Exam 1

Question 1

the 5 points of hand hygiene:

Answer 1

1) before touching patient
2) before clean/aseptic procedures
3) after body fluid exposure risk
4) after touching patient
5) after touching patient surroundings

Question 2

should you bend over or raise the bed when working with a patient?

Answer 2

raise the bed to working height

Question 3

2 key patient identifiers:

Answer 3

name and DOB

Question 4

key to preventing falls:

Answer 4

individualizing methods

Question 5

factors for falls:

Answer 5

sleep deprivation, new environment, change in meds, decreased strength

Question 6

devices used to immobilize legs or head

Answer 6

physical restraints

Question 7

meds used to manage behavior that are NOT a standard treatment for their condition

Answer 7

chemical restraints

Question 8

before using restraints…

Answer 8

think of alternatives. (distraction, companionship/sitters, keep close to nurse’s station)

Question 9

monitor patient comfort in restraints every…

Answer 9

2 hours

Question 10

monitor safety/signs of injury in restraints every…

Answer 10

15 minutes

Question 11

hygiene care is never…

Answer 11

routine

Question 12

who is ultimately responsible for hygiene?

Answer 12

nurse

Question 13

where does first pass effect happen with oral meds?

Answer 13

liver

Question 14

where are oral meds ingested and absorbed?

Answer 14

GI tract

Question 15

med type with slowest onset of action?

Answer 15

oral

Question 16

pull or push for good body mechanics?

Answer 16

push

Question 17

what motions should a nurse refrain from to prevent injury?

Answer 17

twisting motions, bending at the waist

Question 18

how long do you wash your hands?

Answer 18

20s

Question 19

first and best way to identify the right patient

Answer 19

state name & DOB

Question 20

second way to identify the right patient

Answer 20

check name bracelet

Question 21

RACE means:

Answer 21

rescue
alarm
contain
extinguish

Question 22

PASS means:

Answer 22

pull
aim
squeeze
sweep

Question 23

purpose of bathing (5):

Answer 23

cleanse skin
stimulate circulation
improve self-image
reduce body odor
promote ROM

Question 24

bathing guidelines (5):

Answer 24

provide privacy 
maintain safety
maintain warmth
promote independence 
anticipate needs

Question 25

how to position unconscious patient for teeth brushing:

Answer 25

lateral, with head turned to side.

position back of head on pillow so face tips forward.

Question 26

use what for suction when brushing teeth of unconscious patient:

Answer 26

bulb syringe or suction machine

Question 27

prevent what in brushing teeth of unconscious patient

Answer 27

aspiration

Question 28

most important safety piece of equipment in patient room?

Answer 28

call light

Question 29

greater stability of nurse comes with a ___ base of support.

Answer 29

wider

Question 30

greater stability of nurse comes with a ___ center of gravity.

Answer 30

lower

Question 31

dividing balanced activity between what reduces the risk of back injury?

Answer 31

arms and legs

Question 32

what requires less work than lifting?

Answer 32

leverage, rolling, turning, pivoting

Question 33

less friction requires less or more force to move an object?

Answer 33

less

Question 34

helping a patient walk (6):

Answer 34

assessment
non-skid shoes/socks
GAIT belt
assisting with falls
assist to sitting, dangle legs for 1-2 min
use of assistive devices as needed

Question 35

cane goes on the ____ side

Answer 35

unaffected

Question 36

fastest route of med admin

Answer 36

IV push

Question 37

med route that applied med directly to the affected area

Answer 37

topical

Question 38

has local effects on skin or mucous membranes

Answer 38

topical

Question 39

sites for IM (3):

Answer 39

deltoid, ventrogluteal, vastus lateralis

Question 40

z track method used for:

Answer 40

IM injections

Question 41

should you use the same site for every SQ or IM injection?

Answer 41

NO rotate sites

Question 42

how fast should IM be injected?

Answer 42

1 mL every 10 s; wait 10 s after done before pulling needle out

Question 43

(IM) aspirate for 5-10s and watch for?

Answer 43

blood return

Question 44

should you watch for blood return with vaccines?

Answer 44

no

Question 45

why does IM allow fast absorption?

Answer 45

muscles are highly vascularized

Question 46

SQ site with best absorption:

Answer 46

abdomen

Question 47

why does SQ absorb more slowly?

Answer 47

fat between muscle and skin is less vascular

Question 48

do what to skin when injecting SQ?

Answer 48

pinch with non dominant hand

Question 49

IV push avoids what?

Answer 49

first pass effect

Question 50

IV push duration of action is :

Answer 50

shorter than the other parenteral

Question 51

IV push is applied where:

Answer 51

directly to vascular system

Question 52

IVPB is used as:

Answer 52

automatic flush system

Question 53

IVPB uses two kinds of bags:

Answer 53

antibiotic/narcotic and saline

Question 54

(IVPB) which is hung lower, primary or secondary bag?

Answer 54

primary

Question 55

complication risks of IVPB:

Answer 55

speed shock, extravasation, chemical phlebitis

Question 56

pMDIs require what?

Answer 56

hand strength

Question 57

spacers enhance

Answer 57

absorption

Question 58

(inhaler) BAIs release of meds depend on

Answer 58

how strongly patient inhales

Question 59

DPIs deliver… compared to MDIs

Answer 59

more meds