Safety
When a patient is confused, or at risk for falls, seizures, etc. , what is the best room to have the patient admitted to, in order to ensure patient safety?
Closest to the nursing station or in view of nursing staff
What time of precautions are needed for the flu?
Droplet precautions
The patient states, "I think I am having a heart attack, I have pain going from my chest to my jaw." What type of pain is the patient experiencing?
Radiating pain
What PPE is needed for a patient in droplet precautions?
Masks
How do you speak to a patient that is visually impaired?
Make sure the room is well lit and face the patient
What safety tips should you teach your patients before discharge regarding safety in the home and fall prevention?
Move rugs, furniture, etc. that might be a hazard as well as turning on the lights and making sure the bathroom has safety devices.
What precautions are needed for Varciella (chicken pox)?
Standard, airborne and contact
Patient has pain from recent hip surgery and is at risk for a DVT. What is the position to promote circulation and prevent DVT while on bedrest?
Semi-Fowler's and affected leg elevated
What type of oral care is needed for an unconscious patient ?
Mouth swabs and suctions
What is one complication of prolonged bedrest?
DVT
What are 2 safety precautions you can do to prevent infection?
Wash your hands and keep your fingernails clean and short.
What type of precautions should ALL patients have?
Standard
The patient is experiencing joint pain. The provider orders cold packs. What should the nurse teach the patient regarding their skin during and after the use of cold packs?
Don't let the cold packs sit directly upon the affected area.
What is the chain of infection?
ATI Figure 11.1 on page 54
What is the meaning of tactile sensory deficit?
The change or alteration in the ability to feel or interpret touch, pressure or temperature.
The client is 150 Kg in weight. You assess the client and realize there is erythema in the folds of the abdominal fat. The client also complains of burning in the area. What should the nurse do?
Keep the area clean and dry and report findings to the provider.
What type of footwear should the nurse teach the patient with diabetes who is risk for injury or breakdown?
Closed-toe, sturdy with soft inner linings
What types of comfort measures can the nurse delegate to the UAP?
Lots of answers-hint: what can they NOT do??
An elderly patient states that whenever she tries to go from a lying position to standing, she experiences dizziness. What should you teach her to do?
Get up slowly and sit for a minute until the dizziness subsides before standing.
The diabetic patient has been admitted to the hospital with erythema and edema of his right lower extremity. The patient admits to having stepped on a nail a few days ago that caused a small puncture wound. Now the patient is experiencing fever, tachycardia and positive blood cultures. What type of infection is the patient experiencing?
Systemic infection
What are signs that a nonverbal or demented patient is experiencing pain?
Grimacing, fist clenching, gritting teeth
What can the nurse the do to prevent pressure ulcers in a bedridden patient?
Keep skin clean and dry
Ensure adequate nutrition and hydration
Use alternating pressure mattruess
Reposition Q 2 hours
What is the best pain scale to use for patients who are non-verbal and experiencing dementia?
The Pain Assessment in Advanced Dementia (PAINAD)
What do you teach a patient to do to care for their dentures?
Brush them and soak them in water with denture tablets.