NURS 2528 - Practice Lab 1 (TEST 1) Questions With
Complete Solutions
4 moments of hand hygiene Correct Answers 1. Before initial
patient/patient environment contact
2. Before aseptic procedure
3. After body fluid exposure risk
4. After patient/patient environment contact
4 types of bone Correct Answers long, short, flat, irregular
active ROM Correct Answers -the resident assist with the
movement
-normal day to day movement
-can be achieved by opposing muscles that contract + relax;
joint movement
-improve muscle mass, tone, strength
alchohol based rub Correct Answers -kills organism in seconds
-preferred method of HH if not visibly soiled
alignment Correct Answers posture
ambulate to chair Correct Answers - 3 times daily
- especially at mealtime
- shift weight "cheek to cheek" q15m or q1h if dependant
assess (principles of ROM) Correct Answers before and during
assessing risk for falls Correct Answers - sit and stand test
- get up and go test
,-a simple way to assess muscle balance and strength
authority to use restraints Correct Answers -doctors order
-must have patients permission
-emergency: harmful to others
-patient is able to refuse
base of support Correct Answers area beneath of person
basic aseptic principles Correct Answers - clean to dirty (head
to toe)
- distal to proximal
- front to back
bed bath : protective behaviors Correct Answers - Moisturizers
- use sparingly
- Powder - Avoid use
bed bath Correct Answers -Only if patient is unable
-Always promote independence
-Ensure privacy
-Assess pain & need BR prior
-Gather all equipment
-Organization is critical!
-Do as much as possible at once!
bed bath tips Correct Answers - Fold washcloth as a mitt
- Wash, Rinse, Pat dry
- Soak hands and feet if possible
- Special attention to skin folds
, bed bath: procedure Correct Answers - Wash Eyes First: No
soap, inner to outer canthus, separate part of cloth
- Front: Face, Neck, Arms, Chest, Abdomen, Legs, Perineum
- Back: Back, Buttocks, Anal area
bed making Correct Answers -PPE
-bring what you need
-carry soiled linens away from you
-if linen falls, discard
-don't place dirty linens on the floor
bed making guidelines Correct Answers -change prn or
scheduled
-work head- toe
-check personal belongings
-work together
-if alone make one side before other
bedside basics: environmental space Correct Answers
brakes,call bell, clutter,bed height, side rails etc
bedside basics: physical environment Correct Answers intimate
space - personal space - social space - public space
bedside table Correct Answers -clients personal space
-don't work around things
-don't touch without permission
bedside tables Correct Answers -used to store personal care
items
-don't work around things
Complete Solutions
4 moments of hand hygiene Correct Answers 1. Before initial
patient/patient environment contact
2. Before aseptic procedure
3. After body fluid exposure risk
4. After patient/patient environment contact
4 types of bone Correct Answers long, short, flat, irregular
active ROM Correct Answers -the resident assist with the
movement
-normal day to day movement
-can be achieved by opposing muscles that contract + relax;
joint movement
-improve muscle mass, tone, strength
alchohol based rub Correct Answers -kills organism in seconds
-preferred method of HH if not visibly soiled
alignment Correct Answers posture
ambulate to chair Correct Answers - 3 times daily
- especially at mealtime
- shift weight "cheek to cheek" q15m or q1h if dependant
assess (principles of ROM) Correct Answers before and during
assessing risk for falls Correct Answers - sit and stand test
- get up and go test
,-a simple way to assess muscle balance and strength
authority to use restraints Correct Answers -doctors order
-must have patients permission
-emergency: harmful to others
-patient is able to refuse
base of support Correct Answers area beneath of person
basic aseptic principles Correct Answers - clean to dirty (head
to toe)
- distal to proximal
- front to back
bed bath : protective behaviors Correct Answers - Moisturizers
- use sparingly
- Powder - Avoid use
bed bath Correct Answers -Only if patient is unable
-Always promote independence
-Ensure privacy
-Assess pain & need BR prior
-Gather all equipment
-Organization is critical!
-Do as much as possible at once!
bed bath tips Correct Answers - Fold washcloth as a mitt
- Wash, Rinse, Pat dry
- Soak hands and feet if possible
- Special attention to skin folds
, bed bath: procedure Correct Answers - Wash Eyes First: No
soap, inner to outer canthus, separate part of cloth
- Front: Face, Neck, Arms, Chest, Abdomen, Legs, Perineum
- Back: Back, Buttocks, Anal area
bed making Correct Answers -PPE
-bring what you need
-carry soiled linens away from you
-if linen falls, discard
-don't place dirty linens on the floor
bed making guidelines Correct Answers -change prn or
scheduled
-work head- toe
-check personal belongings
-work together
-if alone make one side before other
bedside basics: environmental space Correct Answers
brakes,call bell, clutter,bed height, side rails etc
bedside basics: physical environment Correct Answers intimate
space - personal space - social space - public space
bedside table Correct Answers -clients personal space
-don't work around things
-don't touch without permission
bedside tables Correct Answers -used to store personal care
items
-don't work around things
