NUR 313 Exam 1 Questions With Complete Solutions
5 Rights of Delegation Correct Answers 1. Right Task
2. Right Circumstances
3. Right Person
4. Right Direction/Communication
5. Right Supervision/Evaluation
Acute Care: Secondary Prevention Correct Answers Diagnosis
and treatment of illness
-Hospital emergency department
-Urgent care centers
-Inpatient medical-surgical units
-Critical care units
Patients sicker, more complex, not stable
Limited inpatient days due to managed care
-Role of case manager
Nursing Care depends on
-Communication
-Collaboration / Interprofessional care
-Critical thinking & Clinical judgement
-Evidence-based care to improve patient outcomes
,Acute Illness Correct Answers -Diseases that have a rapid onset
and short duration
-EX: colds, influenza, gastroenteritis
-Usually self limiting
-Responds rapid to treatment
-Complications are infrequent
-After illness person returns to previous level of functioning
Administering Heparin Correct Answers -Only IV or SubQ
route
-Give injection deep into subcutaneous tissue in abdomen at
least 2 inches away from the umbilicus and rotate sites
-3/8 - 5/8 inch needle with 25-27 gauge at 45-90 degree angle
Administering Medication: Enteral Tube Correct Answers -Use
liquid dosages when available
-Dilute liquid meds if needed
-Open capsules and mix in sterile water
-Crush tablets
-Grind to fine powder and mix with sterile water
-Do not crush enteric coated or sustained release tablets
-Separately dilute each medication
-Do not add meds directly to enteral feeding formula
-Stop enteral feeding
,-Flush tube with at least 15 mL of water!!!!
-Administer meds one at a time
-Flush between meds
-Flush tube with 15 mL of water before restarting enteral
feeding
Air Embolism Correct Answers -Intake of air into
cardiovascular system
-Causes: catheter is damaged, during insertion or removal,
connections in IV system
-Symptoms: decreased blood pressure, pulse weak/rapid, chest
pain, palpitations, dyspnea, altered mental status
-Treatment: clamp catheter, put on 100% O2 non rebreather
mask, turn patient on left side with head down, monitor vitals,
notify DR, IV fluids and inotropic medications
-Prevention: patient perform valsalva maneuver during
interruption of line, prime tubing, remove air from syringes,
make sure IV connection is intact
Alopecia: Nursing Interventions Correct Answers -Discuss
impact of hair loss on self-image
-ACS: "Look Good Feel Better" program
-Ways to cope with hair loss
, -Hair pieces, scarves, wigs
-Avoid excessive shampooing, brushing or combing hair
-Avoid use of electric hair dryers, curlers, and curling rods
Altered Cell Differentiation Correct Answers -Histologic
classification
-Normal cells are well differentiated and have specific structural
and functional characteristics
-Four grades used to evaluate abnormal cells based on degree to
which they resemble tissue of origin
Ambulatory Surgery Correct Answers -Can use general,
regional, or local anesthesia
-Operating time < 2 hours
-Less than 24 hour stay postoperative
-Benefits:
•Generally preferred by patient and physician
•Involves minimal lab tests
•Requires fewer pre-op and post-op medications
•Reduces patient susceptibility to hospital acquired infections
•Cost is usually less for patient and insurer
5 Rights of Delegation Correct Answers 1. Right Task
2. Right Circumstances
3. Right Person
4. Right Direction/Communication
5. Right Supervision/Evaluation
Acute Care: Secondary Prevention Correct Answers Diagnosis
and treatment of illness
-Hospital emergency department
-Urgent care centers
-Inpatient medical-surgical units
-Critical care units
Patients sicker, more complex, not stable
Limited inpatient days due to managed care
-Role of case manager
Nursing Care depends on
-Communication
-Collaboration / Interprofessional care
-Critical thinking & Clinical judgement
-Evidence-based care to improve patient outcomes
,Acute Illness Correct Answers -Diseases that have a rapid onset
and short duration
-EX: colds, influenza, gastroenteritis
-Usually self limiting
-Responds rapid to treatment
-Complications are infrequent
-After illness person returns to previous level of functioning
Administering Heparin Correct Answers -Only IV or SubQ
route
-Give injection deep into subcutaneous tissue in abdomen at
least 2 inches away from the umbilicus and rotate sites
-3/8 - 5/8 inch needle with 25-27 gauge at 45-90 degree angle
Administering Medication: Enteral Tube Correct Answers -Use
liquid dosages when available
-Dilute liquid meds if needed
-Open capsules and mix in sterile water
-Crush tablets
-Grind to fine powder and mix with sterile water
-Do not crush enteric coated or sustained release tablets
-Separately dilute each medication
-Do not add meds directly to enteral feeding formula
-Stop enteral feeding
,-Flush tube with at least 15 mL of water!!!!
-Administer meds one at a time
-Flush between meds
-Flush tube with 15 mL of water before restarting enteral
feeding
Air Embolism Correct Answers -Intake of air into
cardiovascular system
-Causes: catheter is damaged, during insertion or removal,
connections in IV system
-Symptoms: decreased blood pressure, pulse weak/rapid, chest
pain, palpitations, dyspnea, altered mental status
-Treatment: clamp catheter, put on 100% O2 non rebreather
mask, turn patient on left side with head down, monitor vitals,
notify DR, IV fluids and inotropic medications
-Prevention: patient perform valsalva maneuver during
interruption of line, prime tubing, remove air from syringes,
make sure IV connection is intact
Alopecia: Nursing Interventions Correct Answers -Discuss
impact of hair loss on self-image
-ACS: "Look Good Feel Better" program
-Ways to cope with hair loss
, -Hair pieces, scarves, wigs
-Avoid excessive shampooing, brushing or combing hair
-Avoid use of electric hair dryers, curlers, and curling rods
Altered Cell Differentiation Correct Answers -Histologic
classification
-Normal cells are well differentiated and have specific structural
and functional characteristics
-Four grades used to evaluate abnormal cells based on degree to
which they resemble tissue of origin
Ambulatory Surgery Correct Answers -Can use general,
regional, or local anesthesia
-Operating time < 2 hours
-Less than 24 hour stay postoperative
-Benefits:
•Generally preferred by patient and physician
•Involves minimal lab tests
•Requires fewer pre-op and post-op medications
•Reduces patient susceptibility to hospital acquired infections
•Cost is usually less for patient and insurer
