersonal
small group
public
- How does perception affect communication? - -communication is based on
perception
culture, education, and personal background influence perception
tend to ignore or distort information that goes against expectations,
preconceptions and stereotypes
- Interpersonal variables - -factors within both the sender and receiver that
influence communication
- What determines how things are perceived? - -sensory abilities
gender
education
health status
emotional status
culture + language
developmental stage
- What is verbal communication? - -using spoken or written words
- What are the components of effective verbal communication? - -
vocabulary
word meaning
pacing
tone
clarity + brevity
timing + relevance
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