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Final Exam NUR 206 Exam with correct answers
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Final Exam NUR 206 Exam with correct answers
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Final Exam NUR 206 Exam with correct answersAssisting w/ Bedpan
INDEPENDENT PT - correct answer -~Bed should be flat ( unless contraindicated)
~Raise Head of Bed 30-60 degrees
~Ask Pt to move hips up , slide your hand *palm* *up* under the Pt's *sacrum* to assist with lifting hips.
~Slide bedpan under Pt (Open Rim of Bedpan should be facing foot of bed) *****IMPT**
~*If using *Fracture* *Bedpan* : Deep , open, lower end of bedpan is facing foot of bed. ((Handle which attached to the
deeper part of the pan should be facing towards foot bed)
~ Place toilet paper & call bell within Pt's reach
~ Allow Pt to have privacy. Check on Pt within 10 minutes ( this helps to decrease pressure ulcers from forming)
Removing Bedpan - correct answer -~Place bedside chair near bed. ( Make sure you drape the chair with a towel)
~ Move Top of Linens out of way, Exposing Pt as little as possible.
~ Ask Pt to flex knees and lift butt up. Place your hand under Pt's sacrum and remove bedpan
Place bedpan on draped bedside chair & cover bedpan with a towel.
~Make sure to lower bed in the lowest position
~ Allow Pt to perform Hand Hygiene
Bronchial Breath Sounds - correct answer -Pitch: High
Intensity: Loud
Duration: Insp < Exp 1:2 ( you will hear it during Expiration)
Expected Location: Over Trachea
Abnormal Location: Over peripheral lung fields
normal breath sounds made by air moving through the bronchi
Bronchiovesicular Breath Sounds - correct answer -Pitch: Moderate
Intensity: Medium
Duration : 1:1 Insp=Exp
Expected Location: 1st & 2nd ICS @ Sternal Border ( Anteriorly)
Posteriorly: T4 Medial to Scapula
Abnormal: Over Peripheral Lung Fields
Vesicular Breath Sounds - correct answer -Pitch : Low
, Intensity : Soft
Duration: Insp > Exp 2.5: 1 ( can be heard during Inspiration)
Expected Location: Peripheral Lung Fields
Abnormal Location: N/A
Hand Hygiene - correct answer -~ Using a circular motion
~Wash hands for 20 seconds
Wash Hands in this order:
1)Palms of hands/ fingertips
2)Backs ( Dorsum of hands)
3)Wrists
4)Between Fingers( interlaced, including thumbs)
5)Fingers
6)Fingertips, clean under nails
Rinse from wrists to fingertips
**Friction helps remove microorganisms, *Lather* is an indication that friction has occurred.
Name the steps of Chain of Infection in Order. - correct answer -Infectious Agent
Source ( AK: Host or Reservoir)
Portal of Exit ( How the Germ Exits the body)
Mode Of Transmission ( How the germ "travels" to susceptible host)
Portal of entry ( how the germ enters the host)
Susceptible Host
Different types of Standards of Precautions - correct answer -Hand Hygiene
~PPE
~Soap & Water
~ Hand Sanitizer
HAI's
Healthcare Associated Infections - correct answer -Are associated with:
Catheters
Ventilators
Complications after surgery
Health care workers
Overuse of Antibiotics
MRSA / VRSA
Hep B & C
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