Safety
This is one of the most common fall risk tools derived from the answers to six questions used for assessing a patient's fall risk.
What is the MORSE Fall Scale?
This involves procedures and practices that reduce the number and transfer of pathogens (performing HH and wearing gloves).
What is medical asepsis or clean technique?
When carrying soiled linens or other used articles/equipment, the nurse needs to ensure that they do not do this?
These are the three layers of the skin.
What are the epidermis, the dermis, and the subcutaneous layers?
This stage ulcer is described as being "non-blanchable."
What is a stage I pressure injury?
RICE stands for this in regard to soft tissue injury treatment.
What is rest, ice, compression and elevation?
Name two nursing interventions that can help reduce a patient's risk for falls.
What is (p. 773)?
This includes practices used to render and keep objects and areas free from microorganisms.
What is surgical asepsis or sterile technique?
Describe three of the "moments" when the nurse must practice hand hygiene.
What is (see page 604)?
This term is a disorder that causes extreme weight loss and muscle wasting, and can include loss of body fat.
What is "cachexia"?
At this stage, bone, muscle or tendon are exposed.
What is a stage 4 pressure injury?
These are side effects of muscle relaxants (name at least 4).
What is CNS depression, drowsiness, fatigue, weakness, confusion, headache, and insomnia, gastrointestinal (GI) disturbances, nausea, dry mouth, anorexia, constipation, hypotension?
R.A.C.E. is the fire acronym for this.
What is rescue, alarm, contain, and evacuate/extinguish?
This laboratory data is indicative of an infection.
What is elevated white blood cell count or WBC?
This is one of multidrug-resistant organisms.
What is MRSA, VRSA, or CRE?
This is when wounds are healed and have edges that are NOT well approximated.
What is secondary intention?
At this stage, you will see adipose tissue.
What is a stage 3 pressure injury?
Fractures are classified by the following.
What is type, location, closed or open?
Before applying restraints, the nurse needs to document this.
What were the other interventions attempted?
This is when a patient develops an infection during their hospital stay.
What is health-care-associated or nosocomial infection?
These are the two types of bacterial flora.
What are transient and resident?
This is the term that describes the partial or total separation of wound layers as a result of excessive stress on a wound that is not healed.
What is dehiscence?
What is a stage 2 pressure injury?
Chronic osteomyelitis is often a result of this.
What is a complication of treatment from an open fracture?
From your text, name at least three things that place a person at risk for falls.
What is (age, weakness, gait/balance, vision, post hypotension, chronic conditions, fear of falling or prev falls)?
This is an infection that results from a treatment or diagnostic procedure.
What is an "iatrogenic" infection?
These are two of several illnesses that require a patient to be on droplet precautions.
What is pertussis, strep, influenza virus (and other viral mumps, mycoplasma pneumonia?
Name the functions of skin.
What are protection, regulation, psychosocial, and sensation?
Wound classification of a full-thickness loss where the true depth cannot be determined is also known as this.
What is unstageable?
List four complications of open or closed fractures.
What is bleeding, infection (open fractures), fat embolism, blood clot, pneumonia, skin breakdown, neurovascular complications or compartment syndrome?