NU110 Final Exam questions with complete
Answers
this type of touch protects a nurse emotionally when she is unable to tolerate suffering or
needs to escape from a situation that is causing tension
protective touch
this type of touch is used to keep a pt from falling
protective touch
the processes by which the family functions, make decisions, gives support to individual
members, and copes with everyday changes and challenges
family dynamics
who should the nurse plan care for when a pt is under stress to help them regain the maximal
level of functioning and well-being?
the whole family
Two reasons a nurse shouldn't use alcohol based waterless antiseptics
when hands are visibly soiled
when pt has spore forming organism (ie cdiff)
How much of a border on a sterile field is considered unsterile?
1 inch
When placing an IV or PICC line, what can be used for 15 seconds before entering the system
to decrease the risk of infection?
alcohol or 2% chlorhexidine gluconate
This allows you to express feelings and ideas without judging or hurting others
assertiveness
, To develop communication skills the nurse must self examine what?
His/her personal communication skills
why nurses perform auditing and monitoring programs?
to determine the degree to which standards of care are met and identify area needing
improvement and staff development
These help team members quickly see pt trends over time and decrease time spent on
narrative notes
Flow sheets
When a nurse makes a telephone report
when significant event or changes in a pt's condition have occurred
Ways to maintain privacy, confidentiality, and security
Use a firewall
use programmed speed dial
use automatic sign off
shred papers with pt info
enforce disciplinary action if needed
Pt's that have visual, hearing, tactile or language barriers have these kind of impairments
sensory or communication impairments
What should a nurse do if they are walking an unstable pt and she hears a bed alarm going
off?
Send another nurse to assess the alarm
When cleansing the oral cavity of an unconscious pt how does the nurse keep the mouth
open?
Use a small oral airway upside down or a padded tongue blade
Answers
this type of touch protects a nurse emotionally when she is unable to tolerate suffering or
needs to escape from a situation that is causing tension
protective touch
this type of touch is used to keep a pt from falling
protective touch
the processes by which the family functions, make decisions, gives support to individual
members, and copes with everyday changes and challenges
family dynamics
who should the nurse plan care for when a pt is under stress to help them regain the maximal
level of functioning and well-being?
the whole family
Two reasons a nurse shouldn't use alcohol based waterless antiseptics
when hands are visibly soiled
when pt has spore forming organism (ie cdiff)
How much of a border on a sterile field is considered unsterile?
1 inch
When placing an IV or PICC line, what can be used for 15 seconds before entering the system
to decrease the risk of infection?
alcohol or 2% chlorhexidine gluconate
This allows you to express feelings and ideas without judging or hurting others
assertiveness
, To develop communication skills the nurse must self examine what?
His/her personal communication skills
why nurses perform auditing and monitoring programs?
to determine the degree to which standards of care are met and identify area needing
improvement and staff development
These help team members quickly see pt trends over time and decrease time spent on
narrative notes
Flow sheets
When a nurse makes a telephone report
when significant event or changes in a pt's condition have occurred
Ways to maintain privacy, confidentiality, and security
Use a firewall
use programmed speed dial
use automatic sign off
shred papers with pt info
enforce disciplinary action if needed
Pt's that have visual, hearing, tactile or language barriers have these kind of impairments
sensory or communication impairments
What should a nurse do if they are walking an unstable pt and she hears a bed alarm going
off?
Send another nurse to assess the alarm
When cleansing the oral cavity of an unconscious pt how does the nurse keep the mouth
open?
Use a small oral airway upside down or a padded tongue blade
