Basic Care
The patient will be receiving a backrub after his bedbath is completed. The nurse knows the back rub should begin in the _____________ area.
Sacral
You are getting an elderly female patient out of the bed for her first walk in 4 days. She has been sitting in the chair, but is ordered to ambulate this morning, with assistance. Measures that aid in minimizing vertigo, weakness and nausea during ambulation include _______.
Keep head up and take deep breaths
The nurse is assisting a patient to perform personal hygiene. What is the most important focus of the nurse when assisting this patient?
Independence
What is the site of the most common strain injury acquired by the nurse when working?
Lumbar muscle group
A health care provider orders a patient to be placed in the Trendelenburg’s position. How will the nurse position the bed?
Tilted with the head of the bed down
How will the nurse correctly replace a patient’s dentures after cleaning?
Inserting the upper denture first
The nurse is receiving a report on a patient. The nurse giving the report states that the patient has foot drop. The nurse receiving the report knows that which is the correct terminology for foot drop?
Plantar flexion of the foot
How should the nurse assist the patient with moving when pain is anticipated?
Administer medication before ambulation
What form explains the lapse when events are not consistent with facility or national standards of expected care?
Incident report
Older adults and young children are more sensitive to cold because:
The skin layers are thin and delicate
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
At least twice a day
What is the term for range of motion (ROM) when it is performed by the patient?
Active
The staff from all disciplines is developing integrated care plans for a projected length of stay for patients of a specific case type. This is known as a:
Critical pathway
The older adult tells the nurse that he is having trouble reading the labels on his medication bottles. What is the best strategy that the nurse could suggest to reduce the risk of an accidental medication error?
Teach the patient to use a medication organizer to manage the medication
_______________ is a piece of patient safety equipment that prevents external rotation while the patient is in the supine position.
Trochanter roll
How should the nurse cleanse the meatal opening when performing male perineal care?
From the meatus outward
What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?
2 hours
Actions to promote proper body mechanics includes:
Face your work area
Push, slide or pull heavy objects
Contract abdominal muscles in and up
What regulates standards for long-term care documentation?
OBRA
A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?
Collapse of blood vessels
The nurse is preparing the patient room for a new admission. The nurse knows the recommended room temperature is ____________.
68-74° F
The nurse is performing passive range of motion (ROM) for the patient. The nurse is aware that when performing passive ROM on a patient, the nurse will move the joint through ROM to what degree?
The point of pain and/or resistance
What is the process used to appraise the practice of an individual nurse known as?
Peer review
The Joint Commission defines a patient safety event that results in death, permanent harm, or severe temporary harm and is a debilitating event to both patients and health care providers involved in the event is called a ______________.
Sentinel event
Condition caused by progressive development of arterial compression and reduced blood supply to an extremity is called _____________.
Compartment syndrome