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NUR 3480 Med Surg - Exam 1 Practice Questions and Answers

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NUR 3480 Med Surg - Exam 1 Practice Questions and Answers WHAT IS THE #1 PRIORITY AT ALL TIMES FOR NURSES? - Ans:-safety WHY ARE FALLS DANGEROUS? - Ans:-they are devastating and can cause life-threatening injuries WHAT IS AN IMPORTANT INDICATOR FOR A FUTURE FALL? - Ans:-having fallen previously what should nurses ask patients to determine if they should do a quick assessment? - Ans:-"have you fallen before?" what do the points on a fall risk assessment mean? - Ans:-the interventions that should be needed what is a question that nurses should ask patients during a fall risk assessment? - Ans:-"what kind of fall did you have?" what is a mental related issue that should be determined during a fall risk assessment? - Ans:- confusion what are things that may increase risk for falls? - Ans:-lower extremity muscle weakness ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/115 gait or balance deficit mobility impairment restraint use use of an assistive device presence of intravenous therapy impaired ADLs age older than 75 years altered elimination ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/115 history of falls administration of high-risk drugs (narcotics, antiepileptics, bezodiazepines) use of 4 or more medications depression visual deficit arthritis history of cerebrovascular accident ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/115 cognitive impairment secondary diagnosis/chronic disease WHAT ARE NURSES RESPONSIBLE FOR IN TERMS OF FALLS? - Ans:-identifying at risk patients putting interventions into place WHEN DO MOST FALLS OCCUR? - Ans:-while toileting on the way to the bathroom while in the bathroom on the way back from the bathroom what happens when patients hit their heads on the floor or ceramic sink or toilet? - Ans:-serious injuries result ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/115 what should a nurse check during a fall risk assessment? - Ans:-room/environment loose rugs lowest position of bed lighting WHEN CAN PATIENTS' RISK FOR FALLS CHANGE? - Ans:-hour to hour day to day what are the primary fall causes? - Ans:-confusion depression ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/115 environment medications change in balance or gait disturbance muscle weakness dizziness, syncope, and vertigo cardiovascular changes (postural/orthostatic hypotension) change in vision or vision impairment physical environment/environmental hazards ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 7/115 acute illness neurological disease (dementia, depression) language disorders that impair communication polypharmacy what patients are NOT picked up after a fall? - Ans:-spinal cord injury patients what are nursing diagnoses for falls? - Ans:-ris

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NUR 3480 Med Surg - Exam 1 Practice Questions and
Answers


WHAT IS THE #1 PRIORITY AT ALL TIMES FOR NURSES? - Ans:✔✔-safety


WHY ARE FALLS DANGEROUS? - Ans:✔✔-they are devastating and can cause life-threatening injuries


WHAT IS AN IMPORTANT INDICATOR FOR A FUTURE FALL? - Ans:✔✔-having fallen previously


what should nurses ask patients to determine if they should do a quick assessment? - Ans:✔✔-"have you

fallen before?"


what do the points on a fall risk assessment mean? - Ans:✔✔-the interventions that should be needed


what is a question that nurses should ask patients during a fall risk assessment? - Ans:✔✔-"what kind of

fall did you have?"


what is a mental related issue that should be determined during a fall risk assessment? - Ans:✔✔-

confusion


what are things that may increase risk for falls? - Ans:✔✔-lower extremity muscle weakness




Page 1/115

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




gait or balance deficit




mobility impairment




restraint use




use of an assistive device




presence of intravenous therapy




impaired ADLs




age older than 75 years




altered elimination
Page 2/115

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




history of falls




administration of high-risk drugs (narcotics, antiepileptics, bezodiazepines)




use of 4 or more medications




depression




visual deficit




arthritis




history of cerebrovascular accident




Page 3/115

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




cognitive impairment




secondary diagnosis/chronic disease


WHAT ARE NURSES RESPONSIBLE FOR IN TERMS OF FALLS? - Ans:✔✔-identifying at risk patients




putting interventions into place


WHEN DO MOST FALLS OCCUR? - Ans:✔✔-while toileting




on the way to the bathroom




while in the bathroom




on the way back from the bathroom


what happens when patients hit their heads on the floor or ceramic sink or toilet? - Ans:✔✔-serious

injuries result

Page 4/115

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