NUR209 MEDICAL SURGICAL NURSING II
EXAM 3 COMPREHENSIVE SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ Nurse role for safety measures Answer: Accidents are preventable,
water spilling, confusion in patients who do not leave alone, and
assisting patients that can not walk. Use critical thinking skills as the
nurse. If we see something as the nurse we must say something. Speak
up in unsafe environments because it can prevent injuries.
Between 5 and 7 mins sees the physician in a 24 hour period. The nurse
is responsible for physical assessment, eating, drinking, fever, blood
pressure, using the bathroom. 11 hrs and 53 mins and at night the full 12
hrs. You have your senses and equipment and your responsibility to
notice changes in the patient's status and watch their safety.
Our job is to make sure that the patient assigned to us is provided safe,
correct, and proper care. Safety is the number one goal.
◉ Safety in older adults Answer: fall prevention, understand what we
are telling them, steadiness, older adult physical comp decreases. Are
they cognitive - something to put something together to create
something else.
Home safety - throw rugs biggest injury factor or rug runners those rugs
that are not taken down can cause older people to fall and have a hip
injury. The artery in the hip can break the hollow organ to empty its
displaced fracture, can cause sepsis and can lead to death. 50 percent of
people with a hip injury die in the first year. If you fracture the femur
bone marrow gets exposed cause fat globules when going back to the
,inferior vena cava heart will have fat in it. As it goes into the lungs and
causes a pulmonary clot (Embolism) a fat clot. 50 percent of patients die
from pneumonia. Cant move blood will not be flowing correct, heart will
lower, blood will pool and clot can go to lungs and cause pulmonary
blood clot. The vessels will get smaller and will kill the heart muscle. go
to coronary arteries
◉ Safety Issues Answer: Radiation can cause cancer, high freq electrical
magnetic shortwaves gamma rays, and many health related effects
related to radiation. Thyroid is super sensitive to radiation. Use to
protect against cancer. Chest XRays 1 shot, CAT scan - 1 shot times the
amount of radiation of 100 x ray. As a nurse you must protect yourself
also because it changes the DNA sequence change in cellular seq. Make
sure the patient is getting safety protocols.
Nurses are exposed to radiation a little bit each time. If it's a child only
xray if the child starts to show neurological decline. Chances are the
child could have a concussion, confront my physical assessment same
result whether or not CAT scan is used. If the child is not waking up,
confusion.
◉ Risk beneficial ratio - Is there a risk with radiation treatment? Y
Answer: Yes, it can cause cancer. Repeated CAT scans increase your
risk of getting cancer. Its more risky to get a CAT scan. The risk is too
high for the benefit its going to have. Ex lung cancer chemo is poison.
High risk of taking poison but the benefit outweighs the risk of taking it
for better benefits. Ex child falls off bunk bed the risk outweighs the
benefit of getting a CAT scan. Put a tattoo to match the radiation beams
to that area. Chemo kill both the bad and the good cells.
, ◉ Occupational Safety and Health Administration (OSHA) Answer:
Entire purpose is to make sure workplace safety protocols are followed.
Body of government to investigate health and safety issues in a health
envo.
ABC extinguisher used for any fire extinguisher paper, wood, cloth,
flannel liquids, electrical equipment, appliances, and tools. Grease
kitchen fires, paint, and gases. Ex Anesthesia. ABC use on animal
grease.
Burns with children's hot water, the new house always looks at the
thermostat on the boiler. Certain temp safe for children.
◉ Restraints Answer: You have to as the nurse have a physicans order to
put restraints on a patient. You may not as the nurse do it without an
order. Pozzies - Vests Wrist restraints, for prisoners-leather restraints If
violent will have to be in four point leather restraints to the bed and
handcuffs for prisoners. Handcuffs are judicial restraints under the
property of the ward or the state. Patients are not prisoners. No leg
restraints for patients. Four point lether restraints for prisoner must be
order.
Wrist restraints patients are becoming combative, usually in older adults,
who can become violent. Or dig into you from the nails. Punchers and
scratchers. Mits - these are people who pull out IVS, NQ, Catheters so
they can not grasp anything. Fine motor skills are not used.
◉ The nurse is assessing clients for risk factors in the workplace. Which
clients would be at risk for injury due to the environment of the
workplace? Select all that apply. Answer: gardener who mows and
places fertilizer on lawns
nursing assistant who lifts clients in a nursing home
EXAM 3 COMPREHENSIVE SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ Nurse role for safety measures Answer: Accidents are preventable,
water spilling, confusion in patients who do not leave alone, and
assisting patients that can not walk. Use critical thinking skills as the
nurse. If we see something as the nurse we must say something. Speak
up in unsafe environments because it can prevent injuries.
Between 5 and 7 mins sees the physician in a 24 hour period. The nurse
is responsible for physical assessment, eating, drinking, fever, blood
pressure, using the bathroom. 11 hrs and 53 mins and at night the full 12
hrs. You have your senses and equipment and your responsibility to
notice changes in the patient's status and watch their safety.
Our job is to make sure that the patient assigned to us is provided safe,
correct, and proper care. Safety is the number one goal.
◉ Safety in older adults Answer: fall prevention, understand what we
are telling them, steadiness, older adult physical comp decreases. Are
they cognitive - something to put something together to create
something else.
Home safety - throw rugs biggest injury factor or rug runners those rugs
that are not taken down can cause older people to fall and have a hip
injury. The artery in the hip can break the hollow organ to empty its
displaced fracture, can cause sepsis and can lead to death. 50 percent of
people with a hip injury die in the first year. If you fracture the femur
bone marrow gets exposed cause fat globules when going back to the
,inferior vena cava heart will have fat in it. As it goes into the lungs and
causes a pulmonary clot (Embolism) a fat clot. 50 percent of patients die
from pneumonia. Cant move blood will not be flowing correct, heart will
lower, blood will pool and clot can go to lungs and cause pulmonary
blood clot. The vessels will get smaller and will kill the heart muscle. go
to coronary arteries
◉ Safety Issues Answer: Radiation can cause cancer, high freq electrical
magnetic shortwaves gamma rays, and many health related effects
related to radiation. Thyroid is super sensitive to radiation. Use to
protect against cancer. Chest XRays 1 shot, CAT scan - 1 shot times the
amount of radiation of 100 x ray. As a nurse you must protect yourself
also because it changes the DNA sequence change in cellular seq. Make
sure the patient is getting safety protocols.
Nurses are exposed to radiation a little bit each time. If it's a child only
xray if the child starts to show neurological decline. Chances are the
child could have a concussion, confront my physical assessment same
result whether or not CAT scan is used. If the child is not waking up,
confusion.
◉ Risk beneficial ratio - Is there a risk with radiation treatment? Y
Answer: Yes, it can cause cancer. Repeated CAT scans increase your
risk of getting cancer. Its more risky to get a CAT scan. The risk is too
high for the benefit its going to have. Ex lung cancer chemo is poison.
High risk of taking poison but the benefit outweighs the risk of taking it
for better benefits. Ex child falls off bunk bed the risk outweighs the
benefit of getting a CAT scan. Put a tattoo to match the radiation beams
to that area. Chemo kill both the bad and the good cells.
, ◉ Occupational Safety and Health Administration (OSHA) Answer:
Entire purpose is to make sure workplace safety protocols are followed.
Body of government to investigate health and safety issues in a health
envo.
ABC extinguisher used for any fire extinguisher paper, wood, cloth,
flannel liquids, electrical equipment, appliances, and tools. Grease
kitchen fires, paint, and gases. Ex Anesthesia. ABC use on animal
grease.
Burns with children's hot water, the new house always looks at the
thermostat on the boiler. Certain temp safe for children.
◉ Restraints Answer: You have to as the nurse have a physicans order to
put restraints on a patient. You may not as the nurse do it without an
order. Pozzies - Vests Wrist restraints, for prisoners-leather restraints If
violent will have to be in four point leather restraints to the bed and
handcuffs for prisoners. Handcuffs are judicial restraints under the
property of the ward or the state. Patients are not prisoners. No leg
restraints for patients. Four point lether restraints for prisoner must be
order.
Wrist restraints patients are becoming combative, usually in older adults,
who can become violent. Or dig into you from the nails. Punchers and
scratchers. Mits - these are people who pull out IVS, NQ, Catheters so
they can not grasp anything. Fine motor skills are not used.
◉ The nurse is assessing clients for risk factors in the workplace. Which
clients would be at risk for injury due to the environment of the
workplace? Select all that apply. Answer: gardener who mows and
places fertilizer on lawns
nursing assistant who lifts clients in a nursing home
