UNIVERSITY FINAL PAPER
PRACTICE QUESTIONS ANSWERS
ACCURATE A+
◉ Weakness - supervise/assist with balance/gait
Incontinence - provide aids/management and ensure hydration so other
issues don't arise
Environment - ensure no hazards, ensure light, glasses and walk aids
Medication - pharmacist review, assess side effects
Confusion - have staff known to pt, reorientate
Impaired mental status - assess underlying causes, Ax1 with ADLs
Ambulation - Ax1/supervise
IVT - Ax1, get to buzz when needing to go somewhere
Visually impaired - Glasses, increase light.
Answer: Risks for Falls
◉ -blood/body fluids
-toxic chemicals
-electrical hazards
-fire
-workplace violence
-injury to self and patients.
Answer: safety risks
,◉ 1st Level = Airway, Breathing, Cardiac/Circulation (ABCs). Require
immediate intervention.
2nd Level = Pain, urinary elimination, mental status change, untreated
medical problems, lab value changes, risk of infection, safety, security.
Attended to immediately after first level priorities are met.
3rd Level = Problems that are important to the patient's health, but can
be addressed after more urgent health problems are tended to..
Answer: Priorities in nursing
◉ result from an electrical hazard or malfunction, disrepair, or misuse of
equipment.
Answer: equipment-related accidents
◉ Determine patient's strong and weak sides
Always position the patient so that he or she transfers toward the strong
side
Lock wheelchair locks and move footrests out of the way.
Answer: Wheelchair Transfers
◉ Handwashing before and after patient care, sanitizing reusable
equipment.
Answer: Preventing the spread of infection
◉ hand hygiene, sterile technique, sanitizing equipment.
, Answer: ways to decrease healthcare-associated infections
◉ an area that is set up for certain procedures and is free from all
organisms.
Answer: sterile field
◉ sterile.
Answer: sterile touching sterile remains
◉ contaminated.
Answer: sterile touching clean becomes
◉ contaminated.
Answer: sterile touching contaminated becomes
◉ sterile objects.
Answer: only ___________ ___________ may be placed on a sterile
field
◉ you find a tear or break in the covering of a sterile object.
Answer: sterile state is questionable when
◉ contaminated.