NURS 221 Final Exam - Accurate Answers To All
Questions
what should you do for a patient that is a fall risk? Right
Answer - anticipate falls and adjust accordingly, involve patient and
family, try alternatives to restraints first, implement precautions
what are the 3 basic human needs listed in the safety powerpoint?
Right Answer - oxygen, nutrition, and temperature
whose responsibility is measuring vital signs? Right Answer -
the nurses, you can delegate but it is still your responsibility
what should you do after taking vital signs? Right Answer -
document the findings and fully clean the entire machine
does your body become hotter or cooler at night? Right Answer
- cooler
what is the difference between heat stroke and heat exhaustion?
Right Answer - you stop sweating with heat stroke
what are the 4 characteristics of a pulse? Right Answer - rate,
rhythm, strength, and equality
what drives respirations in a healthy person versus a COPD patient?
Right Answer - too much CO2 versus not enough O2
what will you see in vital signs in a patient with orthostatic
hypotension? Right Answer - a drop of 20 systolic, 10
diastolic, and an increase HR by at least 20 bpm
,how does physical activity impact life? Right Answer - elevate
mood, helps quit smoking, boosts energy levels, promotes better
sleep and self-confidence, helps reduce stress
what is friction? Right Answer - A force that occurs in a
direction to oppose movement
where/how does the nervous system control balance? Right
Answer - the cerebellum
how should the nurse stand to ensure balance and proper form
when lifting? Right Answer - widen stance, bring center of
gravity to feet, bend knees, raise height of bed, face direction of
moving, divide balance between arms and legs
what is the first assessment techniques used to determine degree of
limitation? Right Answer - ROM
isometric vs. isotonic exercises Right Answer - isometric
increase strength and endurance without movement while isotonic
rely on constant resistance and ROM
how should you support a falling patient with a gait belt? Right
Answer - stand with feet apart to provide a broad base of support,
extend one leg and let patient slide against it to the floor, bend knees
to lower body as patient slides to the floor
A patient with a long history of arthritis complains of sensitivity and
warmth in the knees. to determine the degree of limitation, the
nurse should assess:
a) posture
b) activity tolerance
c) body mechanics
, d) range of joint motion Right Answer - d) range of joint
motion
where should you stand when helping a patient get up or move?
Right Answer - on affected side
what can immobility effect? Right Answer - EVERYTHING,
pooling of secretions, decrease metabolism, constipation, decreased
skin integrity, calcium resorption/hypercalcemia, atelectasis or
pneumonia, UTI, depression, DVT
why is it so important to help the patient move after surgery or on
bed rest (moderate)? Right Answer - prevent disuse atrophy
and muscular deconditioning
what should you do for your patient who is on bed rest or immobile?
Right Answer - provide a high protein high caloric diet with vitamin
B and C, help them cough and deep breathe every 1-2 hours, provide
chest physiotherapy
what is the chain of infection? Right Answer - infectious agent,
reservoir, portal of exit, mode of transmission, portal of entry, host,
back to infectious agent
what are the defenses against infection? Right Answer -
normal flora, body system defenses, inflammation (vascular/cellular
responses, inflammatory exudate, tissue repair)
what is considered health promotion? Right Answer -
nutrition, hygiene, immunization, rest and exercise
medical asepsis vs. surgical asepsis Right Answer - clean
technique vs. sterile technique
Questions
what should you do for a patient that is a fall risk? Right
Answer - anticipate falls and adjust accordingly, involve patient and
family, try alternatives to restraints first, implement precautions
what are the 3 basic human needs listed in the safety powerpoint?
Right Answer - oxygen, nutrition, and temperature
whose responsibility is measuring vital signs? Right Answer -
the nurses, you can delegate but it is still your responsibility
what should you do after taking vital signs? Right Answer -
document the findings and fully clean the entire machine
does your body become hotter or cooler at night? Right Answer
- cooler
what is the difference between heat stroke and heat exhaustion?
Right Answer - you stop sweating with heat stroke
what are the 4 characteristics of a pulse? Right Answer - rate,
rhythm, strength, and equality
what drives respirations in a healthy person versus a COPD patient?
Right Answer - too much CO2 versus not enough O2
what will you see in vital signs in a patient with orthostatic
hypotension? Right Answer - a drop of 20 systolic, 10
diastolic, and an increase HR by at least 20 bpm
,how does physical activity impact life? Right Answer - elevate
mood, helps quit smoking, boosts energy levels, promotes better
sleep and self-confidence, helps reduce stress
what is friction? Right Answer - A force that occurs in a
direction to oppose movement
where/how does the nervous system control balance? Right
Answer - the cerebellum
how should the nurse stand to ensure balance and proper form
when lifting? Right Answer - widen stance, bring center of
gravity to feet, bend knees, raise height of bed, face direction of
moving, divide balance between arms and legs
what is the first assessment techniques used to determine degree of
limitation? Right Answer - ROM
isometric vs. isotonic exercises Right Answer - isometric
increase strength and endurance without movement while isotonic
rely on constant resistance and ROM
how should you support a falling patient with a gait belt? Right
Answer - stand with feet apart to provide a broad base of support,
extend one leg and let patient slide against it to the floor, bend knees
to lower body as patient slides to the floor
A patient with a long history of arthritis complains of sensitivity and
warmth in the knees. to determine the degree of limitation, the
nurse should assess:
a) posture
b) activity tolerance
c) body mechanics
, d) range of joint motion Right Answer - d) range of joint
motion
where should you stand when helping a patient get up or move?
Right Answer - on affected side
what can immobility effect? Right Answer - EVERYTHING,
pooling of secretions, decrease metabolism, constipation, decreased
skin integrity, calcium resorption/hypercalcemia, atelectasis or
pneumonia, UTI, depression, DVT
why is it so important to help the patient move after surgery or on
bed rest (moderate)? Right Answer - prevent disuse atrophy
and muscular deconditioning
what should you do for your patient who is on bed rest or immobile?
Right Answer - provide a high protein high caloric diet with vitamin
B and C, help them cough and deep breathe every 1-2 hours, provide
chest physiotherapy
what is the chain of infection? Right Answer - infectious agent,
reservoir, portal of exit, mode of transmission, portal of entry, host,
back to infectious agent
what are the defenses against infection? Right Answer -
normal flora, body system defenses, inflammation (vascular/cellular
responses, inflammatory exudate, tissue repair)
what is considered health promotion? Right Answer -
nutrition, hygiene, immunization, rest and exercise
medical asepsis vs. surgical asepsis Right Answer - clean
technique vs. sterile technique
