Chapter 20

• Average room temperature for an adult patient would ideally be between ?

  68 and 74 F
• If no laundry hamper is available, the next best place for soiled linen is?


  a pillowcase
• The release of pathogenic or hazardous substance with the aim to harm humans is known as?

  bioterrorism
• Restricting a patient's movements on a long-term basis can cause?

  atrophy
• The acronym for a fire emergency is?

  RACE
• How often must the nurse remove a patients protective device and change the patients position?

  Every 2 hours
• Which of the following chemical weapons prevent the nervous system from working properly?

  Nerve agents
• What is an example of an element that can release radiation?

  Plutonium
• Patients entering the emergency room are triaged based on ?

  type of care required
• When making a patients bed, it is important to ?

  use proper body alignment and a wide base of support
• Identify factors that affect the patients environment?

  Temperature, ventilation, humidity, lighting, odor, and noise
• How can very low humidity affect the patient?

  dries skin and respiratory passages
• What is humidity?

  the amount of moisture in the air.
• What is the normal comfortable range for himidity?

  30% to 50%
• To reduce noise within the hospital setting, what strategies could you use?

  avoid long conversation in the hallways, encouraging staff to speak in lower voices, answering alarms on IV pumps and equipment promptly, keep noise down at nurse station
• How can you maintain the privacy of the patient?

  knock and identify yourself, close curtain when using bedpan and bathing, post a sign on the door informing others of such task to discourage them from entering.
• What are three most common factors that predispose a person to falls?

  Impaired physical mobility, Altered mental status, Sensory and or motor deficit
• How can you prevent burns when treating a patient with diabetes or impaired circulation or one who is paralyzed or on drugs that alter mental awareness?

  Use a barrier between the patient's skin and the thermal application.
• Explain the RACE acronym when describing how you would respond to a fire?

  Rescue any paatients, Activate the fire alarm system, Contain the fire by closing the doors and window, Extinguish flames with an appropriate extinguisher
• Describe the symptoms of acute radiation sickness (ARS)?

  Nausea, vomiting, diarrhea, loss of appetite, fatigue, fever, skin damage, hair loss, and potentially seizures, coma, and death are possible late effect
• What is bioterrorism?


  the release of pathogenic microorganism into a community to achieve political and or military goals
• Explain how tirage patients are asses and labeled?

  Patients are assessed and labeled according to the priority of care: immediately, delayed, minimal, or expectant.
• What are the five principles related to the use of protective devices?

  (1)must help patient or be needed for the continuation of medical therapy, (2) Use the least amount of immobilization needed for the situation (3) obtain a written order for all devices that limit or immobilize the patient (4) Apply the device snugly but not so tightly as to interfere with blood circulation or nerve function (5) Remove the device and change the patients position at least every 2 hours
• A nursing intervention for a patient with a protective device is?

  Secure the ties of a protective device to a movable part of the bed
• A patient may protect oneself from radiation by?

  decreasing the amount of time near a source
• Which type of fire extinguisher is used for electrical fires?

  Type C
• What acronym is used to describe the process that should occur in response to a fire?

  RACE
• What factors affecting a patients environment must be controlled?

  Temperature, Ventilation and Odor
• One of the most common accidents among patients is?

  Falls
• What should a patient with home oxygen be instructed to avoid when oxygen is in use?

  smoking
• Which of the following patients is burned more ewasily than a person in good health?

  Patient with diabetes
• When should a nurse make a bed with the patient in the bed?

  Patient on bed rest
• Maintain air flow out of the room ?

  postive
• Maintains air flow into the room?

  Negative
• Which environmental factor can be used to prevent the spread of microorganisms through the air?

  ventilation
• Which action would the nurse perform to prevent odor in a patient's environment?

  perform oral hygiene after a smoke break
• Which phrase describes the primary purpose of an overlay on an older mattress?

  Relieves pressure areas
• Which part of the bed can be a safety hazard even when appropriately secured?

  Side rails
• In which position is the bed if the entire mattress is tilted with the feet elevated and the head tilted down?

  Trendelenburg
• In which location would the nurse place soiled linens when making a patient's bed?

  Linen hamper