Safety Third
In case of a fire, this acronym tells us what to do (RACE). What does it stand for
Rescue, Activate, Confine/Contain, Extinguish/Evacuate
Data that the nurse can see, touch, smell, or hear or is reproducible such as vital signs
objective data
The ANA (American Nurses Association) standards and the nursing process are
Assessment, Diagnosis, Outcomes identification, Planning, Implementation, and Evaluation
The place the organism grows such as a wound, blood, or food (in the chain of command)
reservoir
Information collected from sources other than the patient
secondary data
5 + 5 rights of medication administration
Right patient, right medication, right time, right route, right dose
Right to refuse, right to education, right to assessment, right to evaluation, right documentation
A measurable behavior demonstrated by the patient that is responsive to nursing interventions
outcome
When creating patient centered goals (outcomes), make sure the goal is what?
Measurable
The minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered
standard precautions
ISBARR is a mnemonic for the components of health care team member communication and stands for this
Introduction, Situation, Background, Assessment, Recommendation, Repeat back
What can we use instead of restraints?
Restraint alternatives such as: distraction, TV, 1:1 time, music, games, chair or bed alarms, exercise
Making false and damaging statements about someone (example: telling a patient that another nurse is incompetent)
Part of the nursing process that must be NANDA compliant and is able to be managed by the nurse. It describes the human response to the disease rather than the disease and pathology.
Diagnosis
The degree to which a microorganism is likely to become a disease
virulence
Which moral principle is a patient's right to choose and make their own decision about their healthcare?
autonomy
A set of interventions to reduce the risk of falls for all patients and focus on keeping the environment safe and comfortable
Universal Fall Precautions
Specific documentation of the planning and delivery of nursing care that is required by the Joint Commission
Nursing Care Plan
Interventions that require a prescription from a physician, advanced practice nurse, or physician’s assistant
Dependent nursing interventions
Which data may indicate a localized infection has progressed to a systemic infection?
Malaise, nausea and vomiting, body aches, loss of appetite/anorexia, fever, increased pulse and respirations, enlarged lymph nodes
What principle is maintained when you admit a mistake was made when you are at clinical?
accountability
How many forms of identification should you check on each patient, every time?
At least 2
A nurse would like to start working in another state than the one they have a license for. Which department should the nurse consult about this change?
State Board of Nursing
A lifelong problem-solving approach that integrates the best evidence from well-designed research studies, theories, clinical expertise, health care resources, and patient preferences and values
Evidence-based practice
The disease stage after the incubation period when the pathogen continues to multiply and the host begins to experience general signs and symptoms of illness that result from activation of the immune system, such as fever, pain, soreness, swelling, or inflammation
Prodromal period
What is the professional organization that establishes ethical codes and standards of nursing practice in the United States?
American Nurses Association