Professionalism
The Act that defines the roles of all nurses, both RN and LPN
What is the Nurse Practice Act?
Wearing gloves and gowns, no mask.
What is contact precautions?
Position an unconscious patient with rotten teeth and haletosis on their side, in order to complete this task.
What is oral care?
Nurse to patient, " Side effects may occur, but they are usually temporary."
What is the nurse who is educating a patient on a new medication the patient was recently prescribed?
What should the nurse include in post-op care?
Pt has just died with the family at the bedside.
What is the nurse says, " Would you like to help me with bathing your loved one?"
Pt is 2L/nasal cannula, nurse enters room for a "routine" check-assess patient's O2 sat for effectiveness.
What is assess the patient's O2 sat?
Nurse states to patient, " Can you explain what you understand about your health?
What is therapeutic communication?
Full protective gear including mask or even full protective gear.
What are airborne /droplet precautions?
Positioning a patient with pillows and providing a back massage.
What is the role of the UAP?
Patient understanding side effects, including any interactions between prescription meds, OTC meds and herbal or non-traditional medications.
What is: the nurse must review all medications and supplements a patient is taking and educate the patient on possible side effects and drug interactions?
Used on a patient with a spinal injury
What is log rolling?
It's ok to feel overwhelmed. Would you like to talk about your feelings?
What is the nurse realizes the family of a dying patient is feeling overwhelmed?
Encourage patient to turn, cough and deep breathe every 2 hours
What is the best way to promote oxygenation on a patient with pneummonia?
It is clear the patient does not have a clear understanding of their disease process.
What is provide the patient with educational materials as well as a verbal explanation?
Only using hand sanitizer when leaving a room with a patient experiencing C-Diff.
What is a breach of transmission-based precautions?
Pt is experiencing erythema and pain from ice packs and heating pads placed directly on the skin in the area the patient complains of pain.
What is: the nurse should intervene and educate the family or UAP that is proving this non-pharmacologic intervention?
An induration that is > 10mm in the arm of a patient who has had a TB skin test.
What is a positive TB test?
Nurse states, "What symptoms are you having?"
What is Pt with an indwelling urinary catheter states they feel like they are having a UTI?
Denial
What are the stages of death and dying?
Put dentures in mouth before rigor mortis sets in and position the body in a neutral position with HOB elevated and arms at side.
What is what you should teach the UAP before sending body to the morgue?
Posturing in patients, seen by the RN , that indicates low self-esteem.
What is body language- no eye contact and/or slumped shoulders?
Placing a mask on a patient who has the measles and is leaving the hospital room to go down for a minor procedure.
What is prevention of infections that are transmitted via droplets?
Nurse to patient during an admission assessment," When you listen to the TV, do you have difficulty hearing?"
What is an appropriate response to a patient that is HOH?
Storing an O2 cylinder in a secure location where it cannot tip over or be near flammable items or places.
What is proper storage of an O2 tank?
100 % NRB
What is a Pt with O2 sat of 80%?
The patient states, " When I am by myself, I hear my dead loved one talking to me."
What are statements of normal grieving?
To relieve both pain and respiratory distress in a hospice patient experiencing SOB and anxiety
What is administer Morphine?
Mucous membranes
What is the best way to assess for pallor?
Nurse states, "You should monitor your O2 Sat and report readings under 88% on 2L nasal cannula.
What is educating a patient on COPD and O2?
Speaking slowly, clearly and facing the patient.
Who are patients that are HOH or visually impaired?
Substernal discomfort
What is O2 toxicity?
" I will limit my fluid intake to avoid putting strain on my kidneys"
What is the patient needs further teaching on chronic-kidney disease?
Mottled skin and lowering BP
What is death is imminent?
" I will position the body flat and close eyes before rigor mortis sets in - leave all tubes and drains in the body"
What is what to tell a new nurse about post mortem care?