Infection Control
True or False:
The nurse wearing a gown and sterile gloves reached across the sterile field to grab the lancet. This is an example of maintaining sterility.
False
This artery is the most commonly used to assess the blood pressure of an ADULT.
Brachial
In semi fowler's position, the patient's head of bed will be elevated between __ to __ degrees
30 to 60
This religion prohibits it's followers from consuming pork and alcohol
Islam
This stage of Pressure injury damages deep tissue, may have yellow purulence and exposing the bone and ligaments.
When setting up a sterile field, a nurse must adjust the tabletop to what height?
Above the waist level
The apical pulse can be obtained by placing the stethoscope where?
Left mid clavicular line, 5th intercostal space.
A patient was recently placed on restrain due to continuously pulling lines and catheters. How often must the nurse remove the immobility device of the patient?
Every 2 hours
Which Religious group Prohibit it's members from taking blood into the body or transfusion of blood or blood products.
Jehovah's Witness
This type of breath sounds is audible if the patient have croup and displays as a loud crowing noise during inspiration.
Stridor
Droplet precaution.
The phase 4 of the Korotkoff sound resembles what sound?
Muffling Sound
This position is placing the patient on their back with knees flexed and soles of the feet flat on the bed
Dorsal Recumbent position
This religion observe kosher dietary Restriction
Jewish, Orthodox Jews, Judaism
A nurse transferred a patient to an isolation room to avoid disturbing other patients. This is considered what kind of tort?
False imprisonment
A patient with Foley catheter was recently diagnosed with VRE (Vancomycin Resistant Enterococci) of the urine. What PPE must the nurse apply before entering the room to assess the patient?
Contact precaution: Gown and gloves.
In which route will the nurse measure the patient's core body temperature if the patient is an unconscious patient?
Rectal
The nurse was instructed to ambulate a patient with congestive heart failure and was recently started on Lasix. What position will the nurse put the patient prior to ambulation to prevent orthostatic hypotension.
Dangling or sitting at the side of the bed.
True or False:
After administering an IM injection to a hepatitis B patient, the nurse must recap a needle for disposal to a puncture resistant sharp container.
False
The recommended ratio for disinfecting with bleach and water is?
1:10
This type of immunity is achieved through injection of vaccine or immunizing substance that contain dead or inactive microorganisms or their toxins.
Acquired Passive Immunity.
A patient is currently taking Furosemide and Lorazepam. Which vital signs would you monitor for the patient? (More than 1 can be applied)
Respiration, pulse and Blood pressure.
What is the proper position to put the patient if an unconscious patient and was ordered an enema for constipation?
left Lateral Sim's Position
The family of the patient who recently passed refused for any organ donation. What religion prohibits their followers from any organ donation?
Islam, Jews and Christian Science.
You are caring to 4 different patient with 4 different diagnosis: Diabetes, Congestive Heart Failure, COPD and Right knee replacement. Which patient has the highest risk for burn injury.
Diabetes.