To communicate a client's wishes regarding medical care if they cannot speak for themselves.
What is the purpose of advance directives?
Client privacy and confidentialiy of health information
What does HIPAA protect?
Oxygen device that delivers the highest O2?
What is nonrebreather mask?
Keep bed in lowest position
What is a key fall prevention strategy?
Keep catheter closed and below bladder level
How to prevent CAUTI?
Assessment for balance and neurological function
What is the Romberg test?
Priority intervnetion for dysphagia feeding
What is sit upright?
Maslow's first priority
What is physiologocial needs?
Active listening
What is therapeutic communication?
Place infants on their back to sleep.
What is a key teaching point for preventing SIDS?
Client status, medications, recent changes, and pending tests.
What should be included in the transfer report?
No smoking or open flames
What safety rule applies to oxygen use?
Bend knees and keep back straight
What is proper body mechanics when moving a client?
Clostridium difficile (C-diff) precaution
What is handwashing with soap and water?
The first step when removing an IV.
What is stop the infusion?
Enteral tube feeding priority
What is check tube placement?
Dietary teaching priority
What is client understanding of restrictions?
Th purpose of use of silence
What is allows client to express feelings?
Use incentive spirometer and perform dep breathing/coughing exercises.
What should a client with pneumonia be taught?
Accurate, timely, factual, and complete charting.
What is proper documentation?
What is High-Fowler's position?
Examples of crutch gaits
What is three point gait?
Sterile supplies and normal saline
Wound irrigation requires what?
Brush teeth, rinse, suction if needed.
What is oral care sequence?
How to calculate fluid intake
What is add all liquid intake in mL?
Finding to report in older adult
What is acute confusion?
Cultural care priority
What is respect client beliefs?
What is important teaching for blood pressure monitoring?
Acting in the best interest of the client.
What is beneficence?
Airborne precautions and N95 mask
What precautions are needed for tuberculosis (TB)?
Helps prevent injury when moving a client up in bed?
What is use a draw sheet?
Fever, redness, swelling, drainage
What are signs and symptoms (s/s) of infection to report?
Adverse effect after lumbar puncture.
What is headache?
Intervention for constipation
What is increase fiber and fluids?
Priority pre-operative action
What is address client concerns?
End of life care focus
What is comfort measures?
Daily weight monitoring and reporting weight gain more than 2 lbs/day.
What shows understanding of heart failure teaching?
What requires immediate action?
Maintain low-flow oxygen (1-2 L/min)
COPD priority intervention
Priority after knee surgery
What is early ambulation and use of compression devices?
Intervention for cough & night sweats.
What is evaluate for tuberculosis (TB)?
Inflammatory, proliferative, maturation phases
What is wound healing process?
Ostomoy care priority
What is maintain skin integrity?
Address airway, breathing, circulation first.
What is prioritizing interventions?
The goal of hospice care
What is quality of life, not cure?