NUR 311 Exam 3 Rightly Answered
What is the proper order for removing PPE? - ✅✅ gloves, goggles, gown, mask
What are the benefits of deep breathing exercises for the patient with decreased
activity? - ✅✅ improve lung expansion and volume
-Help expel anesthetic gases and mucus from airway
-Facilitate the oxygenation of body tissues
How is the respiratory system affected with decreased activity? - ✅✅ - lungs not
ventilating fully
- Decreased perfusion
- Less oxygen
- Mucus accumulated in tracheal
- Bronchus passage
How does coughing benefit a patient with decreased activity? - ✅✅ removes
retained mucus from respiratory tract
Why is it important to teach the post-op patient with a thoracic or abdominal
incision how to splint the incision when coughing? - ✅✅ splinting minimizes
pain while coughing or moving
-Prevent evisceration, support incision, reduce pain
,Respirations are often less effective in a patient with decreased activity. Alveoli do
not inflate and may collapse. Along with retained secretions, this increases the risk
for what? - ✅✅ atelectasis, risk for resp. Infections
Name a noninvasive technique that measures the arterial oxyhemoglobin saturation
of arterial blood - ✅✅ pulse oximeter
What is considered normal oxyhemoglobin saturation? - ✅✅ 95-100%
What are adequate sites for application of the pulse oximeter sensor? - ✅✅
finger
Ear
Forehead
Accuracy of readings obtained from pulse oximetry can be influenced by
conditions that decrease arterial blood flow, such as? - ✅✅ - circulation
problems
- PVD
- Hypotension
-Peripheral edema
Why is it important to assist the patient to an upright or semi-Fowler's position
when using an incentive spirometer? - ✅✅ Facilitate lung expansion
Why should the patient perform incentive spirometry 5 to 10 times every 1 to 2
hours, if possible? - ✅✅ Reinflate alveoli to prevent atelectasis
, How do you properly identify the client prior to assessment or administering care
in the inpatient and LTC setting? - ✅✅ Inpatient:
A. Patient name
B. Patient medical record #/ ID #
C. Birth Date
LTC:
A. Patient name
B. Birth Date
C. Visual picture if patient is not responsive
When is it appropriate to use soap and water verses alcohol-based hand rub? -
✅✅ Use soap and water:
A. When hands are visibly dirty
B. When hands are visibly soiled with or in contact with blood or body fluids
C. Before eating and drinking and after using restroom
D. If exposure to certain organisms like C. Diff, anthrax, is known or suspected
Use alcohol-based hand rub:
A. When hands not visible soiled
What is the purpose of a bath? - ✅✅ - increase circulation
-Hygiene
- Head to toe assessment
- Patient comfort
- Establish therapeutic relationship
What is the proper order for removing PPE? - ✅✅ gloves, goggles, gown, mask
What are the benefits of deep breathing exercises for the patient with decreased
activity? - ✅✅ improve lung expansion and volume
-Help expel anesthetic gases and mucus from airway
-Facilitate the oxygenation of body tissues
How is the respiratory system affected with decreased activity? - ✅✅ - lungs not
ventilating fully
- Decreased perfusion
- Less oxygen
- Mucus accumulated in tracheal
- Bronchus passage
How does coughing benefit a patient with decreased activity? - ✅✅ removes
retained mucus from respiratory tract
Why is it important to teach the post-op patient with a thoracic or abdominal
incision how to splint the incision when coughing? - ✅✅ splinting minimizes
pain while coughing or moving
-Prevent evisceration, support incision, reduce pain
,Respirations are often less effective in a patient with decreased activity. Alveoli do
not inflate and may collapse. Along with retained secretions, this increases the risk
for what? - ✅✅ atelectasis, risk for resp. Infections
Name a noninvasive technique that measures the arterial oxyhemoglobin saturation
of arterial blood - ✅✅ pulse oximeter
What is considered normal oxyhemoglobin saturation? - ✅✅ 95-100%
What are adequate sites for application of the pulse oximeter sensor? - ✅✅
finger
Ear
Forehead
Accuracy of readings obtained from pulse oximetry can be influenced by
conditions that decrease arterial blood flow, such as? - ✅✅ - circulation
problems
- PVD
- Hypotension
-Peripheral edema
Why is it important to assist the patient to an upright or semi-Fowler's position
when using an incentive spirometer? - ✅✅ Facilitate lung expansion
Why should the patient perform incentive spirometry 5 to 10 times every 1 to 2
hours, if possible? - ✅✅ Reinflate alveoli to prevent atelectasis
, How do you properly identify the client prior to assessment or administering care
in the inpatient and LTC setting? - ✅✅ Inpatient:
A. Patient name
B. Patient medical record #/ ID #
C. Birth Date
LTC:
A. Patient name
B. Birth Date
C. Visual picture if patient is not responsive
When is it appropriate to use soap and water verses alcohol-based hand rub? -
✅✅ Use soap and water:
A. When hands are visibly dirty
B. When hands are visibly soiled with or in contact with blood or body fluids
C. Before eating and drinking and after using restroom
D. If exposure to certain organisms like C. Diff, anthrax, is known or suspected
Use alcohol-based hand rub:
A. When hands not visible soiled
What is the purpose of a bath? - ✅✅ - increase circulation
-Hygiene
- Head to toe assessment
- Patient comfort
- Establish therapeutic relationship
