Priorities Framework
List the components of the ABCDE priorities framework
Airway, Breathing, Circulation, Disability, Exposure
How often should oral care be provided for unconscious patients?
Every 2 hours.
What does ADPIE stand for?
Assessment (or data collection); Diagnosis (or analysis); Planning; Implementation/Intervention; Evaluation
What is the most effective way to prevent infection spread?
hand hygiene
What is the main purpose of the trochanter roll?
To prevent external rotation of the hip.
Which patient is the priority: chest pain, fever, or fracture?
Chest pain due to risk of cardiac compromise.
What is the purpose of perineal care?
To maintain skin integrity, prevent infection, and promote comfort.
Which step involves identifying patient problems?
Nursing Diagnosis
What is the difference between medical and surgical asepsis?
Medical = clean technique; Surgical = sterile technique.
What device helps a patient stand and walk safely?
walker or rollator
What does Maslow’s hierarchy prioritize first?
Physiological needs (air, food, water, shelter).
Which patients need foot care precautions?
Diabetic patients or those with poor circulation.
Which step evaluates the effectiveness of interventions?
Evaluation
When should a nurse use contact precautions?
For C. difficile, MRSA, or other direct/indirect contact infections.
What is the difference between active and passive ROM?
Active = patient moves joint; Passive = nurse moves joint.
Explain the difference between acute vs. chronic needs in prioritization.
Acute needs are usually prioritized over chronic needs.
What hygiene concern increases when a patient is immobile and lying in bed for long periods?
Increased risk of skin breakdown and pressure ulcers due to moisture, friction, and lack of movement
What is the difference between objective and subjective data?
Objective = measurable/observable; Subjective = patient reported
Name one example of a droplet precaution disease.
Influenza, pertussis, meningitis.
When should a nurse use a gait belt?
When assisting a weak or unsteady patient with ambulation or sitting into chair from bed
What is the meaning of 'time-sensitive care' in prioritization?
Care that must be delivered quickly to prevent harm.
What nursing action prevents aspiration during oral care?
Positioning the patient side-lying or with head turned to the side.
Write a SMART goal for a patient with pain 8/10.
Patient will report pain less than 4/10 within 30 minutes of intervention.
List the elements of the chain of infection.
Infectious Agent, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host
What complications occur with immobility?
Pressure ulcers, pneumonia, DVT, contractures, pneumonia, depression