What are the 5 Rights when administering medication to patient
• Right Patient
• Right Medication
• Right Route
• Right Dose
• Right Time
What are the three Macronutrients? (required in large amounts)
Carbohydrate
Protein
Fats
What is the item placed in the upper corner outside of a resident's door symbolize?
When rounding the unit, staff identities the room as a high-risk room, what identifies the resident?
What is a flower that identifies high fall risk.
Staff are to round the room not specific residents only. So, more eyes of patient's rooms to identify care needs.
Name two areas of the body prone to pressure injuries. What do they all have in common?
Any two:
• Head
• Back
• Elbow
• Sacral
• Heel
• Knee (inner / outer)
• Toes
• Shoulder blades
• Hip
They are all boney prominence
Name two items that must be present on a wheelchair before propelling residents anywhere?
What are leg rest
Name at least 6 types of high-risk medications.
Heparin / Lovenox / oral anticoagulants/ Insulin / Narcotics (Opioids) and Sedatives
Name items needed on a diet order form?
Name, diet consistency, Allergies, Texture, Liquid
Name four interventios that can be used to prevent falls.
Bed in lowest position, call light within reach, Non- Skid Socks, Meeting the residents care needs. (Anticipating care needs).
What are some risk factor for pressure injuries?
• Immobility & Inactivity
• Friction & Shear
• Old Age
• Moisture
• Nutrition
• Sensory Perception
• Disease conditions
What is a commode chair used for?
used by people with limited mobility, illness, or disabilities to provide safe and convenient access to toileting
What should you do if you witness abuse and or neglect.
Give an example of a resident grievance
Every resident has the right to live free from?
1) Report it to the Abuse Coordinator
2) Call Light response time, Lost items, Care Concerns, Staff interactions, Customer Service.
3) Abuse, Neglect, Exploitation and Mistreatment
What does "my healthy plate" consist of?
Half a plate of fruits and vegetables
Quarter plate of whole grains
Quarter plate of meat and others
True or False: Having a history of a fall in the past 6 months doubles a patient's chances of falling again.
What medications can cause a resident to be at a higher risk for falls?
True
Dieresis, Sedatives, Hypnotics,
What are the three main layers of skin?
epidermis, dermis, hypodermis
When operating any lift how many staff members must be present?
Two or more depending on specific care needs.
True or False Ignoring a residents call light is a form of neglect?
What are two ways staff can help prevent escalations between residents?
Why do grievances matter?
True
Staying Calms, Redirections, Patience, Respectful communication.
It improves and protects residents right; it also identifies opportunities for improvement.
Name two diet restrictions
1. DASH diet
2. Diabetes Mellitus diet
3. Low fat diet
Before leaving a high-risk resident's room, what examples of quick-to-reach items should the nurse always ensure are within the resident's grasp?
What is the call light and their walker/mobility aid? / TV Remote, Bed side table or other personal items.
What scale is used to assess pressure injuries? and you complete this on admission and when significant changes of condition occur.
Braden Scale Assessment
What is the purpose of Trendelenburg’s Position?
used to promote blood supply to major organs such as brain & heart
Name one example of inhaler medication
How often are oxygen tubing changed in the facility?
Ventolin, salbutamol, (any acceptable answers)
What did MDS say?
You have to document properly / Document everything.
Who is responsible for answer patients call lights?
Everyone (Anyone can answer a call light however specific care needs must be met by Licensed and or certified staff).
What can you see when a patient has a stage 4 wound?
- full-thickness skin loss
- fat layer damaged with necrosis
- muscle layer damaged and/or necrosis
- bone layer exposed
Name 5 positions in nursing
• Supine Position
• Prone Position
• Fowler’s Position
• Orthopneic or Tripod Position
• Lateral Position
• Sims’ Position
• Trendelenburg’s Position
• Reverse Trendelenburg’s Position