Final exam Flashcards

1
Q

_____ are required when caring for any patient, whether an infection has been identified or not

A

Standard precaution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Proper____ technique requires that a nurse wash for at least 20 seconds

A

Handwashing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

To help reduce hospital acquired infections (HAI) the nurse’s first priority is to perform strict hand washing ___ and after care of each patient

A

Before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Normal flora is best defined as ___ that are found normally in the human body

A

Micro-organisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A

Hospital acquired infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When taking a patients temperature a nurse understands that regardless of what route is used the normal core temperature is ____ degrees

A

97-99.6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

To prevent aspirations the HOB should be maintained at minimum 30% (semi-fowlers) for the patient to receive ____

A

Tube feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A patient who requires ____ is able to a little or nothing for themselves

A

Total patient care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The first step in assisting an older patient with the removal of a hearing aid is to turn the _____

A

Hearing aid off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A bed with the top linen fan folded to the side is identified as a ____ bed

A

Surgical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Seeing, hearing, touching, and Smelling are the four senses used in obtaining ____/ measurable data

A

Objective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

By avoiding greeting a patient using their first name until given permission to, you are establishing ____

A

A Rapport and Trust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A stomach problem sinus infections and poor hygiene can calls

A

Halitosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A thorough skin assessment includes examining the skin___ Looking for cuts or breaks

A

Integrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

And older adult patient with G.I. disturbance such as fecal impaction is at high risk for a

A

Fall related injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When prioritizing room placement in proximity to the nursing station age and ____ Should be considered

A

Level of consciousness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A therapeutic response to a bed rest patient who is attempting to get out of bed could include ____

A

A back rub

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

______ is the 1st step if there is a fire (RACE)

A

Remove

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Patients ____are one reason an incident report maybe create it

A

Falls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

600pm is _____ in military time

A

1800

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

To effectively meet the goal of a shared meaning in communication verbal and nonverbal language should be ____

A

Congruent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The physical space is considered _____ when giving a bed bath

A

Intimate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

_____ is the most effective style of communication for nurses to practice

A

Assertive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A ___ response to a patient who is worried about surgery might be “Tell me about your surgery “

A

Therapeutic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
A nurse is practicing ____ communication when delegating to the CNA
Downward
26
A patient who is having difficulty understanding what is being said after having a CVA is experiencing ___ aphasia
Receptive
27
The nurse must respect the comfort levels of people from different cultures in regard to touch and ____ space
Personal
28
_____ Entails using all of your senses to interpret both verbal and nonverbal messages
Active listening
29
____ Is when the receiver of the information gives a return message to the sender
Feedback
30
SBAR stands for
Situation background assessment and recommendation
31
When administering a narcotic medication the nurse would dispose of any unused portion in the _____ waste container with another nurse as a witness
Chemical
32
When administering phenytoin/ Dilatin The nurse should stop the tube feeding for _____ and ____ administration
One hour prior one hour after
33
Throughout ancient history nursing care was provided by family members and _____
Male priest
34
The nurse practice act is the law that governs the ____ nurses
Actions
35
The nurse practice act establishes the _____ for each level of nursing
Scope of practice
36
The nurse practice act is enforced by the ____
State board of nursing
37
IV infusions should be stopped if the patient is showing signs of AN ______ such as flushing anxious and shortness of breath
Anaphylactic reaction
38
The nurse should always compare the ____ to the prescribers original order to aid in the detection of errors
MAR
39
If a medication error was made on the previous shift the nurse should report the error and complete an _____
Incident report
40
A nurse understands that codeine is a scheduled two drug and has a high potential ____
For abuse
41
The _____ Is a decision making framework used by nurses to determine the needs of patients
Nursing process
42
Ineffective airway clearance would be considered a priority nursing diagnosis using _____ Hierarchy of needs
Maslow’s
43
3 Part nursing diagnoses are often called PES statements which stand for _______
Problem Etiology and signs and symptoms
44
____ Interventions are ones that the nurse can implement without a physician order such as placing a patient on I&O
Independent
45
_____ Interventions require a physician order
Dependant
46
Deficient knowledge would be an appropriate ____ diagnosis for a patient who needs teaching about new medications
Nursing
47
____ Resources need to be reliable sources such as web M.D. or drug.com
Internet
48
____ Or re-addressing the most important information points of your topic will reinforce information and help the patient retain
Repeating
49
Asking the patient to restate what has been taught to give a return demonstration or asking questions are positive techniques for ___ learning
Evaluate
50
____ Is a government health insurance program for people age 65 or with certain disabilities
Medicare
51
Medicare will most likely cover a skilled nursing facility if the patient makes _____ progress as documented by medical professionals
Regular
52
Assisted living facilities provide ___ Atmosphere
Home like
53
Communicable diseases should be reported to the____
Health department
54
Home health aides can assist residents with ____such as showering
Basic needs
55
Assessing pain or pain medication needs is ____ in the scope of practice for a CNA
NOT
56
LPNS can practice under the supervision of an ____ or physician
RN
57
___ Therapist help a patient with respiratory related illness
Respiratory
58
_____ Is when a nurse fails to perform care that an equal would in the same circumstances
Negligence
59
Theft of medication by another nurse should be reported to your____
Supervisor
60
Assessing a patients ____ would include the patients rituals values customs and beliefs
Culture
61
Care provided that is unique to a patient’s race is taking into account the patients ____
Ethnicity
62
A Hindu patient may have difficulty increasing protein in their diet because they are most likely____
Vegetarian
63
Both the husband and ____ signatures are required on the consent form for a Muslim patient
Wife’s
64
A patient who reveals so the nurse that he feels hopeless and no longer attends church may be experiencing _____ distress
Spiritual
65
_____ Believe that prayer will heal their illnesses not Western medicine
Christian scientist
66
Muslim patience of prefer ____ of the same sex
Caregivers
67
Hindu patients believe the ____ is unclean
left hand
68
Define growth
Physical changes that occur in the size of human beings
69
Define development
Increase in the complexity of skills performed by a person
70
How does growth occur
1. Biological factors 2. hereditary factors 3. environmental factors 4. social factors
71
Define Moro reflex
When babies are moved suddenly or jarred suddenly they extend their limbs outwards and then pull them towards the trunk of their body to protect themselves from injury
72
Define rooting reflex
When the babies cheek is gently touched the infant will turn toward the stimulus and open his or her mouth to find milk
73
Define sucking reflex
When a nipple or finger is placed in a newborns mouth the baby begins to suck to obtain nourishment
74
Define Babinski reflex
When a sole of a foot on a newborn is stroked the normal response is fanning of the toes while the great toe pull upward
75
At what age do the anterior and posterior fontanels close
Anterior fontanelle 1 – 1 1/2 posterior four months
76
What safety issues are faced by a toddler
Preventing Falls preventing choking preventing drowning
77
Toddlers learn through what?
Preforming and practicing skills
78
Psychosocial development in the preschool age child includes what?
Pretend role-play explore and identity in the world and develop a sense of dependence
79
Menses and development of facial here is what type of development during adolescence
Puberty
80
What safety issues are faced by preschoolers and school age children
1.Experimentation 2.Internet social networking 3.firearms
81
What is a safety issue for the older adult
Be aware of signs of abuse and report it
82
What are five stages of grieving and what occurred during each
1. Denial 2. anger 3. bargaining 4. depression 5. acceptance
83
Define palliative care
Medication care therapies to alleviate and uncomfortable symptoms comfort care not intended to cure the patient’s disease
84
Define hospice care
Available in later stages of terminal illness six months or less patient in final six months of life
85
What are the benefits of dehydration
*Actually add to decreased discomfort *increased endorphins *natural anesthesia *decreased urine output *less incontinence less toileting *decreased gastric fluid =less nausea *decreased pulmonary secretions= easier breathing *diminished edema and ascites
86
what are Cheyenne Stokes
Shallow breath sounds ending the cycle with a period of apnea
87
What physical change associated with the dying process typically creates the most anxiety for the family
Death rattle
88
Define DNR
Do not resuscitate
89
Define living will
End of life document prepared by a mentally competent patient indicating which procedure and measures the patient does and does not want
90
What is the last sense to leave the dying patient
Hearing
91
What do you do if your patient does not have a DNR and upon entering the room you find that they are not breathing
Initiate CPR
92
What do you learn about the terminally ill patient who expresses worry that the use of pain medication may result in addiction
Teach the patient that addiction is not a concern during the terminal stages of illness that this is not something the patient has to worry about
93
What happens in terms of anorexia with the dying patient
It’s not normal for loss of appetite so they are not pressured to eat it is accepted
94
What can the family anticipate as their loved one is very near death
Congestion and death rattle Decreased urine output glassy eyes tears edema of the feet molting of feet and legs no responsiveness decrease in blood pressure weakened thread pulse slow and shallow respirations
95
Define holism
The relationship among living things
96
Define Acupressure
Is a blend of accpuncture and pressure and is a part of a traditional Chinese medicine Pressure is used
97
Define acupuncture
Ancient practice of inserting needles into carefully selected points located along the Meridian or energy pathways on the body
98
Define allopathic medicine
Traditional conventional medicine that is practiced in the west
99
Define alternative therapy
Therapy used instead of conventional treatment
100
Define complementary therapy
Therapy used with conventional treatment
101
Define shiatsu massage
Thumb pressure along energy meridians
102
Define Swedish massage
Long flowing strokes needing and compressions
103
Define reflexology
Thumb and fingers stimulate pressure joints on feet
104
Define deep tissue massage
Vigorous strenuous massage to tighten muscles and triggerpoints
105
Define meditation
A discipline in which the mind is focused on an object throughout or awareness it usually involves turning attention to a single point of reference promotes physical and mental well-being
106
What does chamomile help with
Induce sleep relieve upset stomach
107
What does feverfew help with
Anti-inflammatory and migraines
108
What does soy help with
Cholesterol
109
What does Capsaicin help with
osteoarthritis fibromyalgia diabetic neuropathy and shingles