VN 15 CLO 3 Test-DONE

Question 1

HOSPICE NURSE CARING FOR TERMINALLY ILL CLIENTS IS MAINLY FOR PAIN CONTROL. Nursing action?

Answer 1

Nursing action: pain medications every 3 hrs around the clock as ordered for maximum pain control.

Question 2

WHY DO WE USE ALCHOL BASED WIPES OR HANDRUBS

Answer 2

Helps reduce microbial counts

Question 3

WHEN CARING FOR INFECTIOUS (RESPIRATORY)PATIENTS BESIDES HAND WASHING WHAT IS A GOOD THING TO DO

Answer 3

Wearing a mask when talking to client, PPE

Question 4

WHATS THE GREATEST CONCERN FOR ELDERLY PATIENTS

Answer 4

Accidental falls

Question 5

WHAT IS A DEHISCENCE?

Answer 5

Wound that has opened up, separation of the incision

Question 6

WHATS THE GREATEST RISK ON OLDER ADULTS WHEN PERFORMING CPR

Answer 6

Breaking the ribs

Question 7

ELDERLY CLIENTS IN SNFS OR LONG TERM CARE FACILITY WHAT IS THE GREATEST INFECTION RISK

Answer 7

• C DIFF
• UTI
• PNEUMONIA

Question 8

1 THING TO DO WHEN CARING FOR KNOWN IMMUNO SUPPRESSED CLIENTS

Answer 8

Hand washing

Question 9

WHAT IS ONE OF THE THINGS THAT CONTRIBUTES TO NONSOCOMIAL (INFECTIONS THAT TAKE PLACE IN HOSPITAL) INFECTIONS?

Answer 9

Health professional with artificial fingernails

Question 10

WHAT IS DOUBLE BAGGING?

Answer 10

Another nurse outside of the room will be holding second bag to put the first bag in

Question 11

WHEN REPOSITIONING PATIENT WITH INDWELLING CATHETER, REGARDING CATHETER TUBING WHAT IS THE HIGHEST PRIORITY?

Answer 11

Place the catheter tubing lower than clients bladder.

Question 12

WHAT TYPE OF ISOLATION PRECAUTION DO YOU FOLLOW WHEN CHANGING BED LINEN OF A CLIENT?

Answer 12

Standard precaution

Question 13

NURSE IS CARING FOR A CLIENT WHO IS BEING TUBE FED, WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE PERFORM WHEN ASSESSING A CLIENTS GASTRIC RESIDUAL VOLUME?

Answer 13

Stop the infusion of the tube feeding formula

Question 14

WHATS SOMETHING THAT CAN HAPPEN TO A CLIENT WITH CONSTANT DRY COUGH?

Answer 14

Can consume clients energy if left untreated which can lead to multiple other problems

Question 15

WHATS THE REASON WE REPOSITION CLIENT IN FOWLERS POSITION AND LET THEM DANGLE THEIR LEGS BEFORE GETTING UP?

Answer 15

Safety and don’t become dizzy or faint

Question 16

THINGS THAT KEEP CLIENT SAFE FROM FALLS?

Answer 16

• room is lit
• that floor is clear from lines or things client can fall on
• using kid resistant rugs
• slip resistant socks
• do not have items in walkway
• ambulatory devices near client
• call light near client
• lower bed

Question 17

WHAT IS PYORRIA?

Answer 17

Puss in the urine

purulence

Question 18

GENERIZED TONIC SEIZURES, WHAT ARE THINGS WE DO DURING ACTIVE PART OF SEIZING?

Answer 18

Lower them to the floor
Turn them to the side
Stay with client

Question 19

4 RISKS INVOLVED WITH RESTRAINTS?

Answer 19

• increase client confusion
• cause chronic constipation,incontinence,infections (pneumonia)
• may cause pressure ulcers
• experience progressive decline in ability to perfrom ADL’s independently

Question 20

HOW DO WE TIE RESTRAINTS ?

Answer 20

In a slip knot

Question 21

NURSING INTERVENTIONS THAT CAN HELP PREVENT PRESSURE ULCERS?

Answer 21

Reposition every 2 hrs
Good high(quality) protein diet
Meticulous skin care of client

Question 22

DYSPHAGIA, WHAT ARE SOME RESPONSIBILITIES WHEN FEEDING CLIENT?

Answer 22

Semi fowlers or fowlers position for feeding
Suctioning equipment by bedside
Verify client is able to swallow and has correct type of feeding diet