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Exam (elaborations)

NUR 109 FUNDAMENTALS OF NURSING

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NUR 109 FUNDAMENTALS OF NURSING

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NUR 109
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NUR 109









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Institution
NUR 109
Course
NUR 109

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Uploaded on
September 24, 2024
Number of pages
5
Written in
2024/2025
Type
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NUR 109 FUNDAMENTALS OF NURSING
What do you need to know about the person to whom you are delegating? - Answers -
Their skill and education level

Who is the communication ALWAYS about? - Answers -The patient

How much soap should you apply when washing hands? - Answers -3-5 mL

How long should you wash your hands for? - Answers -20-30 seconds

Why do we delegate? - Answers -To distribute workload, to work together as a team to
do what is best for the patient.

What is a proper bath temperature? - Answers -110-115 degrees

Identify the competencies of the QSEN initiative. - Answers -Patient-centered care,
teamwork & collaboration, evidence-based practice, quality improvement, safety

What can a nurse delegate to a CNA? - Answers -ADLs, routine tasks. Patients who are
STABLE!

What must the nurse abide by when delegating? - Answers -Unit and facility policies
and procedures.

What are the five rights of delegation? - Answers -Right task, right circumstance, right
person, right direction and communication, right supervision and evaluation

What does it mean to over-delegate? - Answers -Completion of tasks has stalled,
there's excessive disagreement on tasks or processes, or unexpected/inconsistent
behavior among team members.

What do you not want to ask your patient? - Answers -Why

What are some examples of utilizing therapeutic communication? - Answers -Validate,
actively listen, clarify, restate, open-ended questions, exploring, reflecting,
paraphrasing.

Under which circumstances would you wear a mask? - Answers -Splashing or spraying
of body fluids, airborne precautions, droplet precautions.

Under which circumstances would you wear a gown? - Answers -Contact precautions

Under which circumstances would you wear goggles? - Answers -Splashing or spraying
of body fluids.

, Under which circumstances would you wear gloves? - Answers -When touching
anything that has the potential to contaminate the hands of the nurse.

When should chlorohexidine be used? - Answers -When dealing with C. Diff and MRSA.

How can you prevent falls in all patients? - Answers -Complete a fall-risk assessment
for each patient at admission and at regular intervals. Individualize the plan for each
client according to the results of the assessment.

Why are geriatric patients at a greater risk for falls? - Answers -Decreased strength,
impaired mobility/balance, improper use of mobility aids, unsafe clothing, environmental
hazards, endurance limitations, decreased sensory perception.

When should you use a gaitbelt? - Answers -Every time you are transferring someone.

What are some effective strategies for protecting yourself and the patient regarding
ergonomics? - Answers -Do not pull, only push. Use proper body mechanics. Protect
your back. Face the direction you are heading when ambulating a client. Lift with your
legs close to your body, with help if able.

What factors affect mobility? - Answers -Alterations in muscles, injury to the
musculoskeletal system, poor posture, impaired CNS, health status and age.

What is the purpose of HIPAA? - Answers -To protect patient privacy.

Describe patient use and proper teaching of a cane. - Answers -Goes on strong side,
advances at same time as affected leg. Goes 6-10 inches in front of patient.

Describe patient use and proper teaching of a walker. - Answers -Pick up and advance
rather than dragging on the floor.

What is the purpose of Nurse Practice Acts? - Answers -Regulates the scope of nursing
practice for the state and protects public health, safety, and welfare.

What is the order of PPE application? - Answers -Gown, mask, goggles/face shield,
gloves

What is the order of PPE removal? - Answers -Gloves, goggles/face shield, gown, mask

Why is hand washing important? - Answers -Single most effective way to prevent the
spread of infection

What can't the nurse delegate? - Answers -The nursing process, client education, or
tasks that require nursing judgement.

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