Splish Splash Taking a Bath
Oral care is performed every ________ for unconscious patients.
What is 2 hours
This is your next best action when witnessing a patient seizure.
What is stay with the patient and call for help?
60-100
What is a normal pulse rate?
Dry time for wipes.
What is 2 minutes for purple and 4 minutes for orange?
Document 450 mLs urine.
Document 1 urine incontinence episode.
What is urine void?
What is urine count?
While performing incontinence care, you notice a dark reddened spot on your patient's right hip that was not previously there. This is your next action.
What is turn the patient onto the left hip and notify the RN.
You dial this number to call a Code Blue.
What is 3300?
This set of VS is abnormal:
a. Automatic BP 120/65, HR 80, T temporal 36.5, RR 18
b. Automatic BP 90/50, HR 120, T temporal 38.4, RR 22
c. Automatic BP 106/84, HR 77, T temporal 37, RR 16
This is your next best action.
What is Automatic BP 90/50, HR 120, T temporal 38.4, RR 22?
What is recheck BP with manual cuff?
Precautions for contact plus isolation.
What are gowns and gloves, hand washing with soap and water, cleaning with orange wipes?
True or false: all tubes and drains remain in place if an autopsy is to be performed.
What is true?
This is performed at minimum once a day for a patient with an indwelling catheter.
What is perineal care with soap and water?
A patient walking in the hall collapses in front of you. Your best initial action is this.
What is to determine unresponsiveness and call for help.
Hyper- in terms of blood pressure and blood sugar.
What is high?
Neutropenic/Protective precautions.
What is surgical mask, hand hygiene, dedicated equipment?
A blood glucose result of 375 mg/dL warrants this initial action.
What is notifying the RN?
TED Hose are removed at minimum this often.
What is before bathing?
A patient is nowhere to be found on the unit. This is your next best action.
What is call a code green?
Orthostatic vital signs including blood pressure and pulse are obtained in these positions.
What is lying, sitting and standing?
Standard precautions.
What are gloves, hand hygiene?
Immediately post-op, the NG tube is used for this.
In this patient, the gait belt goes here.
What is decompress the stomach?
What is above the tube?
Reddened areas of skin may form with immobile patients after this amount of time.
What is 2 hours?
While feeding a patient, they begin to cough and clear their throat. These are signs of this.
This is your next best action.
What is potential aspiration?
What is stop the feeding and notify the nurse?
Hypo- in terms of blood pressure or blood sugar.
What is low?
Sitting within eyesight of the patient at all times describes this.
What are suicide precautions?
A blood glucose less than 70 and your next best action.
What is hypoglycemia, inform the nurse?