NUR 336 Exam 1 Review Questions and Correct Answers
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Course
NUR 336
Institution
NUR 336
Why do we use SBAR? because it is a means of communication that is standardized and organized
Before calling a physician to deliver an SBAR, what 4 things should you do? · assess the patient · read the most recent physician notes · have the chart in-hand · check for the correct physician name
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NUR 336 Exam 1 Review Questions and
Correct Answers
Why do we use SBAR? ✅because it is a means of communication that is standardized
and organized
Before calling a physician to deliver an SBAR, what 4 things should you do? ✅· assess
the patient
· read the most recent physician notes
· have the chart in-hand
· check for the correct physician name
What is the orientation phase of therapeutic communication? ✅when nurse and patient
meet to get to know one another
What is the working phase of therapeutic communication? ✅when the nurse and
patient work together to solve problems and accomplish goals
What is the termination phase of therapeutic communication? ✅during the end of the
relationship/Achieve a smooth transition for the patient to other caregivers as needed.
What 2 types of responses do you never wanna say to patients? ✅"you should have
done _____"
"why did you do/ not do ______"
What is the prone position? ✅lying face down
What is the supine position? ✅lying face up
What is fowlers position? ✅Patient is laid on the table with the head of the table
elevated 90 degrees
What is semi fowlers position? ✅head of bed is raised aprox 30degrees and patient is
lying on back
What is a lateral position? ✅lying on the side
What is sims position? ✅patient lies on their left side, left hip and lower extremity
straight, and right hip and knee bent.
What is trendelenburg position? ✅head below feet
, What are some things to remember about safety with transfers? ✅dont bend over
Make sure client isnt dizzy
Make sure floor is dry and no hazards in the way
Dont hurt your back!
Perineal care steps (females) ✅1. Supplies: Basin, 2washcloth, 1 towel, soap, chucks
2. Introduction....say you are gonna perform perineal care
3. Privacy (PULL CURTAIN), TURN ON FAUCET, 1RAIL UP
4. FILL BASIN (YOU CHECK AND CLIENT CHECK TEMP) GLOVES ON
5.ROLL CLIENT( one arm up and leg crossed, roll by motioning shoulder and
hip)toward rail, PLACE CHUCKS BY ROLL AND TUCK TO CENTER OF BACK.
6. PULLS CHUCK FROM OTHER SIDE. CHUCKS should be center and flat on bed.
7. Starting with the GENITAL area, FOLD washcloth in fourths, wet cloth apply soap,
make 3 strokes and fold back in between each stroke, RINSE with 2nd washcloth folded
in fourth making 3 strokes folding the cloth back in between each stroke.
8. DRY AREA FROM FRONT TO BACK
9. Now turn client to side and wash RECTUM same as GENITAL area. DRIES.
DISPOSE OF CHUCKS
10. Lay client on back, EMPTY,RINSE,DRY BASIN, put in DIRTY SUPPLY AREA as
well as SOAP.
11. DISPOSE OF LINEN IN SOILED LINEN BIN
12. GLOVES OFF, WASH HANDS
13. CALL BELL, LOWER BED, PULL CURTAIN
Success of oral hygiene measures is determined by? ✅good salivary volume
Dental plaque low
Normal oral flora
What can the nurse to help ensure oral hygeine? ✅encourage teeth brushing
Help make oral hygiene part of daily routine
Inspect mouth for sores and other issues
What is dysphagia? ✅difficulty swallowing
What is aphagia? ✅inability to swallow
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