Exam 1: NUR209/ NUR 209 (2026/ 2027 Update) Medical Surgical
Nursing II| Review with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Nur 209 Exam 1
Safety measures nurses take
Make sure you have the correct patient check wristband, name and DOB, and correct medical
record, comfortable, and check head of the bed 30 degrees, NG tube nose to esophagus feeding
thru tube.
Nurse role for safety measures
Accidents are preventable, water spilling, confusion in patients who do not leave alone, and
assisting patients that can not walk. Use critical thinking skills as the nurse. If we see something
as the nurse we must say something. Speak up in unsafe environments because it can prevent
injuries.
Between 5 and 7 mins sees the physician in a 24 hour period. The nurse is responsible for
physical assessment, eating, drinking, fever, blood pressure, using the bathroom. 11 hrs and 53
mins and at night the full 12 hrs. You have your senses and equipment and your responsibility to
notice changes in the patient's status and watch their safety.
Our job is to make sure that the patient assigned to us is provided safe, correct, and proper care.
Safety is the number one goal.
Safety in older adults
,fall prevention, understand what we are telling them, steadiness, older adult physical comp
decreases. Are they cognitive - something to put something together to create something else.
Home safety - throw rugs biggest injury factor or rug runners those rugs that are not taken down
can cause older people to fall and have a hip injury. The artery in the hip can break the hollow
organ to empty its displaced fracture, can cause sepsis and can lead to death. 50 percent of people
with a hip injury die in the first year. If you fracture the femur bone marrow gets exposed cause
fat globules when going back to the inferior vena cava heart will have fat in it. As it goes into the
lungs and causes a pulmonary clot (Embolism) a fat clot. 50 percent of patients die from
pneumonia. Cant move blood will not be flowing correct, heart will lower, blood will pool and
clot can go to lungs and cause pulmonary blood clot. The vessels will get smaller and will kill
the heart muscle. go to coronary arteries
Safety Issues
Radiation can cause cancer, high freq electrical magnetic shortwaves gamma rays, and many
health related effects related to radiation. Thyroid is super sensitive to radiation. Use to protect
against cancer. Chest XRays 1 shot, CAT scan - 1 shot times the amount of radiation of 100 x
ray. As a nurse you must protect yourself also because it changes the DNA sequence change in
cellular seq. Make sure the patient is getting safety protocols.
Nurses are exposed to radiation a little bit each time. If it's a child only xray if the child starts to
show neurological decline. Chances are the child could have a concussion, confront my physical
assessment same result whether or not CAT scan is used. If the child is not waking up, confusion.
Risk beneficial ratio - Is there a risk with radiation treatment? Y
, Yes, it can cause cancer. Repeated CAT scans increase your risk of getting cancer. Its more risky
to get a CAT scan. The risk is too high for the benefit its going to have. Ex lung cancer chemo is
poison. High risk of taking poison but the benefit outweighs the risk of taking it for better
benefits. Ex child falls off bunk bed the risk outweighs the benefit of getting a CAT scan. Put a
tattoo to match the radiation beams to that area. Chemo kill both the bad and the good cells.
Occupational Safety and Health Administration (OSHA)
Entire purpose is to make sure workplace safety protocols are followed. Body of government to
investigate health and safety issues in a health envo.
ABC extinguisher used for any fire extinguisher paper, wood, cloth, flannel liquids, electrical
equipment, appliances, and tools. Grease kitchen fires, paint, and gases. Ex Anesthesia. ABC use
on animal grease.
Burns with children's hot water, the new house always looks at the thermostat on the boiler.
Certain temp safe for children.
Restraints
You have to as the nurse have a physicans order to put restraints on a patient. You may not as the
nurse do it without an order. Pozzies - Vests Wrist restraints, for prisoners-leather restraints If
violent will have to be in four point leather restraints to the bed and handcuffs for prisoners.
Handcuffs are judicial restraints under the property of the ward or the state. Patients are not
prisoners. No leg restraints for patients. Four point lether restraints for prisoner must be order.
Wrist restraints patients are becoming combative, usually in older adults, who can become
violent. Or dig into you from the nails. Punchers and scratchers. Mits - these are people who pull
out IVS, NQ, Catheters so they can not grasp anything. Fine motor skills are not used.
Nursing II| Review with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Nur 209 Exam 1
Safety measures nurses take
Make sure you have the correct patient check wristband, name and DOB, and correct medical
record, comfortable, and check head of the bed 30 degrees, NG tube nose to esophagus feeding
thru tube.
Nurse role for safety measures
Accidents are preventable, water spilling, confusion in patients who do not leave alone, and
assisting patients that can not walk. Use critical thinking skills as the nurse. If we see something
as the nurse we must say something. Speak up in unsafe environments because it can prevent
injuries.
Between 5 and 7 mins sees the physician in a 24 hour period. The nurse is responsible for
physical assessment, eating, drinking, fever, blood pressure, using the bathroom. 11 hrs and 53
mins and at night the full 12 hrs. You have your senses and equipment and your responsibility to
notice changes in the patient's status and watch their safety.
Our job is to make sure that the patient assigned to us is provided safe, correct, and proper care.
Safety is the number one goal.
Safety in older adults
,fall prevention, understand what we are telling them, steadiness, older adult physical comp
decreases. Are they cognitive - something to put something together to create something else.
Home safety - throw rugs biggest injury factor or rug runners those rugs that are not taken down
can cause older people to fall and have a hip injury. The artery in the hip can break the hollow
organ to empty its displaced fracture, can cause sepsis and can lead to death. 50 percent of people
with a hip injury die in the first year. If you fracture the femur bone marrow gets exposed cause
fat globules when going back to the inferior vena cava heart will have fat in it. As it goes into the
lungs and causes a pulmonary clot (Embolism) a fat clot. 50 percent of patients die from
pneumonia. Cant move blood will not be flowing correct, heart will lower, blood will pool and
clot can go to lungs and cause pulmonary blood clot. The vessels will get smaller and will kill
the heart muscle. go to coronary arteries
Safety Issues
Radiation can cause cancer, high freq electrical magnetic shortwaves gamma rays, and many
health related effects related to radiation. Thyroid is super sensitive to radiation. Use to protect
against cancer. Chest XRays 1 shot, CAT scan - 1 shot times the amount of radiation of 100 x
ray. As a nurse you must protect yourself also because it changes the DNA sequence change in
cellular seq. Make sure the patient is getting safety protocols.
Nurses are exposed to radiation a little bit each time. If it's a child only xray if the child starts to
show neurological decline. Chances are the child could have a concussion, confront my physical
assessment same result whether or not CAT scan is used. If the child is not waking up, confusion.
Risk beneficial ratio - Is there a risk with radiation treatment? Y
, Yes, it can cause cancer. Repeated CAT scans increase your risk of getting cancer. Its more risky
to get a CAT scan. The risk is too high for the benefit its going to have. Ex lung cancer chemo is
poison. High risk of taking poison but the benefit outweighs the risk of taking it for better
benefits. Ex child falls off bunk bed the risk outweighs the benefit of getting a CAT scan. Put a
tattoo to match the radiation beams to that area. Chemo kill both the bad and the good cells.
Occupational Safety and Health Administration (OSHA)
Entire purpose is to make sure workplace safety protocols are followed. Body of government to
investigate health and safety issues in a health envo.
ABC extinguisher used for any fire extinguisher paper, wood, cloth, flannel liquids, electrical
equipment, appliances, and tools. Grease kitchen fires, paint, and gases. Ex Anesthesia. ABC use
on animal grease.
Burns with children's hot water, the new house always looks at the thermostat on the boiler.
Certain temp safe for children.
Restraints
You have to as the nurse have a physicans order to put restraints on a patient. You may not as the
nurse do it without an order. Pozzies - Vests Wrist restraints, for prisoners-leather restraints If
violent will have to be in four point leather restraints to the bed and handcuffs for prisoners.
Handcuffs are judicial restraints under the property of the ward or the state. Patients are not
prisoners. No leg restraints for patients. Four point lether restraints for prisoner must be order.
Wrist restraints patients are becoming combative, usually in older adults, who can become
violent. Or dig into you from the nails. Punchers and scratchers. Mits - these are people who pull
out IVS, NQ, Catheters so they can not grasp anything. Fine motor skills are not used.
