Oxygenation, Comfort, Activity
Perfusion, Tissue Int.
Infection, Thermoregulation
Elimination, Medication, Oxyg.
Skills
100

List appropriate interventions to keep airway clear

What is deep breathe and cough every hour, drink 1100mL to 2L of fluids each day, use bronchodilators as ordered.”

100

List parameters for normal VS.

What is 12-20 respirations, BP 118/78 & below, temp 96.8-100.4, HR 60-100, sats 95-100%?

100

What are hand hygiene rules for effective hand washing/ sanitizing?

What is wash hands 15 or more seconds after cleaning stools/diarrhea/ c-diff? What is sanitize when not visibly soiled?

100

Describe the Gastrocolic reflex

What is the mass peristalsis that occurs after meals?

100

Client instructions for Foley insertion and removal

What is bear down on insertion and exhale during removal?

200

Friction & shear definitions and interventions

What is Friction is a force that occurs in a direction to oppose movement. Reduce the surface area of an object or person before attempting to move. Passive, weak, and immobile people are more difficult to move due to greater areas of friction. Shear is a force exerted against the skin when the skin remains stationary and the bony structures beneath it move. Friction and shear can be reduced by using assistive transfer devices.

200

Describe measures to help maintain skin integrity.  

HOB 30 degrees or less, turn every 1-2 h, use drawsheet & assistance when positioning, shift weight in wc every 15 minutes, keep skin clean and use barrier cream, specialty beds

200

Client conditions that cause prohibit rectal temps

What is clients with oral blood thinners, immunocompromised, diarrhea, hemorrhoids, rectal surgery?

200

Describe Routes of medication administration and how quickly they work

What is .... IV is quickest onset - 3-5 minutes (See med chart)

200

Client instruction for NG tube removal

What is hold breath to close glottis and reduce risk of aspiration?

300

Describe PQRSTU of pain.

P- palliative, provoking

Q-quality

R- radiating/relieving

S- severity

T-timing

U- effect on ur life


300

List some national patient safety goals.  

Use 2 identifiers to identify patient. Patient marks the body site for surgery. Time out before surgery to verify accuracy. Guidelines to prevent infection and increase communication. 

300

Safe PPE removal

What is gloves, then gown only touching inside, then (handwashing if needed) and face mask?

300

Describe Breathing patterns, definitions

What are eupnea, bradypnea, tachypnea, apnea?

300

Sterile field directions

What is keep it dry, above waist level, in front of you, sterile only touches sterile, open towards you last?

400

Describe types of pain

What is acute, chronic, chronic episodic, somatic, visceral, idiopathic, phantom?

400

What are interventions to prevent blood clots?

Sequential compression devices, compression stockings, low molecular weight heparin SQ into abdomen daily, ankle and foot pump/exercises, activity- ambulation, loose clothing to promote blood return

400

List and Describe Stages of Infectious Process

What is The incubation stage occurs while the pathogen actively replicates within its host. The prodromal stage is when people are most contagious. The person feels non-specific symptoms such as malaise, fever, myalgia, headache and fatigue. The illness stage occurs when the pathogen is having its maximal impact, the pathogen continues to proliferate (multiply) and spreads rapidly. Fever and chills are common, but less pronounce in the older adult. The convalescent stage is a recovery period. The person has developed antibody against the disease and is getting well.

400

Angles & needles for injections

What is are 5-15 for intradermal, 27-29, 1/4-1/2 in.

subcutaneous 45, 90,  25-31 g, 3/8- 1 in

IM 90 degrees, 21-25 g 1- 1 1/2 in

400

Steps in bedside swallowing test & signs of dysphagia

What is give a spoonful of water, then an ice chip, then a sip of water, then a straw to drink water. Call speech pathologist if concerned after this. What are concerning signs? abnormal speech when eating, abnormal mouth movements, gagging, coughing

500

IM & SQ administration sites

What is vastus lateralis,ventrogluteal, deltoid? What is posterior upper arm, abdomen, top of buttocks, scapular area, anterior thighs?

500

Describe stages of Pressure Injuries.

What is 1- intact & non blanching, 2- partial thickness loss of dermis, 3- full thickness loss of epidermis, dermis, and into subcutaneous tissue, 4- full thickness loss through subcu tissue- bone, muscle may be visible. Unstageable- eschar or slough covering tissue. Suspected deep tissue injury- intact with purple discoloration or blood-filled blister.

500

Describe Isolation Precautions.

What is Standard? What is Contact for MRSA includes gown, gloves, & SOMETIMES mask (if splashing risk)? Contact plus- same with surface cleaning. What is airbourne -N95 respirator? What is droplet includes mask within 3 feet of client? What are Protective Precautions- standard with no fresh flowers, immunocompromised diet, mask for client outside room, no rectal temps. 

500

Types of Urinary Incontinence & definitions/examples

What is functional, overflow, urge, stress, reflex....

500

Steps of Foley catheter insertion

What are.....

Click to zoom
M
e
n
u