Guide and Practice Questions
An important part of preventing needle-stick injuries
(what else can you do to decrease risk?) - correct answer ✔✔-never recap a contaminated
needle
-clear line between you and disposal
-activate safety mechanism
-use needless devices when you can
-never force a need in a full sharp container
Pressure ulcer with slough and eschar on the right heel of a patient is staged as this - correct
answer ✔✔unstageable
Slowing reflexes and sensory loss are causes of increased safety risks in this developmental
stage
(what are other factors that contribute to risk in this population?) - correct answer ✔✔-elderly
-decreased sensory perception
- changes in physiology
- Polly-pharmacy
-neglect
When a medication is not given for some reason, this must be performed - correct answer ✔✔-
notify the provider/percriber
- document it
Dehydration and electrolyte imbalance are complication of this alteration in elimination... -
correct answer ✔✔-diarrhea
, This person is the best evaluator of sleep... - correct answer ✔✔the patient
Chronic disease and increased infections occur from this... - correct answer ✔✔unrelieved
stress or allostatic overload
When wound edges are not approximated, the wound heals in this manner... - correct answer
✔✔secondary intention
(Primary intention wound edge touch each other, like after surgery)
Alternatives to restraints... - correct answer ✔✔-frequent rounding/checks, putting patient
closer to nursing station, camouflage IV lines, attend to basic needs
When a patient states, "My leg hurts," the nurse collect this type of data...
What assessment data related to pain would be objective data? - correct answer ✔✔-subjective
-grimacing of the face
Involving a confused patient's family in care, using bed alarms, placing the bed in the lowest
position, and assessing a patient's ability to ambulate are interventions that can prevent this... -
correct answer ✔✔falls, injury
The nurse knows there must be an order for restraints and the order should contain these
elements... - correct answer ✔✔-must be current (ordered every 24 hours) and must specify
circumstances, type or restraint, and duration
These activities take place during the planning stage of the nursing process... - correct answer
✔✔formulation of goals and outcomes and selection of appropriate interventions