RASMUSSEN- NURSING 1 - EXAM 1
QUESTIONS & VERIFIED ANSWERS
PASSED 100%
SBAR - Correct Answer ✔✔ a tool used by health care professionals when they
communicate with each other about critical changes in a patient's status.
S = Situation
B = Background
A = Assessment
R = Recommendation
Falls:
- In the home - Correct Answer ✔✔ - Prevalent in those older than 65 years
- Causes: slippery floors, stairs, tubs; low toilet seat; high bed
- Prevention: non-skid shoes; tidy clothes; proper lighting; grab bars/rails; no scatter
rugs
Falls:
- In the healthcare facility - Correct Answer ✔✔ Prevention:
- fall risk assessment
- environmental safety (clear clutter/ trip hazards)
- clean, dry floors
- client education
Patient education before leaving the hospital - Correct Answer ✔✔ aimed at what they
are there for
- meds, diet, regiment, post-op instructions
National Patient Safety Goals
(Starting as of Jan 2019) - Correct Answer ✔✔ 1. Improve the accuracy of patient
identification
2. Improve the effectiveness of communication among caregivers.
3. Improve the safety of using medications
6. Reduce the harm associated with clinical alarm systems
7. Reduce the risks of healthcare-associated infections
,15. The hospital identifies safety risks inherent in its patient population
How to prevent blood clots - Correct Answer ✔✔ - ted stockings
- Sequential compression devise (SCD) - compression stockings
- Range of motion (ROM) exercises
- maintain good hydration
- blood thinner
- ambulation
Sentinel event - Correct Answer ✔✔ an unexpected occurrence involving death or
serious physical or psychological injury
- always warrants the need for immediate investigation and response
Scope of errors (two categories) - Correct Answer ✔✔ - Latent (Blunt end):
care coordination, documentation, electronic records
- Active (Sharp end):
prevention of decubitus ulcers, med admin (10 right and components of a physician
med order), fall prevention, invasive procedures, diagnosis workup, recognition of/action
on adverse events, communication.
Categories of errors - Correct Answer ✔✔ diagnostic, treatment, preventive,
communication
Reducing pressure ulcers - Correct Answer ✔✔ - turn patients routinely
- change wet bedding and clothes immediately
- protect the skin over bony areas and check the skin routinely
- keep skin dry, clean, and moisturized
patients who are at risk for immobility - Correct Answer ✔✔ - smokers
- drinkers
- those on steroids
- those who are paralyzed
- Sedentary lifestyle
Consequences of Immobility:
- Integumentary system - Correct Answer ✔✔ - Increased pressure on the skin, which is
aggravated by metabolic changes
- Decreased circulation to the tissue causing ischemia which can lead to pressure ulcers
Consequences of Immobility:
- Respiratory - Correct Answer ✔✔ - Decreased respiratory movement resulting in
decreased oxygenation and carbon dioxide exchange
- Stasis of secretions and decreased/weakened respiratory muscles resulting in
atelectasis and hypostatic pneumonia
, - Decreased cough response
Consequences of Immobility:
- Cardiovascular - Correct Answer ✔✔ - Orthostatic hypotension
- Less fluid volume in the circulatory system
- stasis of blood in the legs
- diminished autonomic response
- decreased cardiac output leading to poor cardiac effectiveness with results in
increased cardiac workload
- increased oxygenation requirement
- increased risk of thrombus development
Consequences of Immobility:
- Metabolic - Correct Answer ✔✔ - Altered endocrine system
- decreased basal metabolic rate
- changes in protein, carbohydrate, and fat metabolism
- decreased appetite and altered nutritional intake
- negative nitrogen balance
- decreased protein resulting in loss of muscle
- loss of weight
- alterations in calcium/fluid/electrolytes
- reabsorption of calcium from bones
- decreased urinary elimination of calcium resulting in hypercalcemia
Consequences of Immobility:
- Genitourinary - Correct Answer ✔✔ - urinary stasis
- change in calcium metabolism with hypercalcemia resulting in renal calculi
- decreased fluid intake
- poor peri-care and indwelling catheter care resulting in UTIs
Consequences of Immobility:
- Gastrointestinal - Correct Answer ✔✔ - decreased peristalsis
- decreased fluid intake
- constipation/fecal impactions/diarrhea
Osteoporosis - Correct Answer ✔✔ - A condition in which the body's bones become
weak and break easily.
- Loss of bone density
- Known as the "Silent Disease" (no pain) becuase they dont know they have it until
they fracture a hip, wrist, or vertebrae
- Usually effects 60s and up ladies/ post-menopausal women
- (menopause: calcium and estrogen levels decrease = increase risk for osteoporosis)
Encourage:
- weight bearing exercises
- take vitamin D and give calcium supplements. Boneva or fosamax?
QUESTIONS & VERIFIED ANSWERS
PASSED 100%
SBAR - Correct Answer ✔✔ a tool used by health care professionals when they
communicate with each other about critical changes in a patient's status.
S = Situation
B = Background
A = Assessment
R = Recommendation
Falls:
- In the home - Correct Answer ✔✔ - Prevalent in those older than 65 years
- Causes: slippery floors, stairs, tubs; low toilet seat; high bed
- Prevention: non-skid shoes; tidy clothes; proper lighting; grab bars/rails; no scatter
rugs
Falls:
- In the healthcare facility - Correct Answer ✔✔ Prevention:
- fall risk assessment
- environmental safety (clear clutter/ trip hazards)
- clean, dry floors
- client education
Patient education before leaving the hospital - Correct Answer ✔✔ aimed at what they
are there for
- meds, diet, regiment, post-op instructions
National Patient Safety Goals
(Starting as of Jan 2019) - Correct Answer ✔✔ 1. Improve the accuracy of patient
identification
2. Improve the effectiveness of communication among caregivers.
3. Improve the safety of using medications
6. Reduce the harm associated with clinical alarm systems
7. Reduce the risks of healthcare-associated infections
,15. The hospital identifies safety risks inherent in its patient population
How to prevent blood clots - Correct Answer ✔✔ - ted stockings
- Sequential compression devise (SCD) - compression stockings
- Range of motion (ROM) exercises
- maintain good hydration
- blood thinner
- ambulation
Sentinel event - Correct Answer ✔✔ an unexpected occurrence involving death or
serious physical or psychological injury
- always warrants the need for immediate investigation and response
Scope of errors (two categories) - Correct Answer ✔✔ - Latent (Blunt end):
care coordination, documentation, electronic records
- Active (Sharp end):
prevention of decubitus ulcers, med admin (10 right and components of a physician
med order), fall prevention, invasive procedures, diagnosis workup, recognition of/action
on adverse events, communication.
Categories of errors - Correct Answer ✔✔ diagnostic, treatment, preventive,
communication
Reducing pressure ulcers - Correct Answer ✔✔ - turn patients routinely
- change wet bedding and clothes immediately
- protect the skin over bony areas and check the skin routinely
- keep skin dry, clean, and moisturized
patients who are at risk for immobility - Correct Answer ✔✔ - smokers
- drinkers
- those on steroids
- those who are paralyzed
- Sedentary lifestyle
Consequences of Immobility:
- Integumentary system - Correct Answer ✔✔ - Increased pressure on the skin, which is
aggravated by metabolic changes
- Decreased circulation to the tissue causing ischemia which can lead to pressure ulcers
Consequences of Immobility:
- Respiratory - Correct Answer ✔✔ - Decreased respiratory movement resulting in
decreased oxygenation and carbon dioxide exchange
- Stasis of secretions and decreased/weakened respiratory muscles resulting in
atelectasis and hypostatic pneumonia
, - Decreased cough response
Consequences of Immobility:
- Cardiovascular - Correct Answer ✔✔ - Orthostatic hypotension
- Less fluid volume in the circulatory system
- stasis of blood in the legs
- diminished autonomic response
- decreased cardiac output leading to poor cardiac effectiveness with results in
increased cardiac workload
- increased oxygenation requirement
- increased risk of thrombus development
Consequences of Immobility:
- Metabolic - Correct Answer ✔✔ - Altered endocrine system
- decreased basal metabolic rate
- changes in protein, carbohydrate, and fat metabolism
- decreased appetite and altered nutritional intake
- negative nitrogen balance
- decreased protein resulting in loss of muscle
- loss of weight
- alterations in calcium/fluid/electrolytes
- reabsorption of calcium from bones
- decreased urinary elimination of calcium resulting in hypercalcemia
Consequences of Immobility:
- Genitourinary - Correct Answer ✔✔ - urinary stasis
- change in calcium metabolism with hypercalcemia resulting in renal calculi
- decreased fluid intake
- poor peri-care and indwelling catheter care resulting in UTIs
Consequences of Immobility:
- Gastrointestinal - Correct Answer ✔✔ - decreased peristalsis
- decreased fluid intake
- constipation/fecal impactions/diarrhea
Osteoporosis - Correct Answer ✔✔ - A condition in which the body's bones become
weak and break easily.
- Loss of bone density
- Known as the "Silent Disease" (no pain) becuase they dont know they have it until
they fracture a hip, wrist, or vertebrae
- Usually effects 60s and up ladies/ post-menopausal women
- (menopause: calcium and estrogen levels decrease = increase risk for osteoporosis)
Encourage:
- weight bearing exercises
- take vitamin D and give calcium supplements. Boneva or fosamax?
