hondros 195 exam 1 Questions And All Solutions Complete

Nation Patient Safety Goals (NPSG) - Answer-Identify pt correctly Improve staff comm Use meds safely Use alarms safely Prevent infection Prevent mistakes in surgery Identify pt safety risk Situational leadership - Answer-Meets the demands of the situation in the work environment Laissez-Faire leadership - Answer-Concern more with employees, than polices and patients Ex: "Ask a volunteer" What are the skills that are necessary to function successfully as a first-line manager. - Answer--for supervising nursing assistance -first line leaders are referred to as charged nurse position -skills such as building a strong base How does MANAGEMENT differ from leadership? management differ from leadership? - Answer-- they are the organization of all care required of patients. they also do planning and directing to meet patient goals Autocratic Leadership - Answer-Displays little trust, makes all decisions Behaviors of active listening - Answer-Tell me more Avoiding judgement Eye contact Frequent noddingDemocratic Leadership - Answer-Shared responsibilities Teamwork Ex: Have staff vote What are five core areas of knowledge and skills that are necessary for the practical/vocational charge nurse to be an effective leader - Answer-1) Motivate team members to accomplish goals 2) Team goals 3) Communicate assertively 4) build a team of cooperative workers 5) manage stress effective NPSG incorrect statement - Answer-"I will check the patients rectal temp to check for infection" UAP - Patient diagnosed with diabetes - Answer-UAp can record how much patient has eaten What should the nurse consider before assigning care? - Answer-Condition of the patient (can not assign critical) Which is related to the NPSGs - Answer-Checking patients INR and it is at 5 - reporting this and holding the warfarin Describe a Autocratic Leader - Answer-- tell people what to do (a dictator) -emphasis policies -task orientedWhat indicate a active listener - Answer--someone thats always thinking not just hearing or seeing words -Saying things like "Tell me more", avoiding judgement, good eye contact & frequent nodding. What symptoms indicate aspiration pneumonia - Answer-Coughing Increased respirations Increased temp/fever Increased WBC Decreased pulse ox Rights of Delegation - Answer-Person Circumstance Supervision Evaluation Direction/Communi Important info to give UAP during report - Answer-Code status Vital Parameters Cant take BP in mastectomy arm, shunts or graphs No rectal temp Maslow's hierarchy - Answer-Psychological needs Safety Love and belonging Self esteem needs Self-actualization High number of discharges. Charge nurse says one of you can go home early. How would this nurse if they were a laissez faire manager? - Answer-She would ask for a volunteerLPN is orienting and teaching a new UAP about their role in the new nursing home. Which statement by the UAP indicates need for further teaching? - Answer-"I should start mouth to mouth when I see a patient having difficulty breathing." The LPN is orientating a new UAP. What would the nurse use as an effective way of maintaining boundaries? - Answer-Refraining from social media contact. Transformational Leadership - Answer-Teamwork A new nurse and you are observing staff behaviors, which observation demonstrates a positive working environment? - Answer-Sit down in the lounge and talk. Making more assignments for 2 UAP's and you want to ensure that they understand your expectations. To assure they understand your expectations, what should we do? - Answer-Direct the UAP's to write down the instructions. Signs of a CVA stroke - Answer-F - Face A - Arms S - Speech T - Time Tests for Stroke patients - Answer-CT scan Thrombolytics aka clot busters You have up to 3 hours to give TPA Hemorrhagic stroke = no TPA Stomatitis - Answer-Inflammation of the mouth Chemo patients get it UAP can help with diet choices What can you delegate to the UAP for an 8 year old patient who has stomatitis and is on chemotherapy - Answer-Help client eat bland soft dietLate to work - Answer-First - prioritize patient care 2 Employees with a long standing conflict - Answer-Arrange a meeting with both of the and discusss what the issue is You assigned a UAP to take vitals and weigh daily, what demonstrates your continued accountability? - Answer-Conducting frequent assessmernts on patients condition Risks for stroke - Answer-A - Fib HTN Obesity Kidney Disease Hyperlipidema (high cholesterol) Decreasing risk factors for stroke - Answer-Take medication (don't stop taking) Stop smoking Excerise Low sodium diet Low saturated fat diet SCDs Active Stroke - Answer-1. Call 911 2. Vitals 3. Call doctor 4 Call family Metformin - Answer-Damaging to the kidneys If patient gets CT with dye hold med for 48 hours A1c- Assess blood glucose-should be below 7 Glipazide - Answer-Lowers blood sugarFurosemide - Answer-Loop diuretic Pt lose potassium If meds working patient will loose weight, decrease in blood pressure, decrease in swelling, increased urination Lisinopril (prinivil) - Answer-Ace inhibitor Decreases blood pressure (Monitor BP) Prevents heart failure Enoxaparine (lovenox) - Answer-Anti-coagulant Monitor for increased heart rate, low BP and bleeding Signs its working - no DVT Sub Q Hydrochlorothiazide - Answer-Diuretic Treats high BP - (monitor BP so its not too low) Simvastatin - Answer-Statin Treats high cholesterol (lowers cholesterol) Watch kidney labs (creatnine and BUN) Aspirin - Answer-Anti-platelet - blood thinner and nonsteroidal anti-inflammatory, anti-pyretic drug Treats pain, fever headache, and inflammation. Chewable or enteric coaded A in MONA Seizure precautions - Answer-Padded rails Nothing in mouth Turn patient on side Know time and lasting Anti-seizure medsTransferring patient - Answer-Know family med hx All meds taken Pt refusing treatment Anticoagulets Pt smokes Acohol abuse