Isolation Practices
These precautions are designed for all clients in the hospital.
What is Standard Precautions?
This product will not eradicate C. diff.
What is alcohol-based rubs?
How often should a patient in restraints be monitored?
What is every 15 minutes
What type of belt should be used when ambulating patients for safety
What is a gait belt
Patient states "My pain is in my back and it hurts bad." Is this subjective or objective
Subjective
Precautions have been implemented for a client that has an open oozing leg wound with MRSA.
What is contact precautions?
This intervention only takes 20 seconds and it reduces the spread of infection.
What is proper handwashing.
List 2 appropriate reasons for applying restraints
Patient safety
Staff safety
Medical procedure (vent)
Mental health crisis
Applying proper body mechanics when working - List 1 principles.
1. Establish a wide base of support, feet should not be close together. 2. Use equipment and have others to assist. 3. Avoid movements that cause pain, bending at waist, stooping and lifting with straight legs. 4. When lifting keep items/pts. close to you.
Pain Scale 0 - 10:
Mild - list the number range
Moderate - list the number range
Severe - list the number range
What is mild - 1 - 3
moderate - 4 - 6
severe - 7 - 10
Client with TB needs outside of the room for essential purposes. Place which PPE on client during transport.
What is surgical mask?
What is a normal WBC?
What is 4500 - 11,000/mm?
What is a nursing intervention that is an alternative to restraints?
Reposition, Disposition, Needs met
Movement of the bone away from the midline of body
What is abduction
Client with right lower quadrant pain and hasn't eaten today. What should the nurse do first? Your CNA has gotten your vital signs.
What is assess the pain using a pain scale?
Wearing a N95 mask when caring for a client with TB is what type of precautuion?
What is airborne precautions?
Sterile field is no longer considered sterile when?
What is when sterile objects touch unsterile objects or are placed outside the sterile field
Obtain one within 30 mins after applying a restraint.
What is a physician order?
Activities where amount of O2 taken in is greater than amount needed for exercise
aerobic exercise
Compare acute and chronic pain. List 2 signs and symptoms each.
Acute - increased pulse, resp. BP, diaphoresis, dilated pupils. Pain resolves when injury is healed, Restless, anxious, cry, rub area, hold area, client reports pain
Chronic - VS WNL: dry, warm skin; pupils normal or dilated; Pain cont. beyond healing; depressed, withdrawn; doesn't mention pain unless asked; pain behavior often absent.
Precautions for influenza outbreak is?
What is droplet precautions
What PPE is applied for contact precautions
Gown and gloves
Proper way of securing of soft wrist restraints and where should it be secured?
What is using a quick release knot and securing to bed frame?
Name one complication of immobility on the musculoskeletal system
Osteoporosis
Atrophy
Contractures
Foot drop
Stiffness and joint pain
The nurse is preparing to instruct a client on nonpharmacologic interventions for pain control - list 1.
What are: massage, applying heat or ice, TENS unit, Acupressure, positioning, diet - nutritional supplements, exercise, sleep?