Exam 1: NUR104/ NUR 104 (New 2024/ 2025 Update) Foundations of Nursing Review | Q&A, Exams of Nursing

Download Exam 1: NUR104/ NUR 104 (New 2024/ 2025 Update) Foundations of Nursing Review | Q&A and more Exams Nursing in PDF only on Docsity! Exam 1: NUR104/ NUR 104 (New 2024/ 2025 Update) Foundations of Nursing Review | Questions and Verified Answers| 100% Correct| A Grade – Fortis QUESTION Discuss methods to reduce physical hazards and the transmission of pathogens. Answer: -Reduction of physical hazards in the environment includes providing adequate lighting, decreasing clutter, and securing the home. -Reduce the transmission of pathogens through medical and surgical asepsis, immunization, adequate food sanitation, and appropriate disposal of human waste. QUESTION Discuss the specific risks to safety related to children younger than 5 years of age Answer: at greatest risk for home accidents that result in severe injury and death. QUESTION Discuss the specific risks to safety related to adolescents Answer: at risk for injury from automobile accidents, suicide, and substance abuse. QUESTION Discuss the specific risks to safety related to adults Answer: frequently associated with lifestyle habits. QUESTION Discuss the specific risks to safety related to older patients Answer: directly related to the physiological changes of the aging process. QUESTION Identify relevant nursing diagnoses associated with risks to safety. Answer: -risk for injury -impaired cognition: confusion -lack of knowledge -risk for poisoning -risk for trauma QUESTION what is the appropriate height for a Childs booster seat? Answer: 57 inches QUESTION what are you always doing during critical thinking? Answer: always reflecting QUESTION what is medical asepsis? Answer: cleaning disinfection and sterilization cough etiquette hand hygiene barrier techniques routine environment cleaning (commonly followed in the home) QUESTION what is surgical asepsis? Answer: sterile technique that prevents contamination of an open wound, serves to isolate an operative or procedural areas from and unsterile environment, and maintains a sterile field for surgery or procedural interventions. QUESTION describe standard precautions and explain the rational for them Answer: they apply to blood, blood products, all body fluids, secretions, excretions (except sweat), nonintact skin, and mucous membranes. use of standard precautions is a step toward preventing transmission of infection QUESTION describe the proper procedure for obtaining specimens Answer: -obtain all culture specimens using clean gloves and sterile equipment. -blood culture: taken from 2 venipuncture sites and before initiation of antimicrobials. -seal all containers tightly to prevent spillage and contamination of the outside of the container QUESTION Identify patients at most risk for infection Answer: Patients in health care settings, especially hospitals and long term care facilities. QUESTION Explain how infection control measures differ in the home versus the hospital Answer: in the hospital everyone is more susceptible to infection as there are many types of microbes in the same place. the risk for infection decreases in the home but the patient must still be educated on how to use infection control practices at home QUESTION The definition of occupational exposure Answer: Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's duties QUESTION explain the 4 P's of hourly rounding Answer: -Pain: how is your pain? -Position: are you comfortable? -Potty: nursing department: lets go to the bathroom to see if you can use it. Posessions QUESTION describe the environmental hazards that pose risks to a person's safety Answer: -physical hazards (lighting, obstacles, bathroom hazards) -motor vehicle accidents -poisons -fires -falls -transmission of pathogens -pollution -disasters (natural or man made) QUESTION discuss the use of side rails as a restraint and effects on a confused patient Answer: this causes more confusion and further injury QUESTION what needs to be included during the assessment for patient safety? Answer: -the patients own perceptions of his or her risk factors -the patients concerns about being in a health care setting -the patients knowledge of how to adapt to safety risks -information about a patients previous experience with accidents -consult with patients and their family members if appropriate QUESTION what are the areas of serious reportable events? Answer: -surgical or invasive procedure events -product or device events QUESTION how many mg in 1 g? Answer: 1000 mg in 1 g QUESTION how many mL in 1 tsp Answer: 5 mL per 1 tsp QUESTION whats the first thing to do if a patients blood pressure is elevated? Answer: assess the patient QUESTION what is the nursing diagnosis if a patient has a lack of energy/motivation? Answer: decrease activity intolerance QUESTION what is the nursing diagnosis of a patient who does not clean (has a lack of ADL's) Answer: self care deficit QUESTION what do you do as a nurse when you're unsure what to do about something? Answer: go to someone who knows more than you QUESTION what should a care plan outcome be? Answer: SMART (must be realistic) QUESTION an RN that's giving a pain medication, is she acting independently, dependently, or collaboratively? Answer: dependent QUESTION what must happen in order for a care plan to end? Answer: the outcomes must be MET in order to end the care plan QUESTION if there is a fire in a patients room, in the garbage can, you remove the patient, pull the alarm, and then what? Answer: contain/confire the fire (PACE) QUESTION what do you do if a patient has a status change? Answer: contact the provider QUESTION when you're rounding and just checking on patients without actually physically touching them, what kind of care are you giving to them? Answer: indirect care QUESTION describe interventions (are they nurse or prescriber oriented?) Answer: they are nurse oriented QUESTION describe the chain of infection Answer: infectious agent reservoir portal of exit mode of transmission portal of entry