ADPIE and Fundamentals
A nurse gathers subjective and objective data before taking action.
What is Assessment?
This national initiative promotes health and disease prevention through 2030.
What is Healthy People 2030?
The single most effective way to prevent infection transmission.
What is Hand Hygiene?
A blood clot that develops in a deep vein of the leg.
What is a Deep Vein Thrombosis (DVT)?
Self-examination of personal biases and beliefs.
What is Cultural Awareness?
A patient states, "My pain is an 8 out of 10."
This is what type of data?
What is subjective data?
Vaccinations and smoking cessation programs are examples of this level of prevention.
What is Primary Prevention?
Microorganisms are present without symptoms or tissue invasion.
What is Colonization?
A patient suddenly develops chest pain, tachycardia, and shortness of breath after a DVT.
What is a Pulmonary Embolism (PE)?
The communication technique where the patient repeats instructions back to the nurse.
What is Teach-Back?
The nursing diagnosis is:
"Acute Pain related to surgical incision as evidenced by pain 8/10."
What step of ADPIE is represented?
What is Diagnosis (Analysis)?
A mammogram screening for breast cancer is what level of prevention?
What is Secondary Prevention?
A patient with active tuberculosis requires this type of isolation.
What are Airborne Precautions?
A pressure injury with non-blanchable redness and intact skin.
What is a Stage 1 Pressure Injury?
According to patient safety principles, every patient should receive these fall-prevention measures regardless of risk level.
What are Universal Fall Precautions?
When creating patient goals, nurses should use the SMART format.
Name one component of SMART.
What are Specific, Measurable, Attainable, Realistic, or Timed outcomes?
A rehabilitation program after a stroke is what level of prevention?
What is Tertiary Prevention?
A patient with C. difficile requires what transmission-based precaution?
What are Contact Precautions?
This complication occurs when a surgical wound separates and abdominal organs protrude through the incision.
What is Evisceration?
A patient repeatedly attempts to remove a central line.
Before applying restraints, what must the nurse do first?
What is assess the patient and attempt alternatives to restraints?
A patient is admitted after a motor vehicle collision with:
Which should be addressed first?
What is severe chest pain?
A patient has no food, water, or safe shelter. Based on Maslow, what need should be addressed first?
What are Physiological Needs?
Select all factors that increase infection risk:
□ Diabetes
□ Poor nutrition
□ Stress
□ Adequate hydration
□ Older age
What are Diabetes, poor nutrition, stress, and older age.
A post-op patient develops evisceration.
What is the nurse's FIRST action?
What is cover the wound with sterile saline-soaked dressings and notify the provider immediately?
You have four patients:
Who should the nurse address first?
Who is the patient with the immediate safety hazard (oxygen tubing/tripping risk)?