Exam (elaborations)
NUR319 Foundation- Test1 (Chapter 29,40, 27,28,39,4)
NUR319 Foundation- Test1 (Chapter 29,40, 27,28,39,4)
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NUR319 Foundation- Test1 (Chapter 29,40,27,28,39,4)
"Timed Get-up and Go-Test": 5 steps - ANS-1. Verbal instruction
2. Have patient rise from straight-back chair without using arms support
3. Begin timing
4. Look for unsteadiness in patient's gait
5. have patient return chair without using arms for support.
6. Check time elapsed
A patient is diagnosed with methicillin-resistant Staphylococcus aureus (MRSA)
pneumonia. Which type of isolation precaution is most appropriate for this patient? -
ANS-Contact precaution
Assess for risk factors in Virchow's triad? - ANS-A. hypercoagulability (clotting (lab test),
fever, dehydration)
B. Venous wall abnormalities found in pts with medical history (history of orthopedic
surgery, atherosclerosis)
c. Blood stasis (immobility, obesity, pregnancy)
Assess previous fall using the acronym SPLATT. What is each letter stand for - ANS-S:
symptoms at the time fall
P: Previous fall
L: Location of the fall
A: Activity at the time of fall
T: Time of fall
T: Trauma after fall.
Explain: serous, sanguineous, purulent - ANS-serous- clear, like plasma
sanguineous-
pu
Fall is leading cause fatal and nonfatal injuries among 65 older. - ANS-
How to implement seizure precautions - ANS-1.When seizure begins, note time, stay
with patient, and call for help.Track duration of seizure. Notify health care provider imm
ediately.
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