Exam Questions and Correct, Verified
Answers. Graded A+
Airborne Precautions - ANS
Apex of Heart - ANS- Bottom portion of heart
- Tip of Ventricle
Palpate for Pulsations of Apical Pulse
Areas of where Temp can be taken - ANSoral
Tympanic - EAR
Rectal
Temporal - Forehead
Assisting bed pan for immobile patient - ANSHand Hygiene, gather supplies,
Flatten bed in supine position,
log roll patient w/ back facing towards you,
place bed pan firmly on buttocks & push it down on mattress, keep one hand on
bedpan, and other hand on patient , keeping bedpan centered,
place pillow under lumbar curve to reduce strain
cover patient
raise HOB to 30 degrees
Assisting w/ Bedpan
INDEPENDENT PT - ANS~Bed should be flat ( unless contraindicated)
~Raise Head of Bed 30-60 degrees
~Ask Pt to move hips up , slide your hand *palm* *up* under the Pt's *sacrum* to assist
with lifting hips.
~Slide bedpan under Pt (Open Rim of Bedpan should be facing foot of bed) *****IMPT**
~*If using *Fracture* *Bedpan* : Deep , open, lower end of bedpan is facing foot of bed.
((Handle which attached to the deeper part of the pan should be facing towards foot
bed)
, ~ Place toilet paper & call bell within Pt's reach
~ Allow Pt to have privacy. Check on Pt within 10 minutes ( this helps to decrease
pressure ulcers from forming)
Bronchial Breath Sounds - ANSPitch: High
Intensity: Loud
Duration: Insp < Exp 1:2 ( you will hear it during Expiration)
Expected Location: Over Trachea
Abnormal Location: Over peripheral lung fields
normal breath sounds made by air moving through the bronchi
Bronchiovesicular Breath Sounds - ANSPitch: Moderate
Intensity: Medium
Duration : 1:1 Insp=Exp
Expected Location: 1st & 2nd ICS @ Sternal Border ( Anteriorly)
Posteriorly: T4 Medial to Scapula
Abnormal: Over Peripheral Lung Fields
Circadian Rhythms - ANSThe Temp is *lowest* @ 3am and *Highest* @ 6pm
Close ended Questions ? - ANSResponse with a Yes or NO
~Use this type of ? To elicit more details from Pt's
Conduction - ANStransfer of & reaction to heat through direct contact - Heat from body
is lost when it comes in contact w/ a cooler object . I.e ice pack. Cool cloth
Convection - ANSTransfer of *heat* by movement / circulation of warm water such as
air or water
Different types of Standards of Precautions - ANSHand Hygiene
~PPE