NURS 231 Module 1 Exam
head to toe assessment techniques - ANSWER: i. Breath and heart sounds under the
gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER: 5,000-10,000
Hemoglobin - ANSWER: 12-16
Hematocrit - ANSWER: 35-50
priority of care - ANSWER: 1. Airway
2. Breathing
3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER: 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER: a. Is for older people (65+) or those with permanent disability
b. What the parts do
i. Part A: Hospital insurance
ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D - ANSWER: medications
Medicaid - ANSWER: a. For the low income clients
b. Federally and state funded
c. Single moms, etc
national patient safety goals - ANSWER: set by QSEN and joint commisssion
, national patient safety goal identify patients - ANSWER: 1. 2 patient identifiers,
consistent
2. Blood administration with identifiers
staff communicatiion - ANSWER: 1. right person gets information at the right time
Med Safety - ANSWER: 1. Check labels, all syringes leaving the med room are
labeled. Any med that is crushed is labeled, take time in med room, be quiet in med
room
2. Be careful with high risk meds (infusions, blood thinners)
3. 9 rights
4. Check and re-check m=home meds and compare to hospital meds and times given
5. Up to date med lists.
alarm safety - ANSWER: 1. Be aware of alarm fatigue
2. Use them consistently and purposefully
prevent infection - ANSWER: 1. Primary prevention (vaccines, anti-smoking
campaigns for those who don't smoke, teaching)
2. Handwashing
3. Guidelines treating hard to treat infections (name some)
4. Reduction of infection after surgery (dressing changes, removal of Foley catheter,
turn, cough deep breathe)
5. Use proven guideline to prevent UTI and CAUTI (CHG baths, catheter removal,
sterile dressing changes, use of new methods to reduce infection in central lines)
preventing surgical error - ANSWER: 1. Time out (a last check of right patient, right
treatments)
2. Label of patient (correct body part)
SBAR/ISBARQ - ANSWER: i. Situation, background, assessment, recommendation
ii. Introduce, situation, background, assessment, recommendation, question
iii. Pass of because of info needs to be given to keep patient safe
QSEN - ANSWER: i. Patient safe goals
ii. Same as CPET goals
iii. Prepares future nurses to have knowledge, skills and attitudes to improve quality
and safety in healthcare system
collaborative care team - ANSWER: i. Helps provide continuous patient care
ii. Need to give continuous care for the patient
Physiologic Stress and Adaptation (GAS) - ANSWER: 1. Alarm Stage
2. Resistance Stage
3. Exhaustion Stage
head to toe assessment techniques - ANSWER: i. Breath and heart sounds under the
gown
ii. Listen to bowels before palpation
iii. Pedal and radial pulses
iv. Turgor- clavicle
WBC Count - ANSWER: 5,000-10,000
Hemoglobin - ANSWER: 12-16
Hematocrit - ANSWER: 35-50
priority of care - ANSWER: 1. Airway
2. Breathing
3. Circulation
4. Infection
5. Safety
6. Nutrition
7. Psychosocial
8. Acute vs. chronic
9. Stable vs. unstable
changing patterns - ANSWER: 1. How long we have patients stay
2. Foley catheters
3. Blood
4. Movement
5. Eradication of some diseases but newer ones are now a problem
6. More chronic illnesses
medicare - ANSWER: a. Is for older people (65+) or those with permanent disability
b. What the parts do
i. Part A: Hospital insurance
ii. Part B: medical insurance
iii. Part C: Medicare advantage plan
iv. Part D: medications
Medicare Part D - ANSWER: medications
Medicaid - ANSWER: a. For the low income clients
b. Federally and state funded
c. Single moms, etc
national patient safety goals - ANSWER: set by QSEN and joint commisssion
, national patient safety goal identify patients - ANSWER: 1. 2 patient identifiers,
consistent
2. Blood administration with identifiers
staff communicatiion - ANSWER: 1. right person gets information at the right time
Med Safety - ANSWER: 1. Check labels, all syringes leaving the med room are
labeled. Any med that is crushed is labeled, take time in med room, be quiet in med
room
2. Be careful with high risk meds (infusions, blood thinners)
3. 9 rights
4. Check and re-check m=home meds and compare to hospital meds and times given
5. Up to date med lists.
alarm safety - ANSWER: 1. Be aware of alarm fatigue
2. Use them consistently and purposefully
prevent infection - ANSWER: 1. Primary prevention (vaccines, anti-smoking
campaigns for those who don't smoke, teaching)
2. Handwashing
3. Guidelines treating hard to treat infections (name some)
4. Reduction of infection after surgery (dressing changes, removal of Foley catheter,
turn, cough deep breathe)
5. Use proven guideline to prevent UTI and CAUTI (CHG baths, catheter removal,
sterile dressing changes, use of new methods to reduce infection in central lines)
preventing surgical error - ANSWER: 1. Time out (a last check of right patient, right
treatments)
2. Label of patient (correct body part)
SBAR/ISBARQ - ANSWER: i. Situation, background, assessment, recommendation
ii. Introduce, situation, background, assessment, recommendation, question
iii. Pass of because of info needs to be given to keep patient safe
QSEN - ANSWER: i. Patient safe goals
ii. Same as CPET goals
iii. Prepares future nurses to have knowledge, skills and attitudes to improve quality
and safety in healthcare system
collaborative care team - ANSWER: i. Helps provide continuous patient care
ii. Need to give continuous care for the patient
Physiologic Stress and Adaptation (GAS) - ANSWER: 1. Alarm Stage
2. Resistance Stage
3. Exhaustion Stage
