Personal Hygiene/Bathing
Clean linen that is applied last when making an occupied or unoccupied bed
What is a pillowcase
Type of transmission based precautions the nurse must initiate for a patient with influenza
Pulse that is palpated prior to placing a BP cuff
What is brachial pulse
The primary source of health information
What is the patient
The complication that occurs when the incision separates and an organ protrudes through the wound opening
What is evisceration
Bed position where head of bed is raised 30-45 degrees
What is Semi-Fowler's position
Type of transmission based precautions the nurse should initiate for a patient with clostridium difficile (c-diff)
What is contact precautions
Respirations that are regular in depth, with an abnormally rapid rate
What is tachypnea
Step of the nursing process that includes setting patient-centered goals and expected outcomes
What is planning
Wound drainage best described as thick and tan and usually indicates infection
What is purulent drainage
What is a patient with diabetes mellitus
The last item removed when leaving an airborne isolation room
What is N95 mask
The correct documentation for a radial pulse that is diminished and barely palpable
What is 1+
Step of the nursing process that occurs after the nurse performs interventions based on priority diagnoses
What is evaluation
Wound drainage best described as pale, pink, watery mixture of clear and red fluid
What is serosanguineous drainage
Patient position that involves lowering the head of the bed and raising the foot of the bed
What is Trendelenburg's position
A laboratory test used to indicate a possible infection
What is WBC count
It occurs when the heart contracts inefficiently and fails to transmit a pulse wave to the peripheral site
What is a pulse deficit
Step of the nursing process that formally begins after you develop a plan of care
What is implementation
The complication that occurs with there is partial or total separation of wound layers
What is dehiscence
The correct order to bathe a patient with soap and water
What is face, trunk and upper extremities, hands and nails, abdomen, lower extremities, perineal area, back
The correct order for doffing full PPE
What is gloves, goggles, mask, and gloves
The vital sign that is directly affected by an injury to the hypothalamus
What is temperature
The correct order of the steps of the nursing process
What is assessment, diagnosis, planning, implementation, evaluation
The wound management task of removing nonviable, necrotic tissue to rid the wound of a source of infection, enable visualization of the wound bed, and provide a clean base for healing
What is debridement