A++
Hartman's CNA Chapter 11: Admitting,
Transferring, Discharging Exam (100 out of 100)
Already GRADED A
When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense.
This behaviour suggests a common reaction to hospitalization, which is
Fear of the unknown
Discharge plan should begin
shortly after admission
When a patient demands to be discharged without a physician's order and is leaving the unit with his
belongings, the nurse should ask the patient to sign a
discharge against medical advice form
The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to
the hospital. A child will usually cry, whereas an older adult will often demonstrate
depression
Upon admission, the nurse noted that a patient has a billfold filled with cash. Because there is no family
member present, the nurse suggests that the money be
placed in the hospital safe
,A++
Before the actual discharge, the nurse must ensure that the patient
understands the discharge instructions
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).
The nurse should:
notify the physician that the patient is threatening to leave AMA
During a health interview, an elderly patient has difficulty remembering information about the health
history. In order to get the information more reliably, the practical nurse should
gather information from a family member
The practical nurse is assisting with an admission assessment of a patient with hypertension. While the
practical nurse is preparing to weigh the patient, the patient. States, "it is not necessary to weigh me
because I weighed 130 pounds last week" What would be the nurse's best response
it is important to get more recent weight
The patient is scheduled to go home after having a coronary angioplasty. What would be. The most
effective way to provide discharge teaching to this patient
use a combustion of verbal and written information
The nurse is admitting the patient to the medical unit. The patient indicates that he has had several
surgeries in the past and has been diabetic for the past 15 years. He also stated that he is allergic to
morphine. What does this info prompt the nurse to do next?
provide the patient with an allergy armband and document his allergies
,A++
SBAR stands for
situation background assessment recommendations
Which of the following nursing interventions would you perform after a patient has sustained a chemical
splash to the eye?
flush the eye with large amount of irrigation fluid
Which of the following is an absolute contraindication for ear irrigation?
perforated tympanic membrane
A patient inadvertently has his ear irrigated with cold water. What are the potential side effects?
vertigo and nausea
True or false: to better visualize the ear canal, you must pull the earlobe down and back for the adult
false, up and back
A delay by as little as (blank) have been associated with more severe injury in alkaline burns.
20 seconds
Once the acute phase of eye irrigation is over
an irrigation solution that buffers alkali or acid chemicals is then selected
, A++
Types of burns
acid and alkaline
Acid burns
Cause a haze on the cornea. Good chance of recovery. Include bleach, toilet cleaners, battery fluid.
Alkaline burns
Iye ammonia and dishwasher detergent often cause permanent damage
Cool tap water is recommended
it is effective, immediately available and initially helps dilute concentration of the chemical
tap water irrigation is used when
a foreign object has entered the eye
Equipment for an emergency (eye)
cool tap water
during irrigation, direct patient to look
towards eyebrow
In an emergency situation, how long is irrigation needed to flush
Hartman's CNA Chapter 11: Admitting,
Transferring, Discharging Exam (100 out of 100)
Already GRADED A
When admitting a patient to the hospital, the nurse observes that the patient is distracted and tense.
This behaviour suggests a common reaction to hospitalization, which is
Fear of the unknown
Discharge plan should begin
shortly after admission
When a patient demands to be discharged without a physician's order and is leaving the unit with his
belongings, the nurse should ask the patient to sign a
discharge against medical advice form
The nurse must be sensitive to an older adult patient experiencing separation anxiety when admitted to
the hospital. A child will usually cry, whereas an older adult will often demonstrate
depression
Upon admission, the nurse noted that a patient has a billfold filled with cash. Because there is no family
member present, the nurse suggests that the money be
placed in the hospital safe
,A++
Before the actual discharge, the nurse must ensure that the patient
understands the discharge instructions
A patient who is alert and oriented is threatening to leave the hospital against medical advice (AMA).
The nurse should:
notify the physician that the patient is threatening to leave AMA
During a health interview, an elderly patient has difficulty remembering information about the health
history. In order to get the information more reliably, the practical nurse should
gather information from a family member
The practical nurse is assisting with an admission assessment of a patient with hypertension. While the
practical nurse is preparing to weigh the patient, the patient. States, "it is not necessary to weigh me
because I weighed 130 pounds last week" What would be the nurse's best response
it is important to get more recent weight
The patient is scheduled to go home after having a coronary angioplasty. What would be. The most
effective way to provide discharge teaching to this patient
use a combustion of verbal and written information
The nurse is admitting the patient to the medical unit. The patient indicates that he has had several
surgeries in the past and has been diabetic for the past 15 years. He also stated that he is allergic to
morphine. What does this info prompt the nurse to do next?
provide the patient with an allergy armband and document his allergies
,A++
SBAR stands for
situation background assessment recommendations
Which of the following nursing interventions would you perform after a patient has sustained a chemical
splash to the eye?
flush the eye with large amount of irrigation fluid
Which of the following is an absolute contraindication for ear irrigation?
perforated tympanic membrane
A patient inadvertently has his ear irrigated with cold water. What are the potential side effects?
vertigo and nausea
True or false: to better visualize the ear canal, you must pull the earlobe down and back for the adult
false, up and back
A delay by as little as (blank) have been associated with more severe injury in alkaline burns.
20 seconds
Once the acute phase of eye irrigation is over
an irrigation solution that buffers alkali or acid chemicals is then selected
, A++
Types of burns
acid and alkaline
Acid burns
Cause a haze on the cornea. Good chance of recovery. Include bleach, toilet cleaners, battery fluid.
Alkaline burns
Iye ammonia and dishwasher detergent often cause permanent damage
Cool tap water is recommended
it is effective, immediately available and initially helps dilute concentration of the chemical
tap water irrigation is used when
a foreign object has entered the eye
Equipment for an emergency (eye)
cool tap water
during irrigation, direct patient to look
towards eyebrow
In an emergency situation, how long is irrigation needed to flush
