Fundamentals exam 2

how does a nurse prevent a confused patient from falling?

• placing a patient in a room close to the nurses station

• give them the call light

• restrain them

• ask them a list of questions to understand how confused they are

what do you do first when a paitent falls

• ambulate the patient

• document

• call the provider

• assess the patient

what is the RACE acronym

• run, alert, crawl, escape

• rescue, alarm, confine, extinguish

• ruin, award, confront,

what intervention should the nurse do when restraining a patient

• inspection of the patients skin

• the patients sanity

• the patients cleanliness

• the patients religious beliefs

what scale is used to assess a clients risk of falling

• glascow scale

• morse scale

• braden scale

• pita scale

what type of respiration occurs in the alveoli

• internal

• external

what receptors are located in the brainstem, carotid, and aorta

• neuroreceptors

• cardioreceptors

• chemoreceptors

• lymphaticreceptors

what transmission based precaution uses a regular mask

• droplet

• airborne

• contact

the color of sputum if there is an infection

• purulent

• sanguenous

• nacrotic

• serosanguenous

visible pulling of intercostal muscle

• nasal flaring

• wheezing

• stridor

• retractions