TEST BANK For Clinical Guidelines in Primary Care, 4th Edition
by Amelie Hollier
Eyedrop Administration - ANSWER:Process: patient position, hand hygiene, 6 rights
of meds, lid placement, bottle tip caution
Enema Preparation - ANSWER:Steps: dispelling misconceptions, explaining purpose,
ensuring privacy, recommended positions and solution temperature
Residual Urine - ANSWER:Definition: incomplete bladder emptying, assessment
criteria, anuria, dysuria, frequency, glycosuria, nocturia, oliguria, polyuria,
proteinuria, pyuria, urgency, incontinence
Droplet Precautions - ANSWER:Precautions for infections spread by large droplets,
room setup, PPE use, patient transport, visitor distance
Ambulation Tolerance - ANSWER:Assessment of patient's mobility, gait, muscle
strength, assistive device effectiveness, paresis, paralysis
Wheelchair Safety - ANSWER:Safety measures: wheel locking, leg rest position,
transfer instructions post-CVA
Restraints - ANSWER:Definition, types, last resort use, emergency application,
monitoring requirements
Saline Flush - ANSWER:Purpose: catheter function assessment, pre/post-infusion
flushing, locking devices, catheter patency maintenance
Braden Interpretation - ANSWER:Pressure sore risk evaluation based on mental
status, continence, mobility, activity, nutrition, risk score ranges
Nutrition Assessment Lab Values - ANSWER:Interpretation of hemoglobin,
hematocrit, serum albumin, prealbumin, BUN, creatinine levels
Catheter Kinking - ANSWER:Prevention measures, urine diversion, excoriation risk
Pressure Ulcer Infection - ANSWER:Signs, symptoms, wound care, dressing
precautions
Biohazard Control - ANSWER:Disposal protocol, specimen handling, infection
prevention
Nasopharyngeal Suction - ANSWER:Procedure: sizing, patient positioning,
lubrication, oxygen saturation monitoring
, Smoking Effects on Sleep - ANSWER:Nicotine impact on sleep, withdrawal effects,
sleep disturbances
Dressing Change Assessment - ANSWER:Wound evaluation: location, size, edges,
drainage types, wound care observations
Sleep Assessment - ANSWER:Evaluation of patient's sleep habits, patterns, rituals,
environment, and related questions
REM - ANSWER:25% of sleep cycle with fluctuating vitals
Placebo Admin - ANSWER:Used in drug trials to test medication effects
Power of Attorney - ANSWER:Authorizes agent to act on behalf of the person
Nursing Process - ANSWER:Involves outcome statements and interventions
Benzodiazepines - ANSWER:May cause developmental defects in pregnancy
End of Life - DNR - ANSWER:Directive to not resuscitate a patient
Grief - Mastectomy - ANSWER:Manifests in emotional and physical symptoms
Wound Irrigation Fluid - ANSWER:Used for debridement and wound healing
Primary Prevention - ANSWER:Promotes health and prevents diseases
Secondary Prevention - ANSWER:Focuses on early disease detection and treatment
Tertiary Prevention - ANSWER:Aims to reduce disability and rehabilitate patients
Pressure Injury Staging - ANSWER:Classifies skin wounds into stages based on
severity
Cranial Nerves - GERI - ANSWER:Assessment of various cranial nerves functions
Blood Pressure - ANSWER:Measured using sphygmomanometer and stethoscope
Feet flat on the floor, no crossing - ANSWER:Ensure patient's feet are planted flat on
the floor without crossing
Normal BP systolic less than 120, diastolic less than 80; higher than 90/60 -
ANSWER:Standard blood pressure values with systolic below 120 and diastolic below
80, but not lower than 90/60
ROM Adduction - ANSWER:Range of Motion movement involving bringing a body
part towards the center of the body
by Amelie Hollier
Eyedrop Administration - ANSWER:Process: patient position, hand hygiene, 6 rights
of meds, lid placement, bottle tip caution
Enema Preparation - ANSWER:Steps: dispelling misconceptions, explaining purpose,
ensuring privacy, recommended positions and solution temperature
Residual Urine - ANSWER:Definition: incomplete bladder emptying, assessment
criteria, anuria, dysuria, frequency, glycosuria, nocturia, oliguria, polyuria,
proteinuria, pyuria, urgency, incontinence
Droplet Precautions - ANSWER:Precautions for infections spread by large droplets,
room setup, PPE use, patient transport, visitor distance
Ambulation Tolerance - ANSWER:Assessment of patient's mobility, gait, muscle
strength, assistive device effectiveness, paresis, paralysis
Wheelchair Safety - ANSWER:Safety measures: wheel locking, leg rest position,
transfer instructions post-CVA
Restraints - ANSWER:Definition, types, last resort use, emergency application,
monitoring requirements
Saline Flush - ANSWER:Purpose: catheter function assessment, pre/post-infusion
flushing, locking devices, catheter patency maintenance
Braden Interpretation - ANSWER:Pressure sore risk evaluation based on mental
status, continence, mobility, activity, nutrition, risk score ranges
Nutrition Assessment Lab Values - ANSWER:Interpretation of hemoglobin,
hematocrit, serum albumin, prealbumin, BUN, creatinine levels
Catheter Kinking - ANSWER:Prevention measures, urine diversion, excoriation risk
Pressure Ulcer Infection - ANSWER:Signs, symptoms, wound care, dressing
precautions
Biohazard Control - ANSWER:Disposal protocol, specimen handling, infection
prevention
Nasopharyngeal Suction - ANSWER:Procedure: sizing, patient positioning,
lubrication, oxygen saturation monitoring
, Smoking Effects on Sleep - ANSWER:Nicotine impact on sleep, withdrawal effects,
sleep disturbances
Dressing Change Assessment - ANSWER:Wound evaluation: location, size, edges,
drainage types, wound care observations
Sleep Assessment - ANSWER:Evaluation of patient's sleep habits, patterns, rituals,
environment, and related questions
REM - ANSWER:25% of sleep cycle with fluctuating vitals
Placebo Admin - ANSWER:Used in drug trials to test medication effects
Power of Attorney - ANSWER:Authorizes agent to act on behalf of the person
Nursing Process - ANSWER:Involves outcome statements and interventions
Benzodiazepines - ANSWER:May cause developmental defects in pregnancy
End of Life - DNR - ANSWER:Directive to not resuscitate a patient
Grief - Mastectomy - ANSWER:Manifests in emotional and physical symptoms
Wound Irrigation Fluid - ANSWER:Used for debridement and wound healing
Primary Prevention - ANSWER:Promotes health and prevents diseases
Secondary Prevention - ANSWER:Focuses on early disease detection and treatment
Tertiary Prevention - ANSWER:Aims to reduce disability and rehabilitate patients
Pressure Injury Staging - ANSWER:Classifies skin wounds into stages based on
severity
Cranial Nerves - GERI - ANSWER:Assessment of various cranial nerves functions
Blood Pressure - ANSWER:Measured using sphygmomanometer and stethoscope
Feet flat on the floor, no crossing - ANSWER:Ensure patient's feet are planted flat on
the floor without crossing
Normal BP systolic less than 120, diastolic less than 80; higher than 90/60 -
ANSWER:Standard blood pressure values with systolic below 120 and diastolic below
80, but not lower than 90/60
ROM Adduction - ANSWER:Range of Motion movement involving bringing a body
part towards the center of the body
