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Nursing Skills 1105 Final Questions With Complete Solutions
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Nursing Skills 1105 Final Questions With Complete Solutions
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Nursing Skills 1105 Final Questions With CompleteSolutions
2 types of beds Correct Answer 1. closed bed
2. Open bed
4 types of restraints Correct Answer 1. chemical
2. physical
3. Mechanical
4. enviornmental
A confused pt may biew restraints as assult and Correct Answer
increase in combativness and agitation
A root cause analysis Correct Answer is a process for
identifying factors that underlie the occurrence or sentinel event
and focuses primarily on systems and processes.
A violation of HIPAA Correct Answer can include legal
punishment
Active listening Correct Answer being attentive to what a
patient is saying both verbally and nonverbally
Active listening mnemonic Correct Answer 1. S-sit facing the
patient
2. O- open posture
3. L- lean towards the patient
4. E- Establish maintain intermitted eye contact
5. R- Relax
,Active ROM Correct Answer Patient performs Joint exercises
independently or with minimal assist from the nurse.
Adverse outcomes of restraints: Correct Answer 1. suffocation,
aspiration, breahting difficulty
2. Impaired circulation, altered skin integray (pressure ulcers)
3. Fractures and nerve damage
4. Change in mental status
after the initial 15 mins of assessment post restraints, when do
you asses the pt Correct Answer 1. Every 2 hrs or as needed
pertaining to level of combativeness and agitation
Alternatives to physical restraints Correct Answer 1. bed/ chair
alarm
2. provide familiar enviornment
3. increase frequency of monitoring (sitter/ family member)
4. distraction
5. Chemical restraints
AM care consist of : Correct Answer 1. Hair care
2. Mouth/ oral care
3. Face care
4. Hand hygiene
Ankel ROM Correct Answer 1. plantar flexion
2. dorsi flexion
3. inversion
4.eversion
5. rotation
,Any Fall in the hospital is considered a Correct Answer
Sentinel Event
Any student in the ADN program that violates hippa will be
Correct Answer withdrawn from the program
Asses Correct Answer the patients health history and condition
(not only medical/surgical but psychosocial as well.
Assesment (Perform) Correct Answer 1. Clinical manifistations
2. Subjective vs. objective
3. health history
Assessment (SBAR) Correct Answer what is the nurses
assessment of the situation (what you think/found)
At each patient encounter there is an opportunity to Correct
Answer enhance the nurse patient relationship or garble the
message and fail at communicating
back massage Correct Answer seen as caring behavior for pt
Background (SBAR) Correct Answer Pertinent background
information related to this situation (mental status, medical
history, allergies etc.)
Bathing patient distal to proximal promotes? Correct Answer
circulation and venous return
Benefits of health information exchange Correct Answer 1.
provides interoperability amoung ERHs
, 2. Vehicle for improving quality and safety of patient's
involvment in their own health care
3. helps public health officials meet their comitment to the
community
Benefits of Nursing Informatics Correct Answer 1. Increases
accuracy and completeness of nursing documentation
2. Improvemed workflow
3. Eliminate redundant documentation
4. Automate collection analysis and reuse of nursing clinical
data
5. Always readable
Benefits of passive ROM Correct Answer 1. Improves or
maintains joint mobility
2. Prevents Contractures (shortening of muscles and tendons in
the limb)
3. Prevents atrophy of muscles
4. Increases Circulation to limbs
5. Preserves muscle mass and tone (Prevents Disuse Syndrome)
Blended / Adapted Correct Answer To meet needs of diverse
patients in varied situations
Body Mechanics: Correct Answer the application of
mechanical laws to the human body Structure, Function and
Position.
Can a restraint be applied prior to obtaining an HCP order
Correct Answer yes
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