Intake/Output
True/False: Intake and output (I&O) assessment provide essential information about hydration level, overall health status, and response to treatments.
True
True/False: When performing a sterile tracheostomy dressing change, only presplit sterile woven gauze should be used.
False
It is the policy of Piedmont Healthcare that that patients with a known or suspected communicable disease/infection are to be placed on the appropriate type of _______ precautions during their encounter.
Isolation
What is the minimum amount of pain assessments a patient should have during your shift? Pain reassessment is required within ______ of intervention with pain level only.
3 pain assessments (Q4 hours)
1 hour
Virtual nurses will assist with ________ and ________ to allow the bedside nurses more time to focus on hands-on care that they only can provide.
admissions; discharges
What is the normal urine output range in an adult?
30-40 mL/hr.
Tracheostomy suctioning helps to prevent respiratory complications and maintain a patent airway. Name a sign/symptom of respiratory distress that is managed with suctioning.
Signs/symptoms of respiratory distress include rapid, shallow, or irregular respiration, increased heart rate, restlessness, anxiety, confusion, wheezing, stridor, or grunting on exhalation, nasal flaring, intercostal, subcostal, or substernal retractions, use of accessory muscles (sternocleidomastoid and scalene muscles of the neck) or cyanosis, lethargy
You are providing care to a patient with C. Diff. After removing the appropriate PPE, you would perform hand hygiene by using _______.
Soap and water.
A specific, measurable, and patient-centered part of the comprehensive pain assessment that focuses on prevention, pain relief and function. It sets the expectation that a patient may not be free from pain or at least gets them back to baseline if they have chronic pain.
Pain Goal
The vRN will communicate with the primary nurse using ______ _____ or call them directly.
secure chat
Urine output less than 0.5 mL/kg/hour is considered oliguria, while urine output greater than 200 mL/hour is considered ________.
Polyuria
This vital sign should be obtained and monitored throughout the tracheostomy suctioning.
Pulse oximeter reading
Once patient in suctioned, assess for repeat need for suctioning. Provide oxygen or ask the patient to take deep breaths for at least 30 sections in between passes to maintain oxygenation levels.
Patients are required to stay inside their rooms while on airborne isolation. When clinically necessary, patients are to wear a ______ outside of their room including in the hallway if transport or transfer is needed.
Surgical mask
What is the name of the acute pain scale pictured here?
Wong-Baker FACES Pain Rating Scale
In virtual nursing if the inpatient bedside nurse is performing the discharge, what steps should be taken to ensure this is communicated?
Update the Treatment Team Sticky Note
Secure chat ‘PHC Virtual Nursing’ or vRN
Call vRN lead to communicate this.
Infusion volumes should be verified in order to accurately file totals into Epic. This should be performed at least _____ per shift but can be done each time you evaluate I&Os, for example hourly in an ICU setting.
Once
Name this object used to guide the insertion of tubular instruments such as tracheostomy and gastrostomy tube. This object should be always kept within reach in the event of inadvertent tube dislodgement.
Obturator
_______ precautions are used in the care of all patients since medical history and examination cannot reliably identify patient infected with bloodborne pathogens and are never to be discontinued.
Standard
What are two ways to be notified when a pain reassessment is due in the EPIC charting system.
The brain & a pain reassessment column.
How do you contact the vRN Lead?
Secure Chat: PHC Virtual Nursing
Number: 470.966.2409
Look at the provided graph. Calculate the total output for the patient on 11/21/2025. (answer will be in mL/hr)
1850/24 = 77.08 mL/hr
Billy has been a patient on your unit for 4 days. This is your first day caring for Billy who has a tracheostomy. During routine care to clean the stoma, you notice redness in the anterior aspect of the neck after loosening the neck ties and removing the split gauze along with a fever of 102.3 degrees Fahrenheit. Billy is exhibiting signs/symptoms of an _____?
Infection
Acid-fast stain can be used to assess for Mycobacterium tuberculosis. Patient should produce early morning _______ sample on 3 consecutive days.
sputum (These patients should remain on airborne precautions in a negative pressure room) Bonus points: What are the room numbers that have negative pressure?
A 35-year-old male patient with testicular cancer is joking and playing cards with his roommate. When assessed by the pain management nurse, the patient rates his pain as a 7 on the Numeric Pain Rating Scale of 0 to 10. Which medication is appropriated based on the patient's rating? See picture
Morphine injection 2 mg. May be in conflict with pain rating and accepts report of pain. Pain assessment is a comprehensive process, including an accurate self-report of pain and use of objective pain assessment tools. Personal bias in pain assessment and interventions should be avoided.
Name a patient population that is excluding from virtual nursing at this time.
Hospice, comfort care, palliative care, inmates or prisoners, and 1013/2013 patients, under the age of 18 or under the care of Ward of State