NUR 160-Hondros Exam 1 (A+ GRADED)

just culture correct answers workers are protected from disciplinary action when they report injuries, errors, or near misses close-ended question correct answers What is your name? false reassurance correct answers Everything will be fine Why Assess? correct answers To identify changes in pt condition, to help foresee areas of concern RN correct answers who does the initial assessment? Within 24 hours correct answers When should an initial assessment be done? discharge planning correct answers What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor Steps of an assessment correct answers 1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect, auscultate, palpate Correct, then continue correct answers If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale through mouth) Order of assessmet correct answers Subjective then Objective (helps to identify ares of focus) Inspect airway, auscultate lungs correct answers If pt c/o sore throat or recent cold Serous Drainage correct answers clear, watery fluid Sanginous Drainage correct answers Blood-red(a little is ok Serosanginous Drainage correct answers Pink-mix of blood and serous Purulent Drainage correct answers Puss (assess for infection and notify MD) Absent Bowel Sounds correct answers Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total) assess for an obstruction and notify MD Normal IM injection reaction correct answers Burning at site, itching at site, bruising