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Exam (elaborations)

NU 311 Final Exam | University of South Alabama | Questions with 100% Verified Answers | Latest Update

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NU 311 Final Exam | University of South Alabama | Questions with 100% Verified Answers | Latest Update

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NU 311 Final Exam | University of South Alabama | Questions with 100%
Verified Answers | Latest Update

Question: The nurse is caring for a patient requiring seizure
precautions. Which actions may the nurse safely delegate to the
non-licensed assistive personnel (NAP)? *To administer the IV
medication if a seizure occurs *To restrain the patient during the seizure
*To place a tongue blade in the patient's mouth to keep them from
swallowing their tongue *To inform the nurse if seizure activity is
observed
Answer:
To inform the nurse if seizure activity is observed

Question: Match the following *Airborne precautions (droplet nuclei
smaller than 5 microns) *Droplet precautions (droplet larger than 5
microns; being within 3 feet of the patient *Contact precautions (direct
patient or environmental contact)
1.) Private room or cohort, gloves, gown
2.) Private room or cohort patients, mask or respirator
3.) Private room, mask or respiratory protection device,
negative-airflow room, N95 respirator depending on the patient
condition
Answer:
-Airborne Precautions: *3
-Droplet Precautions: *2
-Contact Precautions: *1

Question: The Centers for Disease Control (CDC) guidelines for
preventing tuberculosis (TB) transmission include: (select all that apply)
*Placing the client on contact precautions *Requiring health care
workers to wear special respirators (N(95) when caring for clients with
suspected TB *Placing the client in a negative pressure airflow room
*Wearing a N95 mask respirator when planning to come within 3 feet of
the patient
Answer:
-Placing the client in a private negative-pressure airflow room
-Wearing a N95 respirator when planning to come within 3 feet of the patient
-Requiring health care workers to wear special respirators (N(95) when caring for clients
with suspected TB
-Placing the client on contact precautions

,Question: It is your first day of clinical as a University of South
Alabama Student Nurse and you are assigned to care for a client
requiring precautions. You understand:
*Protective eyewear is necessary at all times *standard precautions are
for use with all clients *standard precautions apply only to clients who
are HIV positive *Gowns, masks, and gloves are required for contact
with all clients
Answer:
Standard precautions are for use with all clients

Question: Reducing the risk for patient harm is a national health care
priority. The nurse reduces the risk for patient harm by: (select all that
apply) *Using 2 ways to identify patients *Assessing the patient's
environment *Using a teach-back method for call button instructions
*Safely using extremity restraints on all confused patients
Answer:
-Using 2 ways to identify patients
-Assessing the patient's environment
-Using a teach-back method for call button instructions

Question: The student nurse is planning to assist the client with
ambulation. Which action causes the clinical instructor concern?
*Reviews the client's medications *Performs a fall risk assessment prior
to ambulation *Plants to use a gait belt *Quickly runs to the nurses
station for help when the patient starts to fall
Answer:
Quickly runs to the nurses station for help when the patient starts to fall

Question: All are "Never Events" with the exception of:
*ventilator associated pneumonia *IV infiltration *Poor blood glucose
control *Patient death associated with a medication error
Answer:
IV Infiltration

Question: The nurse has completed the admission assessment on an
elderly patient. The patient has never been admitted to a hospital, takes
5 different medications, and has vision problems. The nurse plans
priority care to reduce the risk for *Disorientation *Falls *Fear *Suicide
Answer:
Falls

, Question: Hand hygiene is an important aspect of providing high
quality care for clients. When is hand hygiene with soap and water
necessary? (select all that apply) *After removing sterile gloves *After
using the toilet *Before eating *When hands are visibly soiled with
bloody or bodily fluids
Answer:
-Before eating
-After using the toilet
-When hands are visibly soiled with blood or bodily fluids

Question: The use of restraints has been associated with which adverse
outcome/s? (select all that apply) *Pressure injury *Constipation *Early
discharge *Death
Answer:
-Pressure injury
-Death
-Constipation

Question: Which statement/s regarding falls is/are accurate? (select all
that apply) *According to The Centers for Medicare and Medicaid
Services (CMS), injuries from falls are considered "Never Events"
*Falls may be reduced by administering pain medication and then
instructing the patient to use the toilet *Patient falls may be reduced by
improving staff communication *Client beds must be kept in the lowest
position and wheels locked when stationary
Answer:
-According to The Centers for Medicare and Medicaid Services (CMS), injuries from falls
are considered "Never Events"
-Patient falls may be reduced by improving staff communication
-Client beds must be kept in the lowest position and wheels locked when stationary

Question: The student nurse sees smoke coming from the clients room.
What is the priority action? *RACE to the nurse's station *Remove
patient's by loading as many as possible onto the elevator *Rescue from
immediate injury by moving the client to a safe area *Open all other
client doors and windows to allow for air circulation
Answer:
Rescue from immediate injury by moving the client to a safe area

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