Communication, Infection, VS, Pain
Three things to avoid with therapeutic communication
What are why questions, closed ended, false reassurance, giving advice?
RACE stands for (*hint fire)
What are rescue, alarm, contain, & extinguish?
Name the 6 senses where alteration can happen
What are sight, hearing, taste, smell, touch, & movement?
Three principles of wound care
What are assessment, cleansing, & protection?
Nursing interventions with medication error (3 of them)
What are assess, notify, & incident report?
SOLER stands for . . .
What are sit facing client, open posture, lean forward, eye contact, & relax?
Nursing interventions for a client in restraints (5 of them)
What are circulation checks q2h, fit two fingers underneath, quick release tie to bed frame, & provider renew every 24 hrs?
Nursing interventions to enhance sleep (3 of them)
What are establish a routine, quiet/calming environment, cluster activities, avoid caffeine/exercise before sleep?
Nursing interventions for diarrhea (6 of them)
What are strict I & O, VS, peri rectal care, monitor labs (electrolytes, ABGs, H & H (dehydration)), anti-diarrheals, ABXs (prevent transmission), & nutrition (BRAT diet)?
Timeframes for STAT, routine, & NOW orders
What are 5, 30 before/after, & 90 minutes?
Standardized tool for communication
What is iSBAR?
Seizure precautions (3 of them) & nursing interventions with a seizure (3 of them)
What are pad the rails, oxygen & suction setup, & signs? What are turn to side, protect the head, time the seizure, provide privacy, & stay with client?
Nursing interventions for hearing aids (at least 3)
What are gradual introduction, store in a dark, cool place, turn off battery, cup hand over ear to test if on, avg battery life is 1 week, clean with a cloth?
Three components of a colonoscopy
What are preventative q10yrs, visualization, prep (NPO, drink polyethylene glycol), infection, & perforation ?
Signs of anaphylaxis (3 of them) & treatments (2 meds)
What are dyspnea, hypotension, & tachycardia? What are epinephrine & diphenhydramine?
Two things registered nurses can’t delegate to LVNs or UAP
What are assessment & teaching?
List & explain the Controlled Substance Schedules & Pregnancy Risk Categories
What are I (highest), II (high), III (moderate), IV (lower), V (lowest); A (human studies no harm), B (animal studies no harm), C (yes animal studies harm or no studies done), D (yes human studies harm, but benefits may outweigh the risk), X (contraindicated)
Nursing interventions for vision loss (at least 5)
What are light weight walking stick, eyesight dog, Braille, ambulate w/ assist, clock system (food), safety environment, announce when entering room & leaving?
Five types of wound exudate (drainage) & describe
What are serous (clear, watery), purulent (yellow/green/brown), serosanguineous (pink watery), sanguineous (red), & purosanguineous (pus & blood)?
Seven rights of medication administration
What are right client, med, dosage, route, time, documentation, & refuse?
Adverse effects of morphine (at least 5 of them)
What are respiratory depression, hypotension, confusion, n/v, constipation, & urinary retention?
Complications of immobility (5 of them) & nursing interventions to prevent them
What are pressure ulcers (tq2, air mattress, inc. protein), atelectasis/PNA (HOB @ 30o, TCDB), DVT/PE (ROM, SCDs, Ted hose), UTI/hypercalcemia/renal calculi (inc. fluids, peri care), constipation (inc. fluids/fiber), foot drop (foot board), depression, isolation?
Nursing interventions for hearing loss (at least 5)
What are assess, hearing aids, limit distractions, face client when speaking (lip reading), sign language (interpreter), write, flashing lights for alarms, captions?
Name & describe each pressure injury
What are stage I (erythematous non-blanchable), stage II (exposed dermis-partial thickness loss), stage III (subcutaneous tissue, full thickness loss, ?slough/eschar), stage IV ( muscle, tendon, bone, full thickness loss, slough/eschar), unstageable (can’t determine extent, full thickness, need to debride eschar/slough then stage), & DTI (usually intact discoloration dk maroon/bruise)?
Identify 10 routes of medication administration
What are oral (sublingual/buccal), transdermal, topical, instillation (eyes, ears, nose), inhalation (DPI, MDI), NG, suppositories (vaginal, rectal), epidural, intravenous, parenteral (intradermal, IM, subQ)?