Safety
If there is a risk of exposure to body fluids
When should a nurse wear gloves?
Inspection
Palpation
Percussion
Auscultation
What are the 4 assessment techniques used to assess vital signs?
Consider the patient situation.
What is the first step in the Clinical Reasoning Cycle?
Combines primary and secondary survey to recognise patient deterioration
What is an A-G assessment?
Hypertension
What is the word for High Blood Pressure?
1.Before touching a person
2.After touching a person
3. Before a procedure
4. After a procedure
5. After touching a person’s surroundings or belongings
What are the 5 moments for hand hygiene?
60-100 beats per minute
What is the normal range for adult heart rate?
When the nurse contemplates what they have learned and what they could have done differently
What is the final stage of the CRC? What is reflecting on the process and new learning?
Assess regions of the body including mental status to lower extremities
What is a Head to Toe assessment?
Bradycardia
What is the word for a pulse rate below 60 beats a minute?
Incorporates cultural awareness and cultural sensitivity to ensure a positive healthcare experience for the recipient
What is cultural safety?
One inhalation and one exhalation of breath.
Includes rate, rhythm, depth, equality
What is a respiration assessment measuring?
Is when a nurse synthesises facts to make a definitive diagnosis of the patient problem.
What is stage 4 of the CRC? What is identifying issues/problems?
A framework to assess a person holistically using activities of living to determine a person's independence
What is the Roper Logan Tierney assessment model?
Auscultation
What is the method of physical examination; listening to sounds produced by the body, usually with a stethoscope called?
Communicating for safety standard; preventing and controlling infections standard, comprehensive care standard; medication safety standard.
What are the National Safety and Quality Health Service standards?
The pressure exerted by the blood as it flows through the arteries
What is Arterial Blood Pressure?
Is when the nurse reviews current information, gathers new information and recalls knowledge.
What is the stage 2 of the CRC? What is collecting cues?
Complete patient assessment
Focused assessment
Follow-up assessment
Emergency assessment
What are the 4 different types of patient assessment?
A body temperature of 37.9oC
What is Febrile? or What is pyrexial?
Hand hygiene, perform ongoing assessments; continuing risk assessments, correct patient identification, practitioner competence.
What factors should be considered to ensure a patients physical safety?
Pressure when the ventricles are at rest. The lower pressure present at all times within the arteries
What is Diastolic Pressure?
When the nurse interprets data, discriminates relevant & irrelevant information, relate cues, matches current symptoms and predicts an outcome.
What is stage 3 of the CRC? What is processing information?
A patient's feelings, perceptions and reported symptoms.
What is subjective data?
A faster than normal range respiration rate (above 20 rpm)
What is Tachypnoea?