Asepsis/Infection Control
This is the number one way to prevent the spread of infectious agents
What is hand hygiene
This is the population most at risk for falls
What is the older adult
The nurse identifies this mnemonic and description that represents the nursing process
What is ADPIE
Assess, Diagnose, Plan, Implement, and Evaluate
A nurse is responsible for managing IV fluids and changing tubing when appropriate. This requires routine tubing to be changed how often?
Every 72-96 hours base on the policy of the institution
Secondary prevention include this
What is screening
A nurse gives a client instructions on the use of this breathing exercise to assure the clients respiratory status is maintained post operatively
What is an incentive spirometer
A nurse is educating a new patient care assistant in how to clean the perineal area of a female client. This describes the need to wipe this way to avoid contamination.
What is from front to back
The nurse identifies Ineffecive airway clearance as part of a concept map for a client with pneumonia. The nurse knows this is part of an appropriate what?
What is the nursing diagnosis
The nurse identifies these 4 symptoms as IV infiltration
The nurse knows this is the best person to clarify a medication order.
Who is the prescriber.
The nurse knows to wash hands with soap and water after caring for a client with this type of infection
What is C-diff
This is the type of bath a nurse is instructing the unlicensed medical assistant for appropriate bathing of a client who is paralyzed from the waist down
What is a partial bed bath
The nurse gathers data about a specific problem that has already been identified. Helpful questions include:
This is part of what kind of an assessment?
What is a FOCUSED assessment
The client develops slight discomfort at the sight of and IV potassium infusion. The site is infusing easily and has no other signs of infiltration or phlebitis. The nursing care plan includes this intervention to dilate the vessel and minimize the patients discomfort.
What is apply a warm compress to the site.
Assessing a clients readiness to learn is essential to enhance this aspect of the medication plan.
What is compliance
The nurse applies this to a patient who is on bedrest to promote venous return.
What are compression stocking
A nurse knows it is important to do this to assure the safety of a client who is having a grand mal seizure to prevent injury.
What is clear the area around the client
The Nursing Interventions Classification (NIC) project defines this as “any treatment based upon clinical judgment and knowledge that a nurse performs to enhance patient/client outcomes” It can include both direct and indirect care
What is a nursing intervention
The nurse knows these 3 types of blood that would be safe for a client with B+ blood to receive
What is B+, B- and O-
The nurse knows that a sustained release (controlled release) medication cannot be given via a naso gastric tube for this reason
It cannot be crushed
At what stage of illness is an employee likely to miss work?
Full stage of illness
This is the mnemonic and it's description used to recall the appropriate actions to take in the event of a fire.
What it RACE
Remove
Alarm
Contain
Evacuate or Extinguish
This kind of planning begins when the patient is admitted for treatment. It ensures that the nurse uses teaching and counseling skills effectively to help the patient and family develop sufficient knowledge of the health problem and the therapeutic regimen to carry out necessary self-care behaviors at home competently.
What is discharge planning
When preparing a client for a fluid infusion, the nurse needs to do this prior to reviewing the plan of care to assure she is speaking to the intended client
What is identify the clients name and date of birth
These are 2 parenteral and one enteral route to administer a medication delivery in a syringe from the pharmacy
What is IV, IM (SQ) and orally (NG)