NUR 2090 Practice Exam 1 Questions With Verified Solutions.
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Course
NUR 2990
Institution
NUR 2990
Mistake proofing - Answer Use of mechanisms or devices that make it difficult to preform on error.
ex. tubing connections that are not interchangeable between enteral and intravenous connections
Checklist - Answer use of list that validate critical points in a procedure.
ex. "Time o...
NUR 2090 Practice Exam 1 Questions
With Verified Solutions.
Mistake proofing - Answer Use of mechanisms or devices that make it difficult to preform on error.
ex. tubing connections that are not interchangeable between enteral and intravenous connections
Checklist - Answer use of list that validate critical points in a procedure.
redundancy - Answer use of built in "double checking" or successive checks prior to high-risk
procedures.
Care bundles - Answer combination of patient care elements into "bundles" that are consistently used
as a whole
ex. central line associated bloodstream infection bundle that contains basic elements of: Hand hygiene,
Maximal barrier precautions during line insertion, Preparation of skin with chlorhexidine, Optimal
catheter site selection, & Daily review of line necessity
communication - Answer Use of clear, accurate, and concise communication. Ex. Use of standardized
reports at end of shift.
medication errors - Answer -often interruptions during the medication administration process
- use Tall man letters DOPamine DOBUTamine
- no interruptions for the med nurse
-med dispensing cabinets
- bar code administration
, Healthcare worker risk - Answer Puncture injuires, back and other body injuries, threats of violence
( use needless devices, proper lifting education, PPE, alarm system security, increase staffing, improved
lighting.)
Six aims of the 21st century healthcare - Answer all healthcare should be:
safe
patient-centred
timely
effective
efficent
equitable
Restraints - Answer devices used to restrict the free movement of a patient, or a medication
administered to achieve the same purpose( ex- prevent pt from pulling out an iv, preventing a fall.)
- never used for the convenience of the staff or punishment, coercion, retaliation
- often increases agitation
- follow institution guidelines - citations and fines can result when restraints are not used within
established guidelines
- can be applied when needed, but pt needs to be seen by HPC within 1 hour and reorder every 24
hours, every 4 hours for violent, self destructive pts
-remove restraints, one at a time, to asses skin-often every 2-4 hours
-When used to remind patients not to roll too far to the side, and to provide bars that assist patients
when they turn to the side are not considered restraints.
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