Contact precaution PPE
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Standard precautions PLUS -
Gloves and gowns at all times.
BP equipment
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-For manual BP: Sphygmomanometer
-Stethoscope
-Electronic blood pressure machine/monitor
-(Invasive BP monitoring with the use of a thin catheter in an artery used
only in ICUs)
Which of the following most motivates a patient to participate in an exercise
program?
1. Providing a patient with a pamphlet on exercise
2. Providing information to the patient when he or she is ready to change behavior
3. Explaining the importance of exercise at the time of diagnosis of a chronic disease
4. Providing the patient with a booklet with examples of exercises
5. Providing the patient with a prescribed exercise program
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2. Providing information to the patient when he or she is ready to change
behavior
A patient has been newly admitted to a medicine unit with a history of diabetes and
advanced heart failure. The nurse is assessing the patient's fall risks. Place the
following steps for measuring the "Timed Get-up and Go Test" (TUG) in the correct
order:
1. Have patient rise from straight-back chair without using arms for support.
,2. Begin timing.
3. Tell patient to walk 10 feet as quickly and safely as possible to a line you marked on
the floor, turn around, walk back, and sit down.
4. Check time elapsed.
5. Look for unsteadiness in patient's gait.
6. Have patient return to chair and sit down without using arms for support
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3, 1, 2, 5, 6, 4
A nursing assistive personnel asks for help to transfer a patient who is 125 lbs (56.8 kg)
from the bed to a wheelchair. The patient is unable to help. What is the nurse's best
response?
1. "As long as we use proper body mechanics, no one will get hurt."
2. "The patient only weighs 125 lbs. You don't need my assistance."
3. "Call the lift team for additional assistance."
4. "The two of us can lift the patient easily."
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3. "Call the lift team for additional assistance."
, The effects of immobility on the cardiac system include which of the following?
(Select all that apply.)
1. Thrombus formation
2. Increased cardiac workload
3. Weak peripheral pulses
4. Irregular heartbeat
5. Orthostatic hypotension
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1. Thrombus formation
2. Increased cardiac workload
5. Orthostatic hypotension
When you are assigned to a patient who has a reduced level of consciousness and
requires mouth care, which physical assessment techniques should you perform
before the procedure? (Select all that apply.)
1. Oxygen saturation
2. Heart rate
3. Respirations
4. Gag reflex
5. Response to painful stimulus
Give this one a try later!
Standard precautions PLUS -
Gloves and gowns at all times.
BP equipment
,Give this one a try later!
-For manual BP: Sphygmomanometer
-Stethoscope
-Electronic blood pressure machine/monitor
-(Invasive BP monitoring with the use of a thin catheter in an artery used
only in ICUs)
Which of the following most motivates a patient to participate in an exercise
program?
1. Providing a patient with a pamphlet on exercise
2. Providing information to the patient when he or she is ready to change behavior
3. Explaining the importance of exercise at the time of diagnosis of a chronic disease
4. Providing the patient with a booklet with examples of exercises
5. Providing the patient with a prescribed exercise program
Give this one a try later!
2. Providing information to the patient when he or she is ready to change
behavior
A patient has been newly admitted to a medicine unit with a history of diabetes and
advanced heart failure. The nurse is assessing the patient's fall risks. Place the
following steps for measuring the "Timed Get-up and Go Test" (TUG) in the correct
order:
1. Have patient rise from straight-back chair without using arms for support.
,2. Begin timing.
3. Tell patient to walk 10 feet as quickly and safely as possible to a line you marked on
the floor, turn around, walk back, and sit down.
4. Check time elapsed.
5. Look for unsteadiness in patient's gait.
6. Have patient return to chair and sit down without using arms for support
Give this one a try later!
3, 1, 2, 5, 6, 4
A nursing assistive personnel asks for help to transfer a patient who is 125 lbs (56.8 kg)
from the bed to a wheelchair. The patient is unable to help. What is the nurse's best
response?
1. "As long as we use proper body mechanics, no one will get hurt."
2. "The patient only weighs 125 lbs. You don't need my assistance."
3. "Call the lift team for additional assistance."
4. "The two of us can lift the patient easily."
Give this one a try later!
3. "Call the lift team for additional assistance."
, The effects of immobility on the cardiac system include which of the following?
(Select all that apply.)
1. Thrombus formation
2. Increased cardiac workload
3. Weak peripheral pulses
4. Irregular heartbeat
5. Orthostatic hypotension
Give this one a try later!
1. Thrombus formation
2. Increased cardiac workload
5. Orthostatic hypotension
When you are assigned to a patient who has a reduced level of consciousness and
requires mouth care, which physical assessment techniques should you perform
before the procedure? (Select all that apply.)
1. Oxygen saturation
2. Heart rate
3. Respirations
4. Gag reflex
5. Response to painful stimulus