Exam 1 Focus Guide Adult Health 1 Test
Questions And All Correct Answers.
· Welcome to Med-Surg... what type of patients will you see? - Answer 18yrs and older
COPD
GI, SURGICAL
· What is the priority when you start working?... #1 priority - Answer Safety
Who can help in Quality Improvement? What is Quality Improvement? - Answer EVERYONE,
EFFORTS TO IMPROVE PERFORMANCE
· What is delegation? What can be delegated to whom? - Answer PASSING ON A TASK
RIGHT PERSON- RIGHT TASK
NOTHING YOU CAN EAT
· In rehab, how can the UAP assist?... what safety reminder may you instruct the UAP to ensure? -
Answer ADL's (non-skid socks, gait belt, no clutter)
· What are the different roles in rehab and what do they assist the client with? - Answer Medical, but
with pt in mind, major movement (walking and crutches) ADL's (meals, drinking, bathing)
·What is the main goal in rehab? - Answer Highest goal is rehabilitating patient to best care
• What is our primary goal in EOL care? - Answer Comfort
• Patient centered... wants, needs, environment, comfort, alternative treatments - Answer Wants,
needs, patient decision
, • EOL care... basic needs - Answer , oxygen, pain management, constipation relief. May not be
concerned with hydration/nutrition
• Everyone experiences this time differently. What is our role? - Answer Support, adjust to what patient
needs
• What are the manifestations of death?... what keeps us alive??... so cessation would be death. -
Answer No respirations
no heat beat
Death rattle
• What is an advanced directive and when is it done? - Answer (Something done in advance)
a set of instructions someone prepares in advance
• What is hospice vs palliative care? What treatments are included? - Answer Hospice- comfort care
end of life, 6m or less to live
Palliative care- Cant fix the the problem, but can help ease the pain.
Ex: chemo, radiation, surgery
• What can be delegated to LPN/LVN?... skills to prep before procedure - Answer vitals , meds, foley
(nothing you can EAT)
• What makes you high risk for VTEs? What is a VTE? - Answer Birth control, obese, Smoking
a VTE is Venous Thrombeombolism a condition which a blood clot forms most often in deep veins.
• What teaching would you relay to the patient about potential drains and lines after procedure? -
Answer Dont pull on them and educate them
• What do we need to relay to the surgical team from our assessment?... - Answer past hx, meds,
appropriate allergies?
previous reaction to meds, labs, vitals
Questions And All Correct Answers.
· Welcome to Med-Surg... what type of patients will you see? - Answer 18yrs and older
COPD
GI, SURGICAL
· What is the priority when you start working?... #1 priority - Answer Safety
Who can help in Quality Improvement? What is Quality Improvement? - Answer EVERYONE,
EFFORTS TO IMPROVE PERFORMANCE
· What is delegation? What can be delegated to whom? - Answer PASSING ON A TASK
RIGHT PERSON- RIGHT TASK
NOTHING YOU CAN EAT
· In rehab, how can the UAP assist?... what safety reminder may you instruct the UAP to ensure? -
Answer ADL's (non-skid socks, gait belt, no clutter)
· What are the different roles in rehab and what do they assist the client with? - Answer Medical, but
with pt in mind, major movement (walking and crutches) ADL's (meals, drinking, bathing)
·What is the main goal in rehab? - Answer Highest goal is rehabilitating patient to best care
• What is our primary goal in EOL care? - Answer Comfort
• Patient centered... wants, needs, environment, comfort, alternative treatments - Answer Wants,
needs, patient decision
, • EOL care... basic needs - Answer , oxygen, pain management, constipation relief. May not be
concerned with hydration/nutrition
• Everyone experiences this time differently. What is our role? - Answer Support, adjust to what patient
needs
• What are the manifestations of death?... what keeps us alive??... so cessation would be death. -
Answer No respirations
no heat beat
Death rattle
• What is an advanced directive and when is it done? - Answer (Something done in advance)
a set of instructions someone prepares in advance
• What is hospice vs palliative care? What treatments are included? - Answer Hospice- comfort care
end of life, 6m or less to live
Palliative care- Cant fix the the problem, but can help ease the pain.
Ex: chemo, radiation, surgery
• What can be delegated to LPN/LVN?... skills to prep before procedure - Answer vitals , meds, foley
(nothing you can EAT)
• What makes you high risk for VTEs? What is a VTE? - Answer Birth control, obese, Smoking
a VTE is Venous Thrombeombolism a condition which a blood clot forms most often in deep veins.
• What teaching would you relay to the patient about potential drains and lines after procedure? -
Answer Dont pull on them and educate them
• What do we need to relay to the surgical team from our assessment?... - Answer past hx, meds,
appropriate allergies?
previous reaction to meds, labs, vitals
