Safety and Infection Control
These patients must be roomed close to the nurse’s station
Who are patients with increased risk for falls?
Care that improves quality of life, regardless of the stage of disease
What is palliative care?
What is the type of care people can receive at end-of-life? Hospice
Prior to performing this, the nurse must assess for aspiration risk, impaired swallowing, and decreased gag reflex
What is oral hygiene?
A common initial sign of infection in older adults
What is altered mental status OR confusion?
These are isotonic fluids (name 3)
What are 0.9% normal saline, lactated ringers, D5W?
These are two common strategies to prevent falls in hospitalized patients
What are bed in lowest position, top two side rails up, call light within reach, hourly rounding, non-skid socks
Appearance, posture, gait, eye contact, gestures, facial expressions, personal space
What is non-verbal communication?
Therapeutic diet with easy to digest, low-fiber foods
What is low-residue diet?
What are some “high” residue foods? Vegetables, fruits, beans, nuts
Common causes of death among adolescents
What are motor vehicle accidents, suicide, and firearms
Local signs include edema, pain, increased temperature, erythema, red line with palpable band
What is phlebitis?
What do we do for phlebitis? Remove IV, heat, NSAID, elevation
Medical asepsis and surgical asepsis are also known as these
What are “clean” and “sterile” techniques?
A patient who expresses feelings of worthlessness after a body-altering surgery is experiencing a derangement in this aspect of self-concept.
What is body image?
Complications include pneumonia, pressure injury, orthostatic hypotension, urinary stasis, constipation, muscle atrophy, and decreased basal metabolic rate
What is immobility?
How can we counteract some of these effects in bed-bound or low-mobility patients? Passive ROM exercises, breathing exercises, frequent turning, fluid intake
Air into NPH, air into regular, draw up regular, draw up NPH
What is the order for insulin mixing?
Why? Avoid getting protein in regular insulin, as it causes precipitation
Post-Anesthesia Care Unit monitoring includes these things (name at least 4)
What are BP, HR, RR, temperature, SpO2, sensation, level of consciousness, nausea/vomiting, pain, heart rhythm
True or False: An incident report is part of the patient’s medical record
What is "False"?
Individuals who have this tend to feel good about themselves
What is positive self-concept?
The nurse encourages a patient with constipation to increase intake of these two dietary components
What are fluids and fiber?
Deep sleep states
What are NREM III and IV (delta sleep OR slow-wave sleep)?
What happens during these states? Psychologic and cognitive restoration
This is the most likely acid-base imbalance after several days of diarrhea
What is metabolic acidosis?
When the nurse should perform hand hygiene with soap and water
What is when hands are visibly soiled, contaminated with blood/bodily fluids; when caring for patient infected with cryptosporidium, norovirus, or C. diff; before assisting with surgery
The family of a patient with a terminal illness or impending death is likely dealing with this type of grief
What is anticipatory grief?
After administering a prn PO pain medication, the nurse should reassess the patient’s pain at this time interval
What is 30 to 60 minutes?
What about IV pain medication?
Risk factors for erectile dysfunction
What are diabetes, alcoholism, spinal cord injury, CV disease, medications (antihypertensives, antidepressants, illicit drugs)?
The 10 rights of safe medication administration
What are the right: client/patient, medication, dose, time, route, documentation, client education, to refuse, assessment, evaluation?