Exam (elaborations)
NUR 321 Exam 2.
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- 4.ED FORMS - Verbs Or Modifiers.
Exam of 7 pages for the course 4.ED FORMS - Verbs or Modifiers. at 4.ED FORMS - Verbs or Modifiers. (NUR 321 Exam 2.)
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NUR 321 Exam 2A couple who is caring for their aging parents are concerned about factors that put them
at risk for falls. Which factors are most likely to contribute to an increase risk for falls in
the elderly? SELECT ALL THAT APPLY:
1. Inadequate lighting
2. Throw Rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
6. Staircases with handrails - ANS-1, 2, 3, 4, 5
A new nurse enters a contact precautions room with a gown, gloves, mask and eye
shield on. Which piece should the nurse take off last?
1. Gown
2. Gloves
3. Mask
4. Eye Shield - ANS-3-mask should be taken off last
A new nurse enters a contact precautions room with a gown, gloves, mask and eye
shield on. Which piece should the nurse take off second?
1. Gown
2. Gloves
3. Mask
4. Eye Shield - ANS-4. eye shield
A newly admitted patient was found wandering the hallways for the past two nights. The
most appropriate nursing interventions to prevent a fall for this patient would include:
A. raise all four side rails when darkness falls.
B. use an electronic bed monitoring device.
C. place the patient in a room close to the nursing station.
D. use a loose-fitting vest-type jacket restraint. - ANS-Use an electronic bed monitoring
device
A nurse is caring for a patient who is receiving an anticoagulant. When assisting the
patient with hygiene, the patient expresses a desire to shave himself. Which is most
important for the nurse to teach the patient to do?
1. Use a safety razor when shaving.
, 2. Use an electric razor when shaving.
3. Apply some aftershave lotion on the skin after shaving.
4. Wrap the face with a hot towel for a few minutes before shaving. - ANS-use an
electric razor when shaving
A nurse is providing morning care for a patient with a hearing aid. What should the
nurse do when preparing to insert a hearing aid into a patient's ear?
1. Adjust the volume according to the patient's preference.
2. Ensure the hearing aid is turned off.
3. Set the volume at the highest setting.
4. Turn the hearing aid on. - ANS-ensure the hearing aid is turned off
back rub - ANS-following a pt bath, promotes relaxation, relieves tension, can decrease
perception of pain, is perfect time to examine and palpate skin
bed safety - ANS--bed is in its lowest position
-bed position is safe for the patient
-the bed controls are functioning
-call light is within reach
-side rails are raised if indicated
-wheels are locked
complete bed bath - ANS-bath administered in bed to a pt who is totally dependent on
staff of this
components of the infection cycle - ANS-1. infectious agent
2. reservoir
3. portal of exit
4. means of transmission
5. portal of entry
6. susceptible host
equipment related accidents - ANS--result from malfunction, misuse or disrepair of
equipment or electrical hazard
-if equipment is broken tag it and remove it
-assess electrical for potential issues
-use IV pumps correctly to prevent rapid infusion
factors to consider prior to delegating pt care - ANS-qualification & capability of UAP
stability of pt condition
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