Final exam Flashcards
_____ are required when caring for any patient, whether an infection has been identified or not
Standard precaution
Proper____ technique requires that a nurse wash for at least 20 seconds
Handwashing
To help reduce hospital acquired infections (HAI) the nurse’s first priority is to perform strict hand washing ___ and after care of each patient
Before
Normal flora is best defined as ___ that are found normally in the human body
Micro-organisms
A 2 month old infant with a head injury from being dropped is at higher risk of developing a ____ because of age and severity of illness
Hospital acquired infection
When taking a patients temperature a nurse understands that regardless of what route is used the normal core temperature is ____ degrees
97-99.6
To prevent aspirations the HOB should be maintained at minimum 30% (semi-fowlers) for the patient to receive ____
Tube feeding
A patient who requires ____ is able to a little or nothing for themselves
Total patient care
The first step in assisting an older patient with the removal of a hearing aid is to turn the _____
Hearing aid off
A bed with the top linen fan folded to the side is identified as a ____ bed
Surgical
Seeing, hearing, touching, and Smelling are the four senses used in obtaining ____/ measurable data
Objective
By avoiding greeting a patient using their first name until given permission to, you are establishing ____
A Rapport and Trust
A stomach problem sinus infections and poor hygiene can calls
Halitosis
A thorough skin assessment includes examining the skin___ Looking for cuts or breaks
Integrity
And older adult patient with G.I. disturbance such as fecal impaction is at high risk for a
Fall related injury
When prioritizing room placement in proximity to the nursing station age and ____ Should be considered
Level of consciousness
A therapeutic response to a bed rest patient who is attempting to get out of bed could include ____
A back rub
______ is the 1st step if there is a fire (RACE)
Remove
Patients ____are one reason an incident report maybe create it
Falls
600pm is _____ in military time
1800
To effectively meet the goal of a shared meaning in communication verbal and nonverbal language should be ____
Congruent
The physical space is considered _____ when giving a bed bath
Intimate
_____ is the most effective style of communication for nurses to practice
Assertive
A ___ response to a patient who is worried about surgery might be “Tell me about your surgery “
Therapeutic
A nurse is practicing ____ communication when delegating to the CNA
Downward
A patient who is having difficulty understanding what is being said after having a CVA is experiencing ___ aphasia
Receptive
The nurse must respect the comfort levels of people from different cultures in regard to touch and ____ space
Personal
_____ Entails using all of your senses to interpret both verbal and nonverbal messages
Active listening
____ Is when the receiver of the information gives a return message to the sender
Feedback
SBAR stands for
Situation background assessment and recommendation
When administering a narcotic medication the nurse would dispose of any unused portion in the _____ waste container with another nurse as a witness
Chemical
When administering phenytoin/ Dilatin The nurse should stop the tube feeding for _____ and ____ administration
One hour prior one hour after
Throughout ancient history nursing care was provided by family members and _____
Male priest
The nurse practice act is the law that governs the ____ nurses
Actions
The nurse practice act establishes the _____ for each level of nursing
Scope of practice
The nurse practice act is enforced by the ____
State board of nursing
IV infusions should be stopped if the patient is showing signs of AN ______ such as flushing anxious and shortness of breath
Anaphylactic reaction
The nurse should always compare the ____ to the prescribers original order to aid in the detection of errors
MAR
If a medication error was made on the previous shift the nurse should report the error and complete an _____
Incident report
A nurse understands that codeine is a scheduled two drug and has a high potential ____
For abuse
The _____ Is a decision making framework used by nurses to determine the needs of patients
Nursing process
Ineffective airway clearance would be considered a priority nursing diagnosis using _____ Hierarchy of needs
Maslow’s
3 Part nursing diagnoses are often called PES statements which stand for _______
Problem Etiology and signs and symptoms
