NSG 300 EXAM 1 STUDY GUIDE WITH CORRECT QUESTIONS WITH ANSWERS (GRADED A +) LATEST UPDATE VERSION 2026

NSG 300 EXAM 1 STUDY GUIDE WITH CORRECT QUESTIONS WITH ANSWERS (GRADED A +) LATEST UPDATE VERSION 2026 Airborne precautions PPE - Answer ️negative air flow room (airborne infection isolation room) N95 respirator Protective environment PPE - Answer ️a specialized room with positive airflow. what is the appropriate technique to maintain safe client handling? - Answer ️widen base of support increase balance by bringing center of gravity closer to base of support safe patient handling and mobility (SPHM) - Answer ️improved assessment, use of mechanical equipment and safety procedures to lift and move patients what is the importance of proper positioning and movement for promoting clients comfort? - Answer ️proper positioning and placing them in correct body alignment can help reduce pressure risks movement is important because immobility can cause many systemic effects Metabolic System: Effects of Immobility - Answer ️endocrine (homeostasis is usual function, can decrease wound healing) calcium absorption (hypercalcemia) GI function (constipation) Respiratory System: Effects of Immobility - Answer ️atelectasis (collapse of alveoli) hypostatic pneumonia ( inflammation of lung from stasis or pooling secretions Cardiovascular System: Effects of Immobility - Answer ️orthostatic hypotension thrombus Musculoskeletal System: Effects of Immobility - Answer ️loss of endurance and muscle mass decrease stability and balance Muscular System: Effects of Immobility - Answer ️loss of muscle mass muscle atrophy Skeletal System: Effects of Immobility - Answer ️impaires calcium absorption joint abnormalities Urinary System: Effects of Immobility - Answer ️urinary stasis renal calculi (kidney stones) UTI Integumentary System: Effects of Immobility - Answer ️pressure ulcer ischemia Safe application of physical restraints - Answer ️make sure physician knows about this (restraint order) and visits the client within 1 hour of the client receiving physical restraints restraint should never interfere with treatment should not be SNUG (2 fingerwidths btwn) fit properly and be as discreet as possible be easy to remove or change (every 2 hours for toileting and checking neurovascular status) only used 4 hrs for adults. for physician prescription, it can go up to 24 hrs. trochanter roll - Answer ️prevents external rotation of the hips when a patient is in a supine position how is a trochanter roll implemented? - Answer ️fold cotton towel length wise to a width that extends from greater trochanter of the femur to lower border of popliteal space hand roll - Answer ️roll placed in the hand to prevent hand contraction trapeze bar - Answer ️allows the client to pull with the upper extremities to raise the trunk off the bed, assist in transfer, or to perform exercises increases independence, helps maintain upper body strength, decreases the shearing action supported fowlers - Answer ️the head of the bed is elevated 45 to 60 degrees, and the patient's knees are slightly elevated without pressure to restrict circulation in the lower legs supine - Answer ️lying face up prone - Answer ️lying face down side lying - Answer ️patient rests on the side with the major portion of body weight on the dependent hip and shoulder Sims - Answer ️patient places the weight on the anterior ileum, humerus, and clavicle what are the psychological effects of immobility? - Answer ️emotional/behavior responses (depression, hostility, fear, anxiety) sensory alterations altered sleep patterns social isolation what are complementary/alternative therapies that influence metabolism - Answer ️provide high protein, high calorie diet with vitamin C supplements what are complementary/alternative therapies that influence respiratory - Answer ️cough and deep breathe every 1-2 hours chest physiotherapy (CPT) what are complementary/alternative therapies that influence integumentary - Answer ️reposition every 1-2 hours, provide skin care what are complementary/alternative therapies that influence elimination system - Answer ️adequate hydration diet increase fluid increase fruit and veg increase fiber what are complementary/alternative therapies that influence cardiovascular - Answer ️leg exercises, hose, compression socks