Vital Signs
How long we assess the apical pulse for
What is 60 seconds or one minute
True or false: You can turn your back on the sterile field.
What is FALSE
Rights to Medication Administration (9)
Right Medication, Right Patient, Right Dose, Right Route, Right time, Right Documentation, Right Reason, Right to know, right to refuse.
Normal appearance of a stoma during ostomy care
What is moist, red, or pink.
How would you move/reposition a patient in bed who is unable to move themselves or is obese?
What is friction reducing devices, mechanical lifts, air-powered mattresses, etc.
The term we use to describe fast respirations ( > 24 breaths per minute)
What is tachypnea
True or false: The 1-inch border around the sterile drape is considered unsterile.
Three Medication Checks
Before you pour, mix or draw up the medication- check its label against the MAR; After you prepare the medication- before returning the medication to the cart or discarding anything; At the bedside with the patient before you administer it.
Test utilized at the bedside to detect blood in the GI tract.
guaiac or fecal occult blood test
What pieces of information do you include when documenting a medication that has been administered?
What is the name of the medication, dose, route, date, time, and your name/initials as administering nurse.
A Normal Adult Blood Pressure
What is 120/80
Your patient has MRSA. Which precautions is she on?
What is CONTACT precautions.
Angle of injection for Subcutaneous injection
What is 45-90 degrees
The most reliable method for confirming tube placement and must be performed before the first feeding is administered
Radiographic Verification (x-ray).
You have administered medications to your patient and then they immediately vomit. What do you do?
What is notify the prescriber and wait for directions and an order on whether or not to repeat the dose.
Location of the apical pulse
Name at least two instances where hand hygiene is performed.
Entering patient room, leaving, after removing gloves, between patient contacts, following contact with bodily fluids, etc.
Name one intramuscular injection site
What is deltoid, ventrogluteal, or vastus lateralis
Which pH level likely indicates that the tube is in the stomach?
The sounds you listen for when you assess a blood pressure.
What is Korotkoff Sounds
Correct order for removing PPE (mask, gloves, gown and goggles)
Gloves, gown, goggles, mask/face shield, (hair covering, and shoe covering last is a bonus)
These are used to trap rubber or glass fragments when drawing up medication from an ampule or a vial.
What is a filter needle or filter straw.
Equipment needed to check a blood sugar
Blood glucose meter, test strip, lancet, alcohol, gloves, and 2x2 gauze
Your patient seems to be experiencing an allergic reaction to their blood transfusion. What do you do?
Stop the transfusion, replace with a saline infusion, notify the provider immediately, & administer a prescribed antihistamine.