ADPIE/care plan
What is the purpose of the evaluation part of the adpie?
To analyze the patient's response to the goal we set.
When we see a rash on a patient, we are doing a _____ observation?
Visual
What is it called when the patient had the right to refuse their medication?
autonomy
What is the most effective way to prevent the spread of infection?
Hand hygiene
How long do you check the apical pulse?
1 full minute
What is the nurse's role AFTER completing an assessment? What do we do with the information we have collected?
Use the information to form a nursing diagnosis and plan of care.
What is the most reliable indication of pain?
The patient
The patient speaks German only- what do you do?
Use a hospital approved translator
How long do you take with hand sanitizer?
20 seconds
How do you check a tympanic temperature in an adult?
Pull the pinna up and backwards
insert the thermometer in a circular motion until snug.
What is a nursing diagnosis?
The identification of a nursing care problem based on our assessment findings.
What is a clinical manifestation of pain?
Increased blood pressure, elevated heart rate
How do you correct a written error?
Cross out the incorrect statement with one single line
What kind of precaution should a patient that is positive for TB be on? and what ppe is needed?
Airborne & N95
Behind the inner aspect of the ankle
What is the nursing role of implementation?
Giving of actual care
What is the priority assessment AFTER giving an opioid medication?
BREATHING!!! the pulse oximetry
When we are verbalizing information about our patient to other healthcare team members- we are in which role?
Dietary, Advocate, teacher or communicator
Communicator
What is important with equipment in a contact precaution room?
Dedicated equipment and supplies
Where should a patient's arm be when obtaining a blood pressure?
at heart level
What you document the patient walked 20 feet, you have done the ______ part of adpie?
Evaluation
Tell me the order of assessing the abdomen?
Also- what direction do we assess?
inspection, ausculation, palpitation, percussion
RL, RU, LU and LL
What is it called if you leave in the middle of your shift without telling anyone?
negligence
What is the order of PPE removal?
Gloves, goggles, gown, mask, hand hygiene
What should you do if you need a temperature and your patient is eating ice(per ATI)
wait 30 minutes and come back