Download NSG 211 Final Questions and Answers: Comprehensive Guide for Nursing Students and more Exams Nursing in PDF only on Docsity!
NSG 211 Final Questions And Answers With
Complete Solutions
DO NOT USE LIST` ->
-U
-Drug name abbreviations -Apothecary units -@ symbol -cc -ug -prefixes -suffixes -roots Ethical principles correct answer: -Autonomy-self governing -Beneficence-benefit others -Nonmaleficence-do not harm
- Confidentiality-keep privacy
- Fidelity-keeping promises
- Justice-same treatment
- Veracity-telling the truth ANA Code of Ethics correct answer: • Primary commitment is to patient (individual, family or community)
- Demonstrates compassion and respect for all patients
regardless of patient status
- Promotes the health and welfare of patients
- Accountable for individual practice.
- Maintains and increases own knowledge base
- Works to improve healthcare environment for providers and patients WV BON Rules and Reg correct answer: • Regulates nursing practice in WV
- Creates Rules and Regulations to administer the Nurse Practice Act (NPA)
- Describes rules of conduct for nurses Direct/indirect provider of care correct answer: • Designers, coordinators, and managers of care
- Focus on how diseases are affecting activity levels and abilities to perform tasks as well as how patients are coping with their issues and any related losses of function
- Collaborate (with practitioners of medicine), but also independent practice
- Patient teaching, therapeutic communication, and physical procedures (turning, assisting)
- Spend more time and know issues more completely
complications
- Tertiary prevention
- Prevent complications of existing disease Nursing process correct answer: -Assessing -Diagnosing -Planning -Interventions -Evaluation 3 types of nursing assessment correct answer: -Emergency: problem area
- Focused: problem area
- Comprehensive: broad and wide-ranging (annual) ABCD correct answer: -Emergency situation -Airway -Breathing -Circulation -Disability Long term care setting correct answer: Once a month Intensive care setting correct answer: Hourly Acute care setting correct answer: Once a shift Outpatient setting correct answer: Focused assessments following treatments
Well visits correct answer: • Periodic health assessment focuses on the most common screening and prevention services for four age groups Pre-orientation correct answer: Obtain info, examine one's own feelings Orientation correct answer: Create trust and rapport, explore beliefs and feelings Working correct answer: Maintain trust and rapport Promote insight Work toward goals Be aware of transference and counter-transference Termination correct answer: Plan of action if appropriate Provides closure Active therapeutic communication correct answer: Open relaxed posture, eye contact, focus on client not other things, minimize environmental distractions Passive Listening Introducing self correct answer: ◦ Enables client to meet nurse ◦ Clarifies role Offering self correct answer: "We can sit here quietly; there's no need to talk unless you want to." Closed ended questions correct answer: Yes or no reply
"You keep rubbing you forehead; are you in discomfort?" Focusing correct answer: "You touched on his drinking. Tell me more about that." Encouraging plan correct answer: "Can you think of another way you might be able to handle a situation like this?" "In what way can you make these visits less upsetting?" Role playing correct answer: "Let's go over what you want to say to her." Confronting correct answer: "You keep telling me that you want to quit drinking; what actions have you taken thus far to aid with your sobriety?" Summarizing correct answer: "From what you describe, your family seems...." It sounds like your biggest worries today are...." Chain of infection correct answer: Infectious agent—bacteria, viruses, fungi Reservoir—natural habitat of the organism Portal of exit—point of escape for the organism Means of transmission—direct contact, indirect contact, airborne route Portal of entry—point at which organisms enter a new host
Susceptible host—must overcome resistance mounted by host's defenses Direct route of transmission correct answer: • Host comes into contact with reservoir
- Kissing, skin-to-skin contact, sexual intercourse
- Contact with soil or vegetation Indirect route of transmission correct answer: • Disease is carried from reservoir to host
- Contaminated surfaces (fomites) Soap correct answer: soiled hands hand sanitizer correct answer: unsoiled Universal/Standard Precautions correct answer: Hand hygiene, PPE, gloves Contact precautions correct answer: Gloves and gown;Salmonella, scabies, Shigella, and pressure ulcers Droplet precautions correct answer: mask and 1 person in room; flu, meningitis, pertussis, and diptheria Airborne precautions correct answer: chickenpox, measles, and tuberculosis; PPE equipment (putting on) correct answer: gowns, mask, goggles, and gloves
Respiration rate correct answer: 1. Position patient for clear view of chest movement
- Place patient's arm or your own hand in a relaxed position across stomach or lower chest
- Observe a complete respiratory cycle Blood pressure correct answer: Be sure patient is calm and relaxed (resting for 5 minutes) May be supine or sitting (arm at heart level) Cuff size must be 80% of arms circumference or 40% of its width. Palpate the brachial artery Center the cuff 2.5cm above the brachial artery Estimate SBP- feel for pulse, inflate cuff until pulse is not palpable, deflate cuff slowly, when pulse palpable this indicates estimated SBP. Axillary temp correct answer: Safe & inexpensive Often inaccurate because: Long measurement time needed, Patient must be still, Patient must be positioned or held Recommended for infants, young children, and patients that have an impaired immune system. Must document as an axillary temp and NOT an oral temp Rectal temp correct answer: Thought to be as accurate as an oral temp - core temperature. Needs lubrication Long measurement time needed
May cause rectal trauma & cannot be used with: Newborns, Diarrhea, Rectal surgery or bleeding Patient may be embarrassed Patient must be positioned or held Must document as a rectal temp Oral temp correct answer: Comfortable & easy, no positioning needed Accurate temps when proper technique used Must place thermometer tip in left or right mouth pocket under tongue Is influenced by hot & cold fluids Is influenced by mouth breathing Must be awake, alert, and oriented Should not be used with: Confused or uncooperative patients, Infants & small children, Oral surgery or oral trauma, History of seizures or chills Ear temperatures correct answer: Easy site to use- but have not been proven as accurate Rapid measurement - 2 to 5 seconds! Uses disposable, single use probes No interference with breathing Little patient positioning needed Not effected by food, drink, or smoking Can be used with all age groups & most patients Newborns (no heat loss), infants & small children (difficult positioning)
Skin color Body structure and development Behavior correct answer: Facial expressions LOC speech Mobility correct answer: Posture Range of motion Gait National Patient Safety Goals correct answer: •Identify patients correctly •Use medications safely •Prevent infection •Check patient medications •Improve staff communication •Identify patient safety risks Prenatal, Neonate and infant correct answer: Avoid behaviors that might harm the fetus. Never leave the infant unattended. Use crib rails. Back to sleep Monitor setting for objects that are choking hazards. Use car seats properly. Bath water temperature Toddler and preschool correct answer: Childproof home environment. Prevent poisoning.
Be alert to manifestations of child abuse. Use car seats properly Firearm safety School age correct answer: Help to avoid activities that are potentially dangerous. Provide interventions for safety at home, school, and neighborhood. Teach bicycle safety. Teach about child abduction. Booster seats and seatbelts Firearm safety Adolescents correct answer: Teach safe driving skills. Teach avoidance of tobacco and alcohol. Teach risk of infection with body piercing/ tatoos Teach about guns and violence. Internet safety Adults correct answer: MVA is the leading cause of death/injury Intimate Partner Violence Older adults correct answer: Falls are the leading cause of injury-related death in people 60 and older Fall Prevention Intervention correct answer: Remove small items that can cause falls
Inspection - noting general appearance, skin, lymphatic areas, nipple Maneuvers to screen for retraction Inspect and palpate axilla Client laying supine, with pad under side to be palpated: Palpation of breast and nipple Bimanual palpation for Best time for self breast exam? correct answer: After period Symptoms of altered nutrition correct answer: Weight changes; changes in eating habits; skin, hair, nail changes; energy level decrease BMI categories correct answer: -below 18.5 (shown in white) is considered underweight. -18.5 to 24.9 (green) is considered healthy. -Overweight (not obese), if BMI is 25.0 to 29.9. -Class 1 (low-risk) obesity, if BMI is 30.0 to 34.9. -Class 2 (moderate-risk) obesity, if BMI is 35.0 to 39.9. -Class 3 (high-risk) obesity, if BMI is equal to or greater than 40.0. LOOK AT NUTRITION (WEEK 8) correct answer:
Multistick correct answer: Urine dipstick (review how to use) accucheck correct answer: blood glucose Hematest correct answer: occult blood or gastric acid How often to check blood sugar correct answer: 24 hours Quality control of accucheck correct answer: Examples of troubleshooting: repeat testing, open up a new set of controls, open up a new bottle of test strips. Critical accucheck results correct answer: •Repeat the whole blood glucose using a new strip and new finger stick
- Send to clinical laboratory for a follow up analysis. Multistick procedure correct answer: -Sample Collection (URINE ONLY) Completely immerses test strip Removes excess urine Compares test area with color chart at the appropriate time The result must be entered into Epic Purpose of documentation correct answer: Legal document, communication and care planning, quality assurance, financial reimbursement, Education, Research Components of the medical record correct answer: • Nursing admission assessment
Early adulthood correct answer: intimacy vs isolation Middle Adulthood correct answer: generativity vs stagnation Late adulthood correct answer: ego integrity vs despair Piaget correct answer: • Infant: sensorimotor
- Toddler and preschooler: preoperational
- School-age: concrete operations
- Adolescent: formal operations
- Young adult: formal operations Biomedical model correct answer: absence of disease CAM correct answer: interplay of mind, body and spirit Roy's adaption model correct answer: patient's ability to adapt, compensate, manage and adjust to physiologic-physical health- related setbacks Gordon's functional health model correct answer: fulfill social roles by by contributing to family and society in meaningful ways and avoid risks leading to loss of independence Eudaimonistic Model of Health correct answer: "wholeness" of the individual (biopsychosocial, and spiritual well-being) leads to health
What is culture? correct answer: Shared, learned, and symbolic system of values, beliefs, and attitudes that shape and influence how people see and behave in the world Spiritual assessment correct answer: 1. Do you have a religious affiliation?
- Do you practice any spiritual activities (yoga, Tai Chi, meditation)
- Do you consider yourself deeply religious?
- Do you participate in any religious activities?
- Do you pray or meditate?
- Who or what supplies you with strength and hope?
- What gives you strength and meaning to your life?
- In what spiritual practices do you engage for your physical and emotional pain? End of life signs and symptoms correct answer: Confusion, delirium Hemodynamic instability Pulmonary congestion, increased secretions Altered patterns of breathing Pallor, mottling, cyanosis Peripheral edema, anasarca Blisters, skin sloughing Hypothermia End of life nursing interventions correct answer: Collaboration with physician/team Reassurance and education Role model comforting
