1.Please give an example of primary prevention, secondary prevention and tertiary prevention.
Primary prevention- Ex- a patient getting their yearly mammogram to detect breast cancer or getting the immunizations.
Secondary prevention – Ex a patient getting treatment for an illness (hypertension.)
Tertiary prevention- EX is a patient gets care to prevent further progression of a disease like rehab.
2. Give examples of how a nurse would commit the following crimes: Negligence, breach of confidentiality, assault, battery.
Negligence- Ex is failing to monitor the patient, improper medication administration and failing to provide a change in patient status.
Breach of confidentiality- Ex is giving out patient information to an unauthorized people or leaving open a patient chart.
Assault- Ex is threatening a patient by giving them a shot or putting restraints on them.
Battery- Ex holding down a patient against their will to get procedures done faster.
3. What is the nurse’s responsibilities regarding advanced directives? * The nurse must make sure that under the client records it must have documentation that they have signed a advanced directive. * The nurse must not be a witness in the advance directive * If the patient revoke the advance directive the nurse must make sure to document and record immediately in the patient chart.

4. What are some factors that increase a client’s risk for infection?
Immunocompromised patients , Not isolation precautions, not doing the proper hand hygiene,
5. What are signs and symptoms that a client’s wound might be infected?
Some signs and symptoms are Redness, warmth, pain, discharge, fever, and Foul odor

6. What precautions should the nurse take for the client with measles? * Obtain an order for measles vaccine * Wear mask if coming in contact to prevent spread(droplet precautions) * Make sure to limit visitors ( No visitors who are not vaccinated ) * Wash hand thoroughly.
What precautions should the nurse take for the client with rubella? * Obtain an order for measles vaccine * W Make sure to limit visitors ( No visitors who are not vaccinated ) * Wash hand thoroughly. * ear mask if coming in contact to prevent spread( Isolation precautions)

What precautions should be taken with the client who has Vancomycin resistant enterococcus (VRE)? * Wear gloves * Contact precautions and proper hand hygience
7. What are ways the nurse can prevent client falls? * Bed locked in lowest position, At least tow side rails up at all times, have patients wear slip resistant socks, if needed set up a bed alarm and have the patient wear the fall risk bracelet.

8. What are factors that can affect learning the nurse should consider when providing client education? * Level of education of the patient * If the patient has any hearing or learning disabilities * Alzheimer’s * Language barriers
9. What are some physical changes related to aging that the nurse should be aware of? * Fragile skin, decreased vision and hearing, loss of balance, incontinence.
10. What are some spiritual rituals and observations for the following religions that the nurse should be aware of?
Hinduism: The family of a dying Hindu will remain in the bedside to place holy water in their lips. Hindus avoid meat. Female modesty
Buddhism: Accepts modern medical science. Sometime refuse treatment in holy days
Islam: Female modesty. Uses faith healing. Has a fatalistic view of health.
Judaism: Female modesty. God and medicine have a balance.
Christianity: Often refuse medical intervention believing that their faith will heal them
11. Physical Restraints ‐‐ What are the “rules” for physical restraints? * Nurse must try to do other strategies before restraints are used * Nurse must obtain order for restraints in the first hour of them being applied. * Nurse must document the process * Nurse must check the pt every hour and must fit snug and not tight. Must remove them one at a time . Check respitory status and vital signs. * Must recheck or renew order every 24 hours * Hydration and nutrition must be provided
12. Nasogastric Tubes (NG tubes) – When, why and how do you check placement? * Check for placement when inserted. Before and after medication administration to make sure its in the proper place. Check by xray, suctioning the stomach contents, ph levels and by measuring the length of tube tube .
13. Wound Evisceration – What are you priority actions? What do you assess on this client? * If disruption occurs pt is placed in low fowlers position and instructed to lie quietly. * Assess vital signs and respitory status * Place an abdominal binder can provide support and guard * Notify primary physician
14. A client is prescribed Antibiotic “A” 50 mg IV. The mixed IV solution contains 100 mL. The nurse is to administer the medication over ½ hour. The drip factor of the available IV tubing is 15gtt/mL. What is the drip rate in drops per minute?
50 gtt/min
15. What are a few potassium rich foods that you would encourage a client taking furosemide (Lasix) to include in his diet?
Banana, fresh orange juice, spinach, salmon, soy beansmelon, citurs fruits, fresh meat, vegetables, and milk.