Exam (elaborations)
NUR 109 FUNDAMENTALS OF NURSING
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NUR 109 FUNDAMENTALS OF NURSING
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NUR 109 FUNDAMENTALS OF NURSINGWhat do you need to know about the person to whom you are delegating? - Answers -
Their skill and education level
Who is the communication ALWAYS about? - Answers -The patient
How much soap should you apply when washing hands? - Answers -3-5 mL
How long should you wash your hands for? - Answers -20-30 seconds
Why do we delegate? - Answers -To distribute workload, to work together as a team to
do what is best for the patient.
What is a proper bath temperature? - Answers -110-115 degrees
Identify the competencies of the QSEN initiative. - Answers -Patient-centered care,
teamwork & collaboration, evidence-based practice, quality improvement, safety
What can a nurse delegate to a CNA? - Answers -ADLs, routine tasks. Patients who are
STABLE!
What must the nurse abide by when delegating? - Answers -Unit and facility policies
and procedures.
What are the five rights of delegation? - Answers -Right task, right circumstance, right
person, right direction and communication, right supervision and evaluation
What does it mean to over-delegate? - Answers -Completion of tasks has stalled,
there's excessive disagreement on tasks or processes, or unexpected/inconsistent
behavior among team members.
What do you not want to ask your patient? - Answers -Why
What are some examples of utilizing therapeutic communication? - Answers -Validate,
actively listen, clarify, restate, open-ended questions, exploring, reflecting,
paraphrasing.
Under which circumstances would you wear a mask? - Answers -Splashing or spraying
of body fluids, airborne precautions, droplet precautions.
Under which circumstances would you wear a gown? - Answers -Contact precautions
Under which circumstances would you wear goggles? - Answers -Splashing or spraying
of body fluids.
, Under which circumstances would you wear gloves? - Answers -When touching
anything that has the potential to contaminate the hands of the nurse.
When should chlorohexidine be used? - Answers -When dealing with C. Diff and MRSA.
How can you prevent falls in all patients? - Answers -Complete a fall-risk assessment
for each patient at admission and at regular intervals. Individualize the plan for each
client according to the results of the assessment.
Why are geriatric patients at a greater risk for falls? - Answers -Decreased strength,
impaired mobility/balance, improper use of mobility aids, unsafe clothing, environmental
hazards, endurance limitations, decreased sensory perception.
When should you use a gaitbelt? - Answers -Every time you are transferring someone.
What are some effective strategies for protecting yourself and the patient regarding
ergonomics? - Answers -Do not pull, only push. Use proper body mechanics. Protect
your back. Face the direction you are heading when ambulating a client. Lift with your
legs close to your body, with help if able.
What factors affect mobility? - Answers -Alterations in muscles, injury to the
musculoskeletal system, poor posture, impaired CNS, health status and age.
What is the purpose of HIPAA? - Answers -To protect patient privacy.
Describe patient use and proper teaching of a cane. - Answers -Goes on strong side,
advances at same time as affected leg. Goes 6-10 inches in front of patient.
Describe patient use and proper teaching of a walker. - Answers -Pick up and advance
rather than dragging on the floor.
What is the purpose of Nurse Practice Acts? - Answers -Regulates the scope of nursing
practice for the state and protects public health, safety, and welfare.
What is the order of PPE application? - Answers -Gown, mask, goggles/face shield,
gloves
What is the order of PPE removal? - Answers -Gloves, goggles/face shield, gown, mask
Why is hand washing important? - Answers -Single most effective way to prevent the
spread of infection
What can't the nurse delegate? - Answers -The nursing process, client education, or
tasks that require nursing judgement.
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