PPNC 2 Midterm Questions and Correct Answers

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PPNC 2 Midterm Questions and Correct
Answers

Question: Restraints used when:
Answer: safety of patient
staff member and
themselves


Question: What should you NEVER use restraints for?
Answer: punishment
discipline
coercion
convenience


Question: Why are alternatives to restraints so important?
Answer: - pt. becomes weaker with immobilization
- restraint devices increase agitation
- greater risk for falling/injuries
- psychological side effects like anger, loss of dignity, depression


Question: Medical Restraints
Answer: To keep them from pulling something that they need for medical
therapy (i.e. ventilator)


Question: Behavioral restraints
Answer: risk for harming


Question: What is needed for restraints?
Answer: 24 hour renewing orders
1hr in emergency

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behavioral check every 15 minutes
release at least every 2 hours


Question: Documentation of behavioral restraints:
Answer: - the need for restraints
- alternatives that were applied to avoid usage
- notification of family
- time restraints were initiated/discontinued
- type of restraints
- pt. behaviors while in restraints
- ongoing communication with pt/family about termination of restraint


Question: How often should MD assess behavioral restraints?
Answer: 8 hrs


Question: What parts of the body should NOT be stapled?
Answer: hands, feet, neck ,face


Question: What is the primary goal of ulcers?
Answer: increase circulation to the area in question


Question: Which of the following is correct when obtaining a wound
culture by swab?


A. Roll swab around in a pool of exudative material.


B. Swab culture areas where slough or eschar is present.


C. Roll the swab around the wound edges


D. Swab the wound from margin to margin in a 10 point zigzag pattern
Answer: D

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Question: Where do you put restraints?
Answer: pad bony prominences
quick release knot
tie to bed frame not side rails


Question: walking with a cane
Answer: Hold cane on UNAFFECTED side
move injured leg after moving cane


Question: i) Standard precautions
Answer: for all patients


Question: contact precautions
Answer: measures taken to prevent the spread of diseases transmitted by
the physical transfer of pathogens to a susceptible host's body surface


Question: Contact precautions have what 5 things?
Answer: Private room - door can be open
Gloves
Gown- if giving direct care
Handwashing
Disposable supplies in room


Question: Droplet precautions
Answer: pathogens spread through close respiratory or mucous
membrane


Question: Droplet percautions things to know
Answer: (a) Possible private room
(b) Clean gown and glove use
(c) Disposal of contaminated items in room


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(d) Double-bag linen and mark (per hospital policy)
(e) Addition of mask and eye protection within 3 ft


Question: Airborne precautions
Answer: pathogens that are very small and remain over long time


Question: Airborne precautions are for what 4 diseases?
Answer: SARS, TB, Measles and Varicella


Question: Airborne precautions things to know
Answer: (a) Special private room
(b) Clean gown and glove use
(c) Disposal of contaminated items in room
(d) Double-bag linen and mark (per hospital policy)
(e) N95 mask
(f) Mask for patient with transport


Question: Protective or neutropenic isolation
Answer: protect client from other organisms


Question: Protective or neutropenic isolation things to know
Answer: (a) Room with no carpeting; daily wet dusting
(b) Avoiding standing water in the room (e.g., humidifier)
(c) Nurse not assigned to other clients with active infection
(d) Standard and transmission-based precautions, plus mask and other
personal protective equipment (PPE) (to protect patient)


Question: Handwashing includes
Answer: time, water, soap, friction and drying


Question: How long do you wash your hands in a nonsurgical setting?
Answer: 15 seconds

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