Safety & Infection Control
Which type of precaution is used for a patient with MRSA?
Contact precaution, gown and gloves
When lifting a patient, which muscles should be used?
Legs!
What is the first step of the nursing process?
Assessment
What does HIPAA protect?
Patient privacy and confidentiality, protects personal health information
Normal adult respiratory rate, pulse, and bp
12-20, 60-100, 120/80
When removing PPE, which item comes off first?
Gloves
What is the best position for preventing aspiration during a tube feeding?
Semi-Fowlers 30-45
How can a nurse use therapeutic communication?
Open-ended questions, validating patient emotions, avoid "why" questions.
Who explains the risks and benefits of a procedure?
The provider performing it.
Which oxygen device provides precise oxygen concentration?
venturi mask allows for exact FiO2 control
A nurse must insert a Foley catheter. What technique is required.
Sterile technique
What is the safest way to turn a patient with a spinal injury?
Log roll with two staff
What is the final step in the nursing process?
Evaluation
If a nurse documents something incorrectly on paper, what should they do?
Draw a single line through, write "error" and initial.
A patient's pain score is 9/10 after medication. What's next?
Reassess pain, notify provider
How often must restraints be removed to check circulation?
Every 2 hours.
When transferring a patient from bed to wheelchair, where should the wheelchair be placed?
On the patient's strong side.
Which part of the nursing process involves setting measurable outcomes?
Planning
Define negligence
Failure to act as a reasonably prudent nurse would
Which diet is appropriate immediately after surgery?
Clear liquid diet
A TB patient is placed on which type of isolation?
Airborne isolation
Describe the purpose of a gait belt.
Provides support and prevents falls during ambulation
A patient says "I feel scared about my surgery." The nurse responds with "Why, it isn't that bad!". Is this therapeutic communication? Why or why not?
No. Why questions should be avoided, and this invalidates how the patient feels.
A patient with dementia refuses a medication. What should the nurse do first?
Assess the reason for refusal.
Name the 5 vital signs plus the 6th
Temp, pulse, respiration, BP, O2 sat, and sixth is pain