Skills Lab #1 Flashcards
Which of these are risk factors that increase the risk of injury? (Select all that apply)
a. ) Lifestyle
b. ) Sensory/perceptual alterations
c. ) Depression/Anxiety
d. ) Chronic disorder
e. ) Ability to communicate
a. ) Lifestyle
b. ) Sensory/perceptual alterations
c. ) Depression/Anxiety
e. ) Ability to communicate
Which of these is NOT one the steps to follow in case of a fire?
a. ) Rescue, protect, and evacuate clients
b. ) Extinguish the fire
c. ) Put masks on all the clients that have respiratory disorders
d. ) Close doors to all rooms and fire doors at entrances to the unit.
c.) Put masks on all the clients that have respiratory disorders
Which of these are ways to prevent falls in hospitals? (Select all that apply)
a. ) Assess the client’s risk of falling
b. ) Assign clients at risk for falls to rooms near the nursing station.
c. ) Keep the hospital beds in the highest position.
d. ) Ensure the clients wear socks at all times.
e. ) Lock wheels of beds, wheelchairs and stretchers.
a. ) Assess the client’s risk of falling
c. ) Keep the hospital beds in the highest position.
e. ) Lock wheels of beds, wheelchairs and stretchers.
Which one of these is the best definition for body mechanics?
a. ) Using your body to its fullest potential so that one does not injure themselves
b. ) The best strategy to lift a client in bed without hurting yourself
c. ) Efficient, coordinated, safe use of body to move objects and carry out ADL’s
d. ) The best way to prevent back injuries as a nurse.
How does one maintain a broad base of support?
a. ) Flexing the hips and knees and squatting.
b. ) Twisting the thoracolumbar spine
c. ) Acute flexion of the back with hips and knees straight
d. ) Spread feet wide apart
d.) Spread feet wide apart
What are contractures and how can they be prevented?
a. ) Contractures are a torn ligament, they can be prevented through stretching before exercise.
b. ) Contractures are permanent shortening of muscles, they can be prevented by maintaining good body alignment.
c. ) Contractures are a slight break in the bone, can be prevented by avoiding risky situations.
d. ) Contractures are wasting of the muscle, can be prevented by staying fit and healthy and eating right.
b.) Contractures are permanent shortening of muscles, they can be prevented by maintaining good body alignment.
Why does continued pressure increase the client’s risk for skin breakdown and pressure ulcers.
a. ) Continued pressure combines with friction and damages the blood vessels and tissues.
b. ) Continued pressure causes the skin to rub against the sheets and removes the top layer of skin.
c. ) Continued pressure causes moisture on the skin allowing for the skin to soften and break down easier.
d. ) Continued pressure impedes circulation to the cells; there may not be enough oxygen, waste products build up and the tissues may die.
d.) Continued pressure impedes circulation to the cells; there may not be enough oxygen, waste products build up and the tissues may die.
Which of these nursing care measures will prevent the development of pressure ulcers? (Select all that apply).
a. ) Change the client’s position every four hours.
b. ) Maintain smooth sheets.
c. ) Keep skin surfaces and linens clean
d. ) Use special mattresses if need be
e. ) Keep skin moist
b. ) Maintain smooth sheets.
c. ) Keep skin surfaces and linens clean
d. ) Use special mattresses if need be
What is the appropriate position for a thoracentesis?
a. ) Sit on the side of the bed with feet supported on a stool and lean over the overbed table.
b. ) Supine on a tilting table during procedure and supine with HOB elevated less than 30 degrees.
c. ) Fully supported, upright position in bed or chair
d. ) Prone position with arms and legs stretched.
a.) Sit on the side of the bed with feet supported on a stool and lean over the overbed table.
Thoracentesis is removal of fluid/air from pleural cavity
What is the appropriate position for a liver biopsy?
a. ) Supine position for sternal puncture
b. ) Lateral positions with head bent toward chest and knees flexed onto abdomen with back at edge of bed.
c. ) Prone position for puncture of iliac crest
d. ) Supine during biopsy, right lateral position with small pillow or folded towel under biopsy site following procedure.
d.) Supine during biopsy, right lateral position with small pillow or folded towel under biopsy site following procedure.
Not on Chelsea’s test
Lumbar puncture = b.) Lateral positions with head bent toward chest and knees flexed onto abdomen with back at edge of bed
______ is the medical term for lack of blood supply to a body part.
ischemia
______ is the medical term for removal of fluid from the peritoneal cavity.
Abdominal paracentesis
Thoracentesis is removal of fluid/air from pleural cavity
A rolled bath blanked against hip in supine position to prevent external rotation of hip
Trochanter roll
