Fall Prevention
What age group is at the highest risk for a fall?
Older Adults
What should a nurse do if a patient refuses a medication?
Respect the patient’s wishes; educate and DOCUMENT refusal
What is the most effective way to prevent the spread of infection?
HAND HYGIENE
What does the nurse ask the patient as an identifier?
(HINT: 2)
Name and DOB
Decreases the risk for providing care to the incorrect patient.
When walking with an older client who has had experiences with falling, where should the nurse stand?
A.) Behind the Client
B.) In front of the Client
C.) At either side of the Client
C.) At either side of the client
(Specifically the weaker side of the client; best position for nurse to be in in case of fall)
A patient is experiencing hives, redness, difficulty breathing, and swelling in their throat after the nurse gives a drug IV. What should the nurse do FIRST?
A.) Stop the infusion, the patient is experiencing an allergic reaction
B.) Notify the HCP
C.) Continue the infusion, these are side effects to the drug
D.) Instruct the client to lie down
A.) Stop the infusion, the patient is experiencing an allergic reaction
These symptoms are common signs of an allergic reaction. Notify HCP after stopping the infusion.
What does PPE stand for?
Personal Protective Equipment
When a patient is in the hospital, what is a common identifier used?
Hospital Band
What is the safety hazard that could is the MOST LIKELY to cause a fall in this scenario?
A nurse walks into a patient’s room and assesses the surroundings. The call light is not on the bed, the side rails are not raised, towels are lying on the floor, and the bed is raised.
The side rails are not raised is the MOST LIKELY to cause a fall. If a patient moves, and the side rails are not raised (when they are laying down), it is likely they will fall.
A nurse is preparing to administer a medication to a patient. The nurse does not think this drug is not appropriate for the patient. What should the nurse do?
A.) Give the medication, the physician is in a higher-power — they know best
B.) Ask another nurse
C.) Notify the physician
D.) The nurse MUST give the medication, whether or not the nurse think’s it is not right
C.) Notify the physician
Medication errors can happen, notify the prescriber.
What type of precautions are taken with every patient? (REGARDLESS if they are sick or not).
Standard Precautions
Nurse should treat every situation like a client has an infection that could spread.
What should a nurse do if the patient’s does not match the medication prescription upon administration?
A.) Check the room number
B.) The physician prescribed it, they know this patient needs to get the medication
C.) Ask another nurse
D.) Contact the physician
D.) Contact the physician
Could tie into medication error or to the wrong patient.
What is the common tool that is wrapped around a client’s waste to prevent a fall?
Gait Belt
Medication Abbreviations: (NURSES MUST KNOW)
What does PRN stand for?
As needed
What kind of mask if used for patients with tuberculosis?
N95 Respirator Mask
Tuberculosis is an airborne disease; this requires a specific type of mask. Isolation measures can also be instilled. — Negative Pressure Room
True or False?
Insurance, with name stated on the card, can be used as an identifier.
FALSE
Acceptable Identifiers: Full name, DOB, Medical record number
A client is falling, which of these statements implements the safest way to protect the client?
A.) Catch them before they hit the floor
B.) Lower them to the ground with your leg, protecting their head
C.) Put on a gait belt
D.) Grab the head to protect it
B.) Lower them to the ground with your leg until head is on feet
(Size of patient can vary, best way to lower a patient , while protecting yourself, is to do this). — IF client has a gait belt on, use that for guidance
What are the 11 rights to medication administration?
HINT: DR. PAT DR. PRED
What is the correct order of donning and doffing PPE?
(HINT: Donning — Good Morning, Good Girl; Doffing — GERM)
Donning — Gown, Mask, Goggles, Gloves
Doffing — Gloves, Eyewear, Robe, Mask
A nurse is identifying their 8-year old client. However, the parent is the one to speak the child’s name and date of birth. Is this acceptable?
Yes, the parent is the child’s legal guardian. Nurse can ask patient, but can also verify with parent.