FUNDAMENTALS NCLEX REVIEW 73 Questions with Verified Answers,100% CORRECT, Exams of Nursing

Download FUNDAMENTALS NCLEX REVIEW 73 Questions with Verified Answers,100% CORRECT and more Exams Nursing in PDF only on Docsity! FUNDAMENTALS NCLEX REVIEW 73 Questions with Verified Answers Falls: assessment - CORRECT ANSWER upon admission and place the patient near the nurse's station falls: high risk interventions - CORRECT ANSWER bed or chair alarms nurse call light low bed raised edge mattress video camera nonskid floor mat clear environment falls: low risk / all interventions - CORRECT ANSWER orient client to setting nonskid footwear call light well lit room no barefoot or stockings low bed alarm grab bars fall alert device hourly rounding by staff bed that allows exit toward strong side bladder and bowel programs falls: if you find a client on the ground - CORRECT ANSWER 1. abcs 2. injury check 3. get help 4. notify 5. incident report falls: pt is actively falling - CORRECT ANSWER step behind the client place feet apart w knees bent place 1 foot behind the other and extend the leg let the client slide down restraints: must be - CORRECT ANSWER least restrictive restraints: you should do what first - CORRECT ANSWER nonpharm interventions first like distraction or observation restraints: notify the hcp - CORRECT ANSWER immediately after application restraints: interventions - CORRECT ANSWER document 15-30minutes potty 15-30minutes assess 2 hrs tie to bed frame with loose quick release knot fire safety: RACE - CORRECT ANSWER rescue alarm confine extinguish fire safety: PASS - CORRECT ANSWER pull aim squeeze sweep fire safety: home - CORRECT ANSWER no smoking signs careful w o2 therapy stop drop and roll fire safety: in hospital - CORRECT ANSWER all equipment needs to be grounded do not over crowd outlets no extension cords ergonomics: do not bend at - CORRECT ANSWER the waist or twist use major muscle groups and tighten abd ergonomics: bed to chair transfer - CORRECT ANSWER lower bed crutches: which leg goes first - CORRECT ANSWER affected crutches: upstairs - CORRECT ANSWER push down on rail and crutch, move unaffected leg then affected leg with crutch crutches: down stairs - CORRECT ANSWER affected and crutches on the stair bring unaffected affected down first with crutch crutches: getting up from a chair - CORRECT ANSWER both crutches on one side slide to edge of chair grab arm rest push down use unaffected to support canes: fitting - CORRECT ANSWER wear shoes when sizing length measured by greater trochanter to floor canes: how to walk - CORRECT ANSWER move cane forward 6-10 in then weaker leg or cane and affected at same time canes: up stairs - CORRECT ANSWER up with good strong leg move cane bear weight on strong move weak canes: down stairs - CORRECT ANSWER down with bad cane weak leg strong leg sight guided technique - CORRECT ANSWER walk slightly head with client holding elbow and nurse describing the environment walker: sizing - CORRECT ANSWER have client wear shoues wrists are even with the hand grips on the walker when arms dangle walker: walking - CORRECT ANSWER walker first about 12 inches advance with the affect leg then unaffected walker: a rolling walker is not appropriate for a - CORRECT ANSWER parkinson patient due to gait most important practice in preventing health care associated infections - CORRECT ANSWER hand hygiene avoid places clients in the same room who are on - CORRECT ANSWER isolation precautions with immunocompromised, open wounds or anticipated long length of stay must be 3 feet from each other do not recap needles - CORRECT ANSWER clean spills with bleach and water 1:10 dilution standard ppe - CORRECT ANSWER gloves gown goggles mask PPE: airborne - CORRECT ANSWER N95 mask for known or suspected TB private room with negative airflow keep door closed surgical mask for client if they are leaving gown and gloves only for suspected splash or contact of body fluids or vessicles have not crusted PPE: airborne diseases - CORRECT ANSWER measles/ rubeola herpes zoster/shingles TB chickenpox PPE: droplet diseases - CORRECT ANSWER meningococcal pneumonia respirator syncytical virus rubella flu diptheria mumps strep pertussis scarlet fever PPE: droplet - CORRECT ANSWER protects aganist pathogens larger than 5 mcg private room may cohort with client with same organism door closed mask when 3ft from client MASK pregnant clients should avoid these pts - CORRECT ANSWER TORCH toxoplasmosis Other [vsv/pavovirus b 19] rubella cytomegalovirus herpes simplex PPE: contact disease - CORRECT ANSWER direct or indirect transmission wound drainage fecal incontinence CDIF- standard and contact Hep A- standard and contact if fecal incontinent Herpes simplex- oral, skin, genital MRSA RSV rotavirus salmonellosis