NUR 160-Hondros Exam 1 with complete
solution
just .culture .- .(correct .answer) .-
workers .are .protected .from .disciplinary .action .when .they .report .injuries, .errors, .or .near .misses
close-ended .question .- .(correct .answer) .-What .is .your .name?
false .reassurance .- .(correct .answer) .-Everything .will .be .fine
Why .Assess? .- .(correct .answer) .-
To .identify .changes .in .pt .condition, .to .help .foresee .areas .of .concern
RN .- .(correct .answer) .-who .does .the .initial .assessment?
Within .24 .hours .- .(correct .answer) .-When .should .an .initial .assessment .be .done?
discharge .planning .- .(correct .answer) .-
What .should .we .pay .attention .to .when .a .pt .is .post .op .knee .replacement .and .they .live .on .2nd .floor
Steps .of .an .assessment .- .(correct .answer) .-1. .Introduce .self
2. .Explain .procedure
3. .wash .hands
4. .Identify .pt
5. .Provide .privacy
6. .Inspect, .auscultate, .palpate
Correct, .then .continue .- .(correct .answer) .-If .a .concern .arises .during .assessment .
(Ex: .pt .c/o .SOB. .Sit .up, .apply .O2 .or .check .tubing, .teach .inhale .through .nose, .exhale .through .mouth)
Order .of .assessmet .- .(correct .answer) .-Subjective .then .Objective .(helps .to .identify .ares .of .focus)
, Inspect .airway, .auscultate .lungs .- .(correct .answer) .-If .pt .c/o .sore .throat .or .recent .cold
Serous .Drainage .- .(correct .answer) .-Clear(Good .or .indifferent)
Sanginous .Drainage .- .(correct .answer) .-Blood-red(a .little .is .ok, .alot .is .bad)
Serosanginous .Drainage .- .(correct .answer) .-Pink-mix .of .blood .and .serous(This .is .ok)
Purulent .Drainage .- .(correct .answer) .-Puss .(assess .for .infection .and .notify .MD)
Absent .Bowel .Sounds .- .(correct .answer) .-Auscultate .5 .mins .per .quadrant .(Silence .means .NOTHING) .
(20 .minute .total) .assess .for .an .obstruction .and .notify .MD
Normal .IM .injection .reaction .- .(correct .answer) .-Burning .at .site, .itching .at .site, .bruising
Abnormal .IM .injection .Reaction .- .(correct .answer) .-vomiting, .constipation, .dry .mouth, .rash .
(systemic)
TB .testing .- .(correct .answer) .-1. .Must .be .read .48-72 .hrs .(assessed)
2. .Document .date, .time .of .injection .and .reading, .as .well .as .result
3. .Mild .swelling .is .normal
TB .result-negative .- .(correct .answer) .-10mm- .healthcare .workers .are .a .strict .10
TB .result-positive .- .(correct .answer) .-red, .raised .(induration)
Positive .TB .result .- .(correct .answer) .-This .means .that .the .person .has .been .exposed .to .TB
At .risk .for .TB .- .(correct .answer) .-
nursing .homes, .jails, .homeless, .certain .meds, .some .other .countries, .healthcare .workers
Hyperglycemia .- .(correct .answer) .-hot .and .dry-sugar .high
Hypoglycemia .- .(correct .answer) .-cold .and .clammy-needs .some .candy
Symptoms .of .Hyperglycemia .- .(correct .answer) .-
extreme .thirst, .frequent .urination, .dry .skin, .hunger, .blurred .vision, .drowsiness, .nausea
Symptoms .of .Hypoglycemia .- .(correct .answer) .-
shaking, .tachycardia, .sweating, .anxious, .dizzy, .hunger, .impaired .vision, .weakness, .fatigue, .headaches,
.irritable
insulin .- .(correct .answer) .-NPH-longer .lasting .(cloudy)
Regular- .faster .acting .(clear)
Order .of .Insulin .Draw .- .(correct .answer) .-cloudy(air), .clear(air),clear(insulin), .cloudy(insulin)