Infection Control
Best method to prevent spread of certain GI infections like C. Diff
Hand hygiene, soap and water
Assessment
How often should you reposition a patient
Q2 hours
Type of data that includes measurable findings like BP
Objective data
What is your first response when vitals suddenly change, or are out of the normal range
Compare new vitals to previous vitals
First line of defense against infection
Intact skin
Which step do you group your data to form a diagnosis
Analysis
What is the best way to prevent orthostatic hypotension?
Change positions slowly
When should you document any cares, treatments, medications given, etc.
Immediately/Promptly
What is the priority action for low respirations after opioid use?
Stimulate patient, and administer oxygen
Type of isolation used for immunocompromised patients
Reverse isolation
What step do you take when your care plan is not working for your patient
Reassess and Revise the care plan
Key action prior to transferring a patient
Assess patients ability
What protects you legally when charting errors?
Single through error and initials
Why do you draw blood cultures prior to administering antibiotics in some cases
Identify microorganism, treat with appropriate abx
What to do with soiled linens from isolation rooms
Place in designated leak free laundry bag
What type of goal includes time and measurable goals
Smart Goals
If not gait belt is available what is your next move?
Use assistance or equipment (team lift, draw sheet)
What law defines nursing scope of practice
Nurse Practice Act
What abnormal lung sounds may indicate fluid overload
Crackles
Four steps of fire safety
RACE: Rescue, Alarm, Contain, Extinguish
What influences change interventions the most
Patient responses
Best exercise to improve circulation in immobile patients
Ankle flexion/extension
What should you immediately do when someone access a patients chart improperly
Report the breach
What is the priority need in Maslows
Physiological needs