Nursing Fundamentals: Comprehensive Exam Preparation, Exams of Advanced Education

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NSG 3100 Exam #1 With 100% Correct Answers 2023 Rules for hand washing - Correct Answer--15-20 seconds -hands lower than elbows -firm rubbing circular motion -remove jewelry rules for baths - Correct Answer--long firm strokes -inspect skin -persuasion -stop if distress -use distraction -ask for help complete bath - Correct Answer-sponge bath self help bath - Correct Answer-patients confined to bed;can help with back/feet partial bath - Correct Answer-client washes everything;nurse washes back bag bath - Correct Answer-Commercially prepared washcloths that are moistened with a no-rinse-required cleaning product. towel bath - Correct Answer-Nurse uses a single large towel to cover and wash a client tub bath - Correct Answer-A bath given in a tub. independent - Correct Answer-no bathing assistance needed Semi-dependent - Correct Answer-requires help from another person moderately dependent - Correct Answer-help from another person and/or device totally dependent - Correct Answer-not able to participate at all foot care basics - Correct Answer--nails cut straight across -diabetics -no lotion between toes, may cause fissures and cracks in skin Oral care basics - Correct Answer--no lemon glycerin swabs (erodes enamel) -mouth swab in water -suction available critical thinking-independence - Correct Answer-think for yourself critical thinking-fair minedness - Correct Answer-consider all points of view critical thinking-insight into egocentricity - Correct Answer-be aware of own biases critical thinking-intellectual humility - Correct Answer-admitting you dont know critical thinking-challenge status quo and rituals - Correct Answer-ask why critical thinking-integrity - Correct Answer-admit when wrong critical thinking-perseverance - Correct Answer-keep pushing forward and making progress critical thinking-confidence - Correct Answer-confident in words and actions critical thinking-curiosity - Correct Answer-gain new knowledge clinical reasoning - Correct Answer-process used by practitioners to plan, direct, perform, and reflect on client care applying critical thinking in practice - Correct Answer--prioritize mult patients -cultural impacts on care outcomes -logical reasoning -review current evidence based research preventing falls - Correct Answer--familiarize with environment -teach call light -personal items in reach -handrails -bed locked and low -nonslip footwear -nightlight -clean, dry floor Fall Risk Factors - Correct Answer--Poor Vision -Cognitive dysfunction (confusion, disorientation, impaired memory/judgement) -mobility restrictions -Orthostatic hypotension -Urinary incontinence -Weakness -sedatives, hypnotics, tranquilizers, narcotic analgesics, and diuretics Seizure precautions - Correct Answer--padded side rails Crutches (two pt alt gait) - Correct Answer--left crutch-right foot together right crutch-left foot together repeat swing to gait - Correct Answer--hip paralysis -Crutches moved forward simultaneously swing both feet together up to the crutches repeat swing through gait - Correct Answer-both crutches are advanced then the legs swing past the crutches Fowler's position - Correct Answer-a semi-sitting position; the head of the bed is raised between 45 and 60 degrees Semi-Fowler's Position - Correct Answer-15-45 degrees High Fowler's Position - Correct Answer--sitting up almost straight -60 to 90 degrees -never long for elderly due to skin breakdown orthopedic bed position - Correct Answer-respiratory patients Sims position - Correct Answer--a side-lying position with the lowermost arm behind the body and the uppermost leg flexed -pregnant women -halfway between lateral and prone dorsal recumbent position - Correct Answer--lying on the back with the knees flexed -elevate head with pillow supine - Correct Answer-lying on the back lateral position - Correct Answer-side lying position prone position - Correct Answer-lying on abdomen, facing downward (head may be turned to one side) nursing labels (diagnosis terms) - Correct Answer--impaired skin integrity -impaired gas exchange -risk for fall -risk for infection Masiows hierarchy of needs - Correct Answer--physiological needs -safety or security needs -love & belonging needs -self-esteem -self-actualization physiological needs - Correct Answer-the most basic human needs to be satisfied- water, food, shelter, and clothing safety needs - Correct Answer-A person's needs for security and protection from physical and emotional harm love and belonging needs - Correct Answer-friendship, family, sexual intimacy self-esteem needs - Correct Answer-The need for a person to feel good about oneself, to feel pride and a sense of accomplishment, and to believe that others also respect and appreciate those accomplishments. self-actualization needs - Correct Answer-the need to be the best one can be; at the top of Maslow's hierarchy Phases of the nursing process - Correct Answer-Assessment Diagnosis Planning Implementation Evaluation Assessing - Correct Answer-collecting, validating, and communicating patient data diagnosis - Correct Answer-analyzing and synthesizing data Planning - Correct Answer-determining how to prevent client problems to develop an individualized care plan with client goals stated Implementation - Correct Answer-carrying out the plan of care Evaluation - Correct Answer-measuring the degree to which goals have been achieved to determine how to modify care plans Safety Hazards - Correct Answer--lifestyle -cognitive awareness -ability to communicate -mobility health status -emotional state -environmental factors -sensory perception altered -safety aweareness -feeding