Nursing Fundamentals Test Questions with Complete Solutions

Nursing Fundamentals Test Questions with Complete Solutions Characteristics of fall risk - Answer Over 65, history of falls, impaired vision or balance, altered gait or posture, medication changes, unfamiliar environment D.A.M.E - Answer *D*rug and alcohol use *A*ge related physiologic status *M*edical Problems *E*nvironment True or False: Physical restraints prevent falls. - Answer False. Physical restraints increase the possibility of serious injury due to a fall. List negative outcomes of restraint use. - Answer Fall risk, skin breakdown, incontinence, depression, aspiration, respiratory difficulties, death List alternatives to restraints. - Answer Alarms (ambularm, chair, bed door), night light, low height bed, floor mats, glasses & hearing aids, bedside commode True or False: Patients with diabetes or PVD should be discouraged from doing nail care. - Answer True. When providing foot care, in which direction should you cut toenails? - Answer Straight across. Guidelines for foot care - Answer Bathing feet without soaking, rinse, dry thoroughly, apply moisturizer, file diabetic patient nails, never cut off corns or calluses, appropriate footware Name factors which affect personal hygiene. - Answer Culture, socioeconomic class, spirituality, developmental level, health state, personal preferences Explain how compression stockings work. - Answer By applying pressure, these increase the velocity of blood flow in superficial and deep veins, and venous function in legs True or False: When a patient has been fitted with compression stockings, a nurse should massage the legs to increase blood flow. - Answer False. If a clot is present, it may break away from the vessel wall and circulate in the bloodstream. Describe Pneumatic Compression Devices and their usage. - Answer Composed of air pump, connecting tubes, & extremity sleeves that apply intermittent or sequential pressure to the legs to enhance blood flow and venous return, stimulating the normal muscle-pumping action in the legs