Remediation week 3 quiz

When instructing a primary caregiver about keeping a daily log of blood pressure readings, what instructions should the nurse include? (Select all that apply.)

Apply the cuff approximately 2 in above the antecubital fossa, Apply the cuff snugly -Readings for a blood pressure log should be taken at the same time every day on the same arm. The cuff should be applied 2 in above the antecubital fossa and snugly secured. The pulse should be assessed with the diaphragm of the stethoscope. If unable to get a reading the first time, the cuff should be deflated completely and reinflated after several minutes.

What is the pulse—the expansion and contraction of an artery— produced by?

Contraction of the left ventricle -Expansion and contraction of an artery is caused by the ejection of blood from the left ventricle.

When the nurse ambulates with a patient who has left-sided weakness, what actions should the nurse take?

Keep the leg nearest the patient behind the patient's knee. & use a gait belt -Ambulating with a person who has an identified weakness requires that the nurse walk on the same side as the weakness, slightly behind the patient, with the nurse's near leg behind the patient's knee. The nurse should use a gait belt and hold the patient at the waist and the gait belt. Furniture can be used as support.

What does the nurse use the diaphragm of the stethoscope to best assess?

Lung sounds -Lung sounds are auscultated by using the diaphragm of the stethoscope.

The nurse adheres to the discharge standards set by The Joint Commission (TJC), which include that patients will receive instruction regarding which aspects of care? (Select all that apply.)

Medications, Rehabilitation techniques, Referral to community agencies, Medical equipment to be used

What should a nurse do when encountering a mercury spill?

Open any outside windows -In the event of a mercury spill, interior doors should be closed and outside windows should be opened. The spill should not be vacuumed.

What skills should health care workers frequently attend in-services about to ensure that staff has competent skills and risk for falls can be decreased?

Transferring -The majority of patient falls occur during transfer.

What type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electric fire?

Type C -Electric fires require type C fire extinguishers.

Some Orthodox Jewish patients consider sundown Friday to sundown __ to be the Sabbath, which is a time of rest.

saturday

When reinforcing the PASS acronym for fire extinguisher use, the nurse reminds the staff that the final "S" stands for __.

sweep

The nurse completes thorough documentation before, during, and after a __ to ensure continuity of care.

transfer continuity, care

A nurse is caring for a Haitian American patient. How might the nurse demonstrate cultural sensitivity?

Allowing the patient to walk out of the hospital when discharged. -Some Haitian Americans associate wheelchairs with being sick. Therefore, on discharge, the patient who is allowed to walk out of the hospital will be more likely to feel that care has been effective. A poor patient with a Haitian background and a wealthy patient with a Haitian background, although from the same country, may find the same room assignment together in the hospital very distasteful.

Because of the stress caused by hospitalization, the nurse assesses a newly admitted older adult patient for __.

disorientation

The nurse conducting a seminar on bioterrorism reviews several types of agents that may be used as weapons. An agent that does not seriously damage or kill the target population but only impairs it is classified as __.

incapacitating