NURC 1001: Exam 2 Review 100% 2024/2025 CORRECT ANSWERS, Exams of Nursing

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NURC 1001: Exam 2

Review 100% 2024/

CORRECT ANSWERS

What does elopement mean? Leaving without staff knowing (Code Brown) Why do we not write in our notes "incident report was completed"? This allows record of incident to be owned by state b/c they have a write to review because it is a legal record Brainpower Read More What are four things that can lead to a safety concern?

1. Medications
2. Lack of awareness
3. Impaired mobility
4. Diminished senses Why do we create resident id's (Bands, Photos, etc)? To ensure proper care is conducted How many patient identifiers do you need?

two Who is at higher risk for falls, a new admission or a resident who has been there for 10+ years? New admission, behaviors have not been witnessed What are four ways we can prevent falls?

1. Answering call lights promptly
2. Check with charge nurse for permission of bath oils/powders
3. Do not pull oils/powder out until out of shower and resident sits
4. Non skid tips on assistive devices What are three ways we can prevent falls from bed?
5. Lock wheels on bed and wheelchairs when transferring
6. Use caution with tubing (make sure not kinked)
7. Use gait belt What are three ways we can prevent harm with burns?
8. Check bath water
9. Assist with hot beverages/foods
10. Enforce restrictive smoking areas What are three ways we can prevent residents from choking?
11. Make diet is accurate and correct
12. Never feed resident lying down
13. Make sure is chopped up small enough Who determines a resident's diet? Speech Therapist What is the hallmark sign of choking?

Hands around throat True or False: Heimlich maneuver term is no longer used. It is now termed abdominal thrust. True What are the three signs of chokcing?

1. Cannot speak nor cough
2. May clutch throat
3. Can be pale How many abdominal thrusts do we do to releve choking? Three thrusts up What is the first thing you should do when someone is choking? Encourage them to cough What are two risk factors for posioning? Visual impairment and confusion in resident What are three sings we can do to prevent a posioning incident?
4. Remove wrapping and packaging from confused patient
5. Store harmful substances in locked areas
6. Monitor placement of house plants What is one prevention stradegy for storing hazardous materials? Make sure safety data sheet is in workplace In an emergency, who do we move first down stairs? Ambulatory people

What is two ways we can ensure safety with residents who need oxygen?

1. Make sure smoking is not near
2. Make sure tubing is not kinked Can oxygen tubing be a risk? Yes, tubing can be a fall/strangulation risk What are three responsibilities for oxygen care?
3. Report is levels are too high/low
4. Check water level is humidifier
5. Do not removed device What are two fire prevention strategies regarding electricity?
6. Never use defective/overloaded outlet
7. Never use frayed cords or loose connections What does a red outlet mean? Outlet is hooked up to facility generator What does RACE mean?
8. rescue
9. alarm
10. confine
11. extinguish When do we RACE? When fire is present Should our hallways be cleared?

Yes, hallways should be clear When do we use PASS method? When fire extinguisher is needed What does PASS mean?

• Pull pin
• Aim at base
• Squeeze handle
• Sweep side to side What is a tornado watch? Conditions are favorable for a tornado What are three things we should do in a tornado watch?

1. Remove objects from windows
2. Moved beds away from windows
3. Close drapes What is a tornado warning? a tornado has been spotted What are three things we should do in a tornado warning?
4. Move residents to safe area
5. Protect residents from flying glass
6. Cover with blanket What are three responsibilities of a nursing assistant in emergency?

1. Check status of vital machines (O2 concentrators, ventilators, etc.)
2. Remain calm
3. Keep residents calm What is ambulation? walking or moving from one place to another What is body alignment? relationship of one body part to another What is the base of support? Foundation on which the body rests What is ergonomics? adapting environment using techniques and equipment to prevent injury and provide more effient care What are three MSD risk factors for work related injuries?
4. Force
5. Awkward positions
6. Heavy Lifting What is body mechanics? using the body in an efficient and careful way How many people are needed to "log rolling" to keep the spine straight? 2 - 3 people What are four rules of body mechanics?

1. Stand erect
2. Be as close possible
3. Place feet apart shoulder width with knees bent 4 Pivot True or False: We should use two people when moving residents even with Hoyer lift. True What is one step you should always do before moving a resident? Always explain what you are doing ahead of time What are three principals for safe transfers?
4. Use correct body mechanics
5. Know method of transfer ordered
6. Know residents capabilities What are three lifting and moving principals?
7. Give support to the heaviest part of body
8. Make sure resident is wearing non-skid shoes
9. Never let residents place their hands around your neck What is dangling? Sitting resident on side of bed Why do we dangle residents? To stabilize blood pressure and promote coughing What are three ways processes to ensure body alignment?

1. Head is erect
2. Hips are straight in line with thighs
3. Spine is normal alignment What are three reasons why correct body alignment is important?
4. Prevents skin breakdown
5. Promote comfort
6. Prevent pain What are three wheelchair safety principals?
7. Do not let residents feet touch/drag on ground when chair is moving
8. Do not let foot pedals fall on residents legs
9. Do not pull chair backwards When moving a resident in a chair down a steep ramp, how do you move the chair? Move chair backwards Why do we lift residents? Used to move patients who cant transfer themselves When we lift people, how many people are needed to help lift? Two people at least What are three safety principals needed for lifting?
10. Ask residents to place arms across chest
11. Reassure resident when lift
12. Lock all brakes after positioning Where should we position crutches in use? Between top crush and armpit (axilla)

True or False: Quad cane is more stable versions of canes. True True or False: When resident is walking, you should assist their weak side. True Should we have residents use their weak side to use move their cane? No, they need to use their strong side. How do we assist a visually impaired resident when walking? Walk a little ahead of them, allow resident to hold your arm and explain hazards What are three techniques to helping a resident walk?

1. Grasp gait belt at each side
2. Sand at their side until they gain balance. Hold belt at the side and back
3. Walk to the side and slightly behind resident True or False: Restraints are not patient specific. False What are two examples of restraints? Wrist and siderails What are four alternative to restraints?
4. Social activities
5. Pillows and positioning aids
6. Call light in reach
7. Resident is moved closer to nurse station What happens before using restrainst?

Performance of prescribed resident assessment to identify needs and symptoms Are restraints first resort? No, they are the last resort True of False: Restraints are physician prescribed. True Where should padding be placed on residents body when restrained? On their bony prominences Do restraints need to be placed on movable part of bed? Yes, they need to be on movable parts What are three observations that need to be reported to nurse when patient is restrained?

1. Color (Paleness)
2. Tingling
3. Difficulty breathing If there is a concern for a resident while restrained, should this reported and to who? Yes, this should be reported to the nurse When should observations be considere while resident is restrained? Every 15 minutes When shoudl restriants be realeased for adjustments? Every 2 hours What three things happen when restraints need to be adjusted?

1. Excersise limbs and provide care
2. Offer toileting/change
3. Reposition resident What is entrapment? Safety risk with bed rails the person may become trapped between rails, gaps , bed rails, headboard When is the risk for entrapment highest? When side rails of bed are up What is a full bed rail restraint? Rails that block 3 quarters to whole length of mattress or one rail up the other side is towards walls What is a limb restraint? Device that resident cannot remove that restricts movement or upper/lower extremities What is a trunk restraint? Device that restrict core of body What is a rising rising prevention chair restraint? Cahir that has locked lap board and resident is places in recumbent position Can a chair and bed alarm be considered a restraint? Yes, these two can be a restraint What are three things that need to be considered before applying restraints?

1. Proper size
2. Skin condition
3. Placement of movable part of bed What are three risks of restraint use?
4. Strangulation
5. Fracture's
6. Emotional reactions What is Fowler's position? semi-sitting position (45-60 degrees) What is high fowler position? Semi sitting position (6 0 - 90 degrees) What is semi-fowlers position? the head of the bed is raised 30 degrees

What is the Trendelenburg position? head down, feet up What is reverse Trendelenburg position? head up, feet down What is the supine position? lying down, face up What is the prone position? lying on stomach with head turned to the side

What is lateral position? lying on the side What is Sims position? A left side lying position in which the upper (right) leg is sharply flexed so it is not on the lower (left) leg. Lower arm (left arm_ is behind person