NUR 2090 exam 1 Questions &
Solutions(GRADED A)
Mistake proofing - ANSWER Use of mechanisms or devices that make it difficult to
preform on error.
ex. tubing connections that are not interchangeable between enteral and intravenous
connections
Checklist - ANSWER use of list that validate critical points in a procedure.
ex. "Time out" checklist in operating room validating correct patient, operating site,
procedure.
redundancy - ANSWER use of built in "double checking" or successive checks prior to
high-risk procedures.
Care bundles - ANSWER combination of patient care elements into "bundles" that are
consistently used as a whole
ex. central line associated bloodstream infection bundle that contains basic elements of:
Hand hygiene, Maximal barrier precautions during line insertion, Preparation of skin with
chlorhexidine, Optimal catheter site selection, & Daily review of line necessity
communication - ANSWER Use of clear, accurate, and concise communication. Ex. Use
of standardized reports at end of shift.
medication errors - ANSWER -often interruptions during the medication administration
process
- use Tall man letters DOPamine DOBUTamine
- no interruptions for the med nurse
-med dispensing cabinets
- bar code administration
Healthcare worker risk - ANSWER Puncture injuires, back and other body injuries,
threats of violence
( use needless devices, proper lifting education, PPE, alarm system security, increase
staffing, improved lighting.)
Six aims of the 21st century healthcare - ANSWER all healthcare should be:
safe
patient-centred
timely
effective
, efficent
equitable
Restraints - ANSWER devices used to restrict the free movement of a patient, or a
medication administered to achieve the same purpose( ex- prevent pt from pulling out
an iv, preventing a fall.)
- never used for the convenience of the staff or punishment, coercion, retaliation
- often increases agitation
- follow institution guidelines - citations and fines can result when restraints are not used
within established guidelines
- can be applied when needed, but pt needs to be seen by HPC within 1 hour and
reorder every 24 hours, every 4 hours for violent, self destructive pts
-remove restraints, one at a time, to asses skin-often every 2-4 hours
types of restraints - ANSWER physical restraint, chemical, nonviolent/non-self
destructive, violent/self-destructive, seclusion
side rails - ANSWER -usually 4 on a bed
-When used to remind patients not to roll too far to the side, and to provide bars that
assist patients when they turn to the side are not considered restraints.
-When rails restrict the free movement of the patient, then side rails are considered a
restraint and require the same ordering and monitoring as other restraints.
-4 side rails in the up position are restraints. Risk of patient death from entrapment or
falls
Most frequent reason for pt to get up - ANSWER Bathroom
non-restraint safety devices - ANSWER bed alarms, pressure devices, 1:1 companion
Safe environment - ANSWER Poison prevention, suffocation and drowning prevention,
fire safety, burn prevention, firearm safety, electrical safety, radiation safety, childhood
safety, etc
Medical asepsis "clean technique" - ANSWER measures taken to control and reduce
the number of pathogens present
-hand hygiene
-disinfection and sterilization
-do not leave pt room with gown/gloves on
-do not carry soiled linens/gowns close to your body
- laundry bin in t room. do not carry out of room
-do not place dirty linens on floor
-clean less soiled areas of room first
Solutions(GRADED A)
Mistake proofing - ANSWER Use of mechanisms or devices that make it difficult to
preform on error.
ex. tubing connections that are not interchangeable between enteral and intravenous
connections
Checklist - ANSWER use of list that validate critical points in a procedure.
ex. "Time out" checklist in operating room validating correct patient, operating site,
procedure.
redundancy - ANSWER use of built in "double checking" or successive checks prior to
high-risk procedures.
Care bundles - ANSWER combination of patient care elements into "bundles" that are
consistently used as a whole
ex. central line associated bloodstream infection bundle that contains basic elements of:
Hand hygiene, Maximal barrier precautions during line insertion, Preparation of skin with
chlorhexidine, Optimal catheter site selection, & Daily review of line necessity
communication - ANSWER Use of clear, accurate, and concise communication. Ex. Use
of standardized reports at end of shift.
medication errors - ANSWER -often interruptions during the medication administration
process
- use Tall man letters DOPamine DOBUTamine
- no interruptions for the med nurse
-med dispensing cabinets
- bar code administration
Healthcare worker risk - ANSWER Puncture injuires, back and other body injuries,
threats of violence
( use needless devices, proper lifting education, PPE, alarm system security, increase
staffing, improved lighting.)
Six aims of the 21st century healthcare - ANSWER all healthcare should be:
safe
patient-centred
timely
effective
, efficent
equitable
Restraints - ANSWER devices used to restrict the free movement of a patient, or a
medication administered to achieve the same purpose( ex- prevent pt from pulling out
an iv, preventing a fall.)
- never used for the convenience of the staff or punishment, coercion, retaliation
- often increases agitation
- follow institution guidelines - citations and fines can result when restraints are not used
within established guidelines
- can be applied when needed, but pt needs to be seen by HPC within 1 hour and
reorder every 24 hours, every 4 hours for violent, self destructive pts
-remove restraints, one at a time, to asses skin-often every 2-4 hours
types of restraints - ANSWER physical restraint, chemical, nonviolent/non-self
destructive, violent/self-destructive, seclusion
side rails - ANSWER -usually 4 on a bed
-When used to remind patients not to roll too far to the side, and to provide bars that
assist patients when they turn to the side are not considered restraints.
-When rails restrict the free movement of the patient, then side rails are considered a
restraint and require the same ordering and monitoring as other restraints.
-4 side rails in the up position are restraints. Risk of patient death from entrapment or
falls
Most frequent reason for pt to get up - ANSWER Bathroom
non-restraint safety devices - ANSWER bed alarms, pressure devices, 1:1 companion
Safe environment - ANSWER Poison prevention, suffocation and drowning prevention,
fire safety, burn prevention, firearm safety, electrical safety, radiation safety, childhood
safety, etc
Medical asepsis "clean technique" - ANSWER measures taken to control and reduce
the number of pathogens present
-hand hygiene
-disinfection and sterilization
-do not leave pt room with gown/gloves on
-do not carry soiled linens/gowns close to your body
- laundry bin in t room. do not carry out of room
-do not place dirty linens on floor
-clean less soiled areas of room first
