Nursing 1 Exam 1 Polk State College OS Questions With
Complete Solutions
- 60 years or older
-irreversible cognitive impairment
-escape on foot/vehicle Correct Answers Silver Alert
- acute: < 6 months
- chronic: > 6 months
- latent: present w/o symptoms Correct Answers Classification
of infection: Duration EXAMPLES
- always use as a last resort
-use in an emergency situation: apply THEN notify DR.
- DR to assess within one hour Correct Answers Restraining
patients
- are considered a good thing
-secondary line of defense
-UP to 102.2 degrees is safe
- slows the rate of infection Correct Answers Fevers
- ask questions start broad/open ended and then narrow it down
become more specific Correct Answers Genitourinary system
assessment:
- depends on the cause
- let it run its course
-immodium (opiate based)
-fluids Correct Answers diarrhea treatment:
,- fleets enema
-saline enema
-pulls h2o into the GI tract Correct Answers Hypertonic
enemas:
- gloves
- eyewear
- gown
-mask Correct Answers PPE Doffing order:
- gown (NEVER tie the gown in the front)
-eye wear
- face mask
-gloves Correct Answers PPE donning order:
- How microorganisms leave the reservoir
-jewelry/acrylic or polished nails Correct Answers Portal of exit
- intimate: (0-18 inches)
-personal
-social
-public Correct Answers Kinds of distance:
- Location and Duration Correct Answers Classification of
infection:
- MUST have doctor order-
- DR in person evaluation must be done within ONE hour of
initiating
restraints
-check patient every 15 minutes if agitated
, -check pt every 2 hours if calm
-Re-asses often for continued need
-Use alternative options when possible
-Must be renewed every FOUR hours
-never tie to moving part of bed
-utilize quick release knot
-all bed rails up are considered a restraint Correct Answers
Restraint rules
-50- 100 mL Correct Answers Normal amount of residual after
voiding:
-A.D.P.I.E
-clinical decision making tool
-treating the response to a medical dx Correct Answers Nursing
Process
-adequate fluid intake
-normal routine
-1500mL/day
-positioning = promotion Correct Answers Promotion of
urinary system:
-Age
-Education level
-level of understanding
-physical/mental condition Correct Answers Factors that
AFFECT communication:
-age
Complete Solutions
- 60 years or older
-irreversible cognitive impairment
-escape on foot/vehicle Correct Answers Silver Alert
- acute: < 6 months
- chronic: > 6 months
- latent: present w/o symptoms Correct Answers Classification
of infection: Duration EXAMPLES
- always use as a last resort
-use in an emergency situation: apply THEN notify DR.
- DR to assess within one hour Correct Answers Restraining
patients
- are considered a good thing
-secondary line of defense
-UP to 102.2 degrees is safe
- slows the rate of infection Correct Answers Fevers
- ask questions start broad/open ended and then narrow it down
become more specific Correct Answers Genitourinary system
assessment:
- depends on the cause
- let it run its course
-immodium (opiate based)
-fluids Correct Answers diarrhea treatment:
,- fleets enema
-saline enema
-pulls h2o into the GI tract Correct Answers Hypertonic
enemas:
- gloves
- eyewear
- gown
-mask Correct Answers PPE Doffing order:
- gown (NEVER tie the gown in the front)
-eye wear
- face mask
-gloves Correct Answers PPE donning order:
- How microorganisms leave the reservoir
-jewelry/acrylic or polished nails Correct Answers Portal of exit
- intimate: (0-18 inches)
-personal
-social
-public Correct Answers Kinds of distance:
- Location and Duration Correct Answers Classification of
infection:
- MUST have doctor order-
- DR in person evaluation must be done within ONE hour of
initiating
restraints
-check patient every 15 minutes if agitated
, -check pt every 2 hours if calm
-Re-asses often for continued need
-Use alternative options when possible
-Must be renewed every FOUR hours
-never tie to moving part of bed
-utilize quick release knot
-all bed rails up are considered a restraint Correct Answers
Restraint rules
-50- 100 mL Correct Answers Normal amount of residual after
voiding:
-A.D.P.I.E
-clinical decision making tool
-treating the response to a medical dx Correct Answers Nursing
Process
-adequate fluid intake
-normal routine
-1500mL/day
-positioning = promotion Correct Answers Promotion of
urinary system:
-Age
-Education level
-level of understanding
-physical/mental condition Correct Answers Factors that
AFFECT communication:
-age
