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IMMOBILITY
ISOLATION PRECAUTIONS
SAFETY, TECHNIQUE - MEDICATIONS
TERMS TO DEFINE, ABBREVIATIONS, SYMPTOM RECOGNITION, ETC.
I'VE GOT THIS, I THINK SO ANYWAY
100
Client holds me with the hand on the stronger side of the body.
What is a cane?
100
1. These precautions are designed for all clients in the hospital. 2. This intervention only takes 20 seconds and it reduces the spread of infection.
1. What are Standard Precautions? 2. What is proper handwashing.
100
List the six rights of medication passing
What are: dose, route, medication, time, client, and documentation
100
1. When seeing abbreviation "U" or "cc" - can these be used in documentation? If not what can you use? 2. Is it ok to use the abbreviation MS and HS? If not what can you use in your documentation?
1. What is NO, write out unit, and for "cc" use mL or write out milliliters. 2. What is NO, write out morphine sulfate, write out half strength or at bedtime.
100
The nurse should obtain one within 24 hours after applying a restraint.
What is a physician order?
200
Thirty-year old female, taking oral contraceptive daily for past 10 years, has been a smoker for the same amount of time, travels on a plane to Hawaii from Denver. A few days after her arrival in Hawaii she complains that her right calf hurts and it is swollen, feels warm and hurts when she touches it. These are symptoms of?
What are symptoms of a thrombus (clot)?
200
Precautions have been implemented for a client that has an open oozing leg wound with MRSA.
What is contact precautions?
200
Amount of time to leave the needle embedded in the muscle for intramuscular and for a subcutaneous injections
What is 10 seconds for IM; 5 seconds for SQ
200
Preparing to give an IVP medication through a INT: 1. Describe the 3 check method after checking the label on the medication carefully against the MAR to make sure that the correct medication is being prepared.
What is: Check 1 - read the label on the medication when it is taken from the medication cart; Check 2 - before drawing up the medication: Check 3 - after withdrawing the medication. After the above calculate medication dose; Then confirm that the route is correct; Then organize your equipment
200
The nurse splashes her eyes with fluid from emptying a JP drain. She rinses her eyes thoroughly for 5-10 minutes with copious amounts of water.
What is the initial action after splashing her mucous membranes (eyes) with body fluids?
300
1. Describe use of crutches when a client is going up stairs. 2. Describe use of crutches when a client is going down stairs.
1. To go up stairs; advance good leg first, followed by crutches & affected leg. 2. To go down stairs; advance crutches with affected leg first; followed by good leg. "Up with the good to heaven, down with bad to the other place."
300
This piece of PPE can be reused on a nurses shift.
What is goggles?
300
1. 10 - 15 degree angle, where it is given, do you aspirate? 2. 45 degree angle, where it is given, and do you aspirate?
1. What is Intradermal; administered in the dermal layer (forearm, upper chest, back; NO 2. What is subcutaneous injection; administered in the fat or adipose layer, on the upper back of the arm; NO
300
A nurse is completing an assessment of a client who had an external fixation device applied 2 hours ago for a fracture of the left tibia & fibula. Which of the following findings indicate compartment syndrome? (Select All That Apply) A. Intense pain when the left foot is passively moved. B. Edematous left toes compared to the right C. Hard, Swollen muscle in the left leg D. Burning & tingling of the distal left foot E. Minimal pain relief following a second dose of opioid medication
What are a., c., d., & e. a. intense pain of the left foot when passively moved may indicate pressure from edema on nerve endings & is a neurological sign of compartment syndrome.; b. is incorrect because enema of the left toes is an expected finding in a client who has a fracture of the left tibia & fibula.; c. this indicates that edema build-up is area of injury & sign of compartment syndrome.; d. this indicates pressure from edema on nerve endings & is early sign of neurological sign of compartment syndrome.: e. minimal relief may indicate pressure from edema on nerve endings & is early sign of neurological sign of compartment syndrome.
300
The nurse has placed a 75 year-old client in a rocking chair near the nurses station, the client is fidgety, and increasingly confused after her dinner meal.
What is a nursing intervention that is an alternative to restraints?
400
Client moves the walker and the weak leg ahead together about 6 inches while their weight is borne on the stronger leg. Then the client moves the stronger leg ahead while their weight is borne by the affected leg and both arms. This actions is?
What is the proper teaching for use of a walker if one leg is weaker than the other leg?
400
Wearing an N95 mask with transmission based precautions of a patient with TB is?
What is airborne precautions?
400
1. Method used when wanting to recap a needle after preparing the medication in the medication room. 2. This injection is administered at 90 degrees; where can it be given and do you aspirate?
1. What is the SCOOP method 2. What is Intramuscular; in the deltoid, ventrogluteal, or vastus lateralis; YES
400
Common local complications of IV therapy: 1. Symptoms seen with infiltration - list two 2. Symptoms seen with extravasation - list two 3. Symptoms seen with phlebitis - list two
1. What are cool to touch at site, c/o tight skin, blanching, edema @, above or below site, no bld return, size diff. of hand or arm 2. burning, stinging pain, redness followed by blister, necrosis, ulceration 3. redness at the site, warmth, swelling, palpable cord along vein, increase in temperature
400
Rescue, Activate, Confine, Extinguish
What does the acronym R.A.C.E. stand for?
500
1. When using crutches weight of the body should be borne on the ______ rather than on the _______. 2. This can cause what? 3. What is the proper position of crutches to the clients side when ambulating?
1. What are the arms rather than the axillae (armpit); 2. This can cause injury to the radial nerve & eventually cause crutch palsy. 3. 8 - 10 inches to the side, make sure there are rubber tips on the crutches.
500
Precautions for Measles outbreak.
What is airborne precautions
500
If the client has an IV solution infusing, check whether the IV catheter & IV solution are appropriate to administer blood. 1. IV Solution to be used? 2. IV catheter size that is appropriate?
1. What is 0.9 NS - Dextrose will cause lysis of the RBCs, other solutions are incompatible 2. What is #14 - # 22 (typically it is a #18)
500
Define the difference between hemolytic reaction to blood transfusion and allergic reaction.
What is - hemolytic reaction is incompatibility between client's blood and donor's blood; allergic defined as febrile reaction, allergic reaction - mild or severe
500
This product will not eradicate C. difficile.
What is alcohol-based rubs?