FUNDAMENTALS (NR226) FINALS REVIEW (COMPREHENSIVE) EXAM
QUESTIONS WITH COMPLETE SOLUTION
Medication Rights (what to check before administering medication)
Right Patient
Right Medication
Right Route
Right Dose
Right Time
Right Reason
Right Documentation
How to administer medication patch
-Remove the patch from its pouch and peel off half of its protective liner. -Place the
adhesive side on the skin, then peel off the other half of the liner.
-Press the skin patch firmly with the palm of your hand for at least 30 seconds, making
sure it adheres to the skin, especially at the edges.
How to administer SL
*ask Dr. Kiss about this because I have 0 idea*
Ethical Principles
1. Advocacy: always fight for patient's needs
2. Responsibility: duty is to patient
3. Accountability: own all choices made in care of patient
4.Confidentiality: keep patient's information private
5. Veracity: be honest with patient always
When do you need to report medication errors?
-as soon as the error is made/noticed
-the first thing you do when there is a medication error is stop the medication, then you
assess the patient's vitals to determine whether damage has occured
Nursing Negligence
-failure to implement safety measures (i.e, not raising bed rails for a patient with mobility
issues)
Nursing Malpractice
-Failure to use the degree of care the a reasonable nurse would use under the same or
similar circumstances.
-The client dies as a result of negligence.
Intentional tort
-A wrongful act knowingly committed.
-i.e:
-assault-battery-false imprisonment
Unintentional tort
negligence and malpractice
What do you do when a patient refuses treatment?
-comply with their wishes and document refusal
Who do nurses report to?
, -nursing manager (?)
-*ask Dr. Kiss about this*
What can you delegate to UAP's?
-simple tasks that do not require an RN's scope of practice or analysis. I.e:
-apply condom catheter
-bed making
-hygiene
-stool/urine sample collection
Five rights of delegation
a. Right task.
b. Right circumstance.
c. Right person.
d. Right supervision.
e. Right direction and communication
Best way to prevent infection
hand washing
Proper handwashing steps
-Wet your hands with clean, running water — either warm or cold.
-Apply soap and lather well.
-Rub your hands vigorously for at least 20 seconds, wash all the way to your wrists as
well
-Rinse well.
-Dry your hands with a clean towel or air-dry them.
-make sure to scrub under nails and remove all jewelry
What kind of isolation do you do when a patient has C. diff?
-contact precautions (isolation)
-healthcare workers must wear gown, gloves, and wash hands with soap and water
when exiting
S/S infection/inflammation
-redness
-warmth
-purulent drainage
-fever
-swelling
Prevention of infection - diet ask Dr. Kiss about this
-i know vitamin c-rich foods can help???
-ask Dr. Kiss about this**
*Come back to page 2, question 7 - priority questions*
Main safety concerns with older adults
-Falls risk
-Increased risk of delirium or dementia-Increased risk of depression-Lower sleep
quality/amount of sleep
Fall Prevention in Older Adults
Exercise or physical therapy and Vit D supplementation to prevent falls in adults >65
years
Isotonic solution
QUESTIONS WITH COMPLETE SOLUTION
Medication Rights (what to check before administering medication)
Right Patient
Right Medication
Right Route
Right Dose
Right Time
Right Reason
Right Documentation
How to administer medication patch
-Remove the patch from its pouch and peel off half of its protective liner. -Place the
adhesive side on the skin, then peel off the other half of the liner.
-Press the skin patch firmly with the palm of your hand for at least 30 seconds, making
sure it adheres to the skin, especially at the edges.
How to administer SL
*ask Dr. Kiss about this because I have 0 idea*
Ethical Principles
1. Advocacy: always fight for patient's needs
2. Responsibility: duty is to patient
3. Accountability: own all choices made in care of patient
4.Confidentiality: keep patient's information private
5. Veracity: be honest with patient always
When do you need to report medication errors?
-as soon as the error is made/noticed
-the first thing you do when there is a medication error is stop the medication, then you
assess the patient's vitals to determine whether damage has occured
Nursing Negligence
-failure to implement safety measures (i.e, not raising bed rails for a patient with mobility
issues)
Nursing Malpractice
-Failure to use the degree of care the a reasonable nurse would use under the same or
similar circumstances.
-The client dies as a result of negligence.
Intentional tort
-A wrongful act knowingly committed.
-i.e:
-assault-battery-false imprisonment
Unintentional tort
negligence and malpractice
What do you do when a patient refuses treatment?
-comply with their wishes and document refusal
Who do nurses report to?
, -nursing manager (?)
-*ask Dr. Kiss about this*
What can you delegate to UAP's?
-simple tasks that do not require an RN's scope of practice or analysis. I.e:
-apply condom catheter
-bed making
-hygiene
-stool/urine sample collection
Five rights of delegation
a. Right task.
b. Right circumstance.
c. Right person.
d. Right supervision.
e. Right direction and communication
Best way to prevent infection
hand washing
Proper handwashing steps
-Wet your hands with clean, running water — either warm or cold.
-Apply soap and lather well.
-Rub your hands vigorously for at least 20 seconds, wash all the way to your wrists as
well
-Rinse well.
-Dry your hands with a clean towel or air-dry them.
-make sure to scrub under nails and remove all jewelry
What kind of isolation do you do when a patient has C. diff?
-contact precautions (isolation)
-healthcare workers must wear gown, gloves, and wash hands with soap and water
when exiting
S/S infection/inflammation
-redness
-warmth
-purulent drainage
-fever
-swelling
Prevention of infection - diet ask Dr. Kiss about this
-i know vitamin c-rich foods can help???
-ask Dr. Kiss about this**
*Come back to page 2, question 7 - priority questions*
Main safety concerns with older adults
-Falls risk
-Increased risk of delirium or dementia-Increased risk of depression-Lower sleep
quality/amount of sleep
Fall Prevention in Older Adults
Exercise or physical therapy and Vit D supplementation to prevent falls in adults >65
years
Isotonic solution
