Principles of Nursing Exam 1 Study Guide

The Joint Commission National Patient Safety Goals (NPSGs) aim to enhance patient safety by reducing risks of harm to patients and staff in all healthcare settings.

Which of these contribute to a culture of safety? (Select all that apply)

A ______ event is a patient safety incident that results in harm, injury, or death to the patient.

List three common risk factors for a patient falling.

Match the following interventions with their corresponding purpose in preventing patient falls:

Which of the following interventions can help prevent blood clots in an immobile patient?

Which of the following are alternative methods to using restraints for a patient who is agitated?

A rectal temperature measures a surface temperature.

While applying restraints, the nurse must ensure that the patient's skin integrity is assessed every 12 hours.

What is a common assistive device used to help patients ambulate safely in the hall?

What are the essential nursing responsibilities while a patient has restraints applied?

To prevent pressure ulcers, a patient should be repositioned every ______ hours.

When applying restraints, the nurse must ensure that ____ fingers can fit comfortably underneath the restraint.

Match the following immobility-related risks with their corresponding body systems:

Match the type of ROM with its definition:

If a patient starts to fall while ambulating, the nurse should try to catch them to prevent injury.

Which of the following nursing actions promotes good body mechanics?

Which of the following interventions can help prevent constipation in an immobile patient?

Describe a situation where passive ROM exercises would be beneficial for a patient.

Immobility can contribute to decreased lung expansion and increase the risk of pneumonia.

What are two measures that can help reduce the risk of urinary tract infections (UTIs) in an immobile patient?

Which type of heat exchange occurs when a warm object transfers heat to a cooler object through direct contact?

Hypoxemia is caused by an excessive supply of oxygen to the body's tissues.

What are three signs or symptoms that might indicate a patient is experiencing hypotension?

The transfer of heat from a warm surface to another without direct contact is called ______.

Match the following heat exchange processes with their descriptions:

An apical pulse is typically taken to assess heart rate when a peripheral pulse is difficult to obtain or abnormal.

Which of these is NOT a potential sign or symptom of hypoxemia?

What nursing interventions can be implemented for a patient experiencing dyspnea and an oxygen saturation of 88%?

What is the purpose of the Joint Commission National Patient Safety Goals?

Which of the following are examples of NPSGs for 2021?

How do each of the following contribute to a culture of safety? (Select all that apply)

What is a Sentinel Event?

Which of the following are examples of sentinel events?

What are some common risk factors for falling? (Select all that apply)

If a client is confirmed to be a high fall risk, what interventions are you implementing as a nurse?

When is it appropriate to place a patient in restraints?

What are the different types of restraints?

What can you do to avoid using restraints?

Deborah has soft wrist restraints ordered and applied correctly. She remains agitated towards the staff. What are your responsibilities and assessments while the restraints are in place?

What must you do after the nursing assistive personnel (NAP) applies the restraints?

How can the nurse practice good body mechanics?

What is the difference between active, passive, and full ROM?

Provide examples of patient illnesses and injuries that would benefit from passive ROM exercises?

How can immobility affect the musculoskeletal system? (Select all that apply)

How can immobility affect the lungs? (Select all that apply)

How can immobility affect the heart and blood vessels? (Select all that apply)

How can immobility affect the gastrointestinal system? (Select all that apply)

How can immobility affect the urinary system? (Select all that apply)

How can immobility affect the psychological system? (Select all that apply)

What are specific interventions for preventing pressure ulcers? (Select all that apply)

What assistive devices can the nurse use to safely ambulate with clients in the hall? (Select all that apply)

What should you do if a patient begins to feel dizzy while ambulating or transferring?

Where can you measure a surface temperature? (Select all that apply)

How is heat exchanged in each of these processes? (Select all that apply)

What would you do if the nursing assistive personnel (NAP) calls to report a BP of 170/100 on a client. They have consistently had an average BP of 120/70 for the last 3 days?

What are some reasons a client might experience hypoxemia? (Select all that apply)

What signs and symptoms can you expect from someone with an oxygen saturation of 88% who reports dyspnea? (Select all that apply)

What nursing interventions can you perform for a patient with low oxygen saturation?

What signs and symptoms can you expect from a hypotensive patient with a BP of 102/58? (Select all that apply)

When would you want to obtain an apical pulse over a peripheral pulse?