Exam #1 - NUR 1022C Foundations of Nursing
Latest Update 2024-2025 Actual Exam 175
Questions and 100% Verified Correct Answers
Guaranteed A+ Verified by Professor
Are incident reports included in the pt record? - CORRECT ANSWER: No
General points about pain - CORRECT ANSWER: - Pain can cause poor wound
healing, hospitals must have a pain t(x) policy and have options that are
nonpharmacologic - Pain can make it so that pts don't want to move/get out of bed
which can lead to embolism or skin breakdown, they need to ambulate after surgery etc.
- Worry more about how the pain is impacting the patient not so much on the number on
the pain scale - Pain can cause anxiety and anxiety can heighten pain - Pain is the most
common reason for seeking care
How are drugs classified and categorized? - CORRECT ANSWER: They are
categorized into two classes therapeutic and pharmacologic some drugs belong to more
than one class *Therapeutic* - most of the time starts with "anti-", but not all the time ex:
antihypertensive, antihistamine, antidepressant, therapeutic refers to the therapeutic
effect of the drug i.e. it lowers blood pressure, it lowers depression *Pharmacologic* -
refers to the drug's mechanism of action ex: beta blocker, ace inhibitor, if there's no
pharmacologic class that means there's no other drug that does what this drug does
How are drugs dvlpd in relation to randomized controlled trials? - CORRECT ANSWER:
When drugs are being dvlpd the experiments include controls, randomization, and
single or double blind studies. After animal testing then there's testing in humans first
there's a determination of who gets the drug and who doesn't, *control* means they
aren't getting the t(x), *experimental* means the group is getting the drug, this process
is randomized the researcher can't chose which pt go in a particular group. The
experiment can be conducted as a single blind study which means the participants don't
know whether they got the placebo or the actual drug, but the researcher does. Double
blind means both the participant and the researcher are oblivious to who got the drug v.
the placebo
,How are drugs named? - CORRECT ANSWER: They are named based on their
chemical composition or molecular structure, they can be named by the manufacturer
who 1st dvlps them after approval of the USAN council, or they can be given a trade
name which a manufacturer uses to market the drug to the public, It's important to know
that drugs can't be named something that implies that it will work
How are you to use side rails? - CORRECT ANSWER: Don't use all four side rails if the
pt is not restraints. Use only two side rails, 4 = restraint. For confused pts keep bed on
the lowest setting, keep wheels locked. Always keep a safe exit from bed.
How can a nurse approach communication barriers to pain? - CORRECT ANSWER:
take your time with the pain assessment, use the self-report of the patient pain, take
note of the painful conditions/t(x)/procedures, what is the family saying? physiological
measures, use a pain tool, rely on behavioral/ objective pain indicators
How can drugs potentially cause harm? - CORRECT ANSWER: Example: opiods can
cause respiratory depression/arrest Drugs can cause harm when herbal therapies and
OTC are misused and when providers prescribe unnecessary meds
How can you apply the general principles of isolation when working in isolation rooms? -
CORRECT ANSWER: When delegating tasks make sure to communicate, notify team
members, Be a good steward of supplies and only take in what you need/minimize
waste, cluster your care, and be prepared you shouldn't need to walk in and out of the
room bc you forgot equipment, properly dispose of PPE, never wear PPE out on the
floor, keep the pt's door closed.
How can you avoid equipment related accidents? - CORRECT ANSWER: Don't operate
equipment when you don't know how to, make sure equipment has been inspected,
keep pt room clutter free, follow your facilities regarding equipment use
How can you recognize the clinical appearance of a patient with an infection? (Clinical
Manifestation) - CORRECT ANSWER: If it's a local infection the pt will most likely
experience the symptoms of inflammation (RHSP), they may experience some
immobility, and some drainage. If it's a systemic infection - a pt will have an elevated
temp., they might experience fatigue/malaise, nausea/vomiting, increase HR and
respiration, but decreased BP, and an altered level of consciousness.
, How do facilities avoid fires and electrical accidents? - CORRECT ANSWER: They have
smoke free facilities, they use a specific code to notify staff about potential fires, pratice
fire drills, educate staff on escape routes
How do you assess a pt for potential signs of an infection? - CORRECT ANSWER:
Check intactness of skin, check drainage - color, odor, consistency, amount (COCA) +
check wound - Redness, edema, drainage, approximation - edges are together, well
approximated (REDA) (local infection), Labs: less than 2000 WBCs per microliter of
blood - immunocompromised, ***5000-10000 - normal WBC count, *** 16000< infection
How do you categorize pain by location? - CORRECT ANSWER: 1. Cutaneous - ex:
paper cut aka supercial, 2. Visceral - ex: menstrual camps, aka deep organ pain, 3.
Deep somatic pain - ex: arthritis aka bone pain, 4. Radiating pain - follows a nerve, 5.
Referred pain - ex: chest pain referred to arm, distant area, 6. Phantom pain - ex:
amputees, 7. psychogenic
How do you protect a pt during a seizure? - CORRECT ANSWER: stay w. pt, call for
help, cradle head, don't move pt., clear surroundings, remove pillows, raise side rails,
loosen clothing, after the seizure: place the pt. on their left side, suction secretions,
reorient and comfort them
How do you start a pt goal? - CORRECT ANSWER: Goals must be patient centered, so
you always start a goal with "Patient will" or "Client will"
How does a nurse assess for orthostatic hypotension? - CORRECT ANSWER: BP
should be the same when you lie down and when you stand up, so to assess orthostatic
hypotension the nurse should take the pt's BP lying down, sitting, and standing
How does a nurse care for a client in restraints? - CORRECT ANSWER: 1. They must
verify that there's a HCP order and the order must specifiy the type+location+specific
duration+circumstance for use of the restraint, 2. According to hospital policy the HCP
order is limited to 8-24 hrs for adults and a face to face assessment is req'd w/in 1-4 hrs
of order
