Infection Control
A patient with influenza should be placed on these precautions.
What is droplet precaution?
This position promotes maximum lung expansion for a patient experiencing shortness of breath.
What is high fowler’s position?
This is the most accurate indicator of a patient's overall fluid volume status.
What is daily weight?
The nurse should maintain oxygen saturation within this range for most patients with chronic COPD to avoid worsening CO₂ retention.
What is 88% to 92%?
This type of diabetes is caused by autoimmune destruction of pancreatic beta cells and requires lifelong insulin therapy.
What is Type 1 diabetes mellitus?
This QSEN competency emphasizes using the best current research, clinical expertise, and patient preferences to guide nursing care.
What is Evidence-Based Practice?
This condition occurs when the blood has a reduced capacity to transport oxygen to body tissues.
What is anemia?
This oxygen device should be used at a minimum flow rate of 5 L/min to prevent rebreathing carbon dioxide.
What is a simple face mask?
A patient with disseminated shingles requires these precautions.
What are airborne and contact precautions?
This complication should be suspected if a patient develops sudden shortness of breath after a thoracentesis.
What is pneumothorax?
A client with vomiting and diarrhea has a blood pressure of 88/46 mm Hg and a urine output of 15 mL/hr. This fluid volume disorder is most likely occurring.
What is hypovolemia?
This breathing technique prolongs exhalation, prevents airway collapse, and helps reduce air trapping in patients with COPD.
What is pursed-lip breathing?
This is the only insulin that can be safely administered by the intravenous route.
What is Regular insulin?
This standardized communication tool helps nurses clearly communicate important patient information.
What is SBAR?
These two laboratory values are the primary tests used to diagnose anemia.
What are hemoglobin (Hgb) and hematocrit (Hct)?
This oxygen device delivers approximately 100% oxygen when used correctly.
What is a non-rebreather mask?
This mask is required before entering the room of a patient with suspected tuberculosis.
What is an N95 respirator?
This respiratory assessment should be performed immediately after a thoracentesis.
What is auscultation of lung sounds?
A client develops peaked T waves on the ECG after receiving an ACE inhibitor. This electrolyte imbalance is the nurse's priority concern.
What is hyperkalemia?
This diagnostic test confirms the presence of lung consolidation in a patient suspected of having pneumonia.
What is a chest x-ray (CXR)?
A diabetic patient becomes diaphoretic, shaky, confused, and has a blood glucose of 52 mg/dL. The nurse should perform this priority intervention first if the patient is awake and able to swallow.
What is administer a fast-acting carbohydrate (such as glucose tablets or fruit juice)?
A nurse reports a medication error even though no patient harm occurred because this type of healthcare culture encourages learning rather than punishment.
What is a culture of safety (just culture)?
Patients taking oral ferrous sulfate should take it with this vitamin to increase iron absorption.
What is Vitamin C?
The patient should inhale slowly and deeply while using this device to promote lung expansion.
What is the incentive spirometer?
A type of in the hospital room used for immunocompromised or severely immunosuppressed patient?
What is positive-pressure room.
A pneumothorax is the presence of this in the pleural space.
What is air?
This IV fluid type includes 0.9% Normal Saline and Lactated Ringer's.
What are isotonic IV Fluids?
Patients with exercise-induced asthma should use this medication approximately 30 minutes before physical activity.
What is a bronchodilator inhaler?
When mixing Regular insulin and NPH insulin in the same syringe, this type of insulin should always be drawn up first.
What is Regular (clear) insulin?
Before applying restraints to a confused patient, the nurse should first attempt these interventions because restraints are considered this type of measure.
What are least restrictive alternatives (or alternatives to restraints)?
A patient with anemia reports numbness and tingling in the hands and feet. These neurological symptoms suggest this type of deficiency anemia.
What is Vitamin B12 (cobalamin) deficiency or pernicious anemia?
Before suctioning a tracheostomy, the nurse should provide this.
What is hyperoxygenation?
When removing PPE after caring for a patient in isolation, this item is removed first because it is usually the most contaminated.
What are gloves?
Continuous bubbling in the water seal chamber of the chest tube drainage device usually indicates this problem.
What is an air leak?
This electrolyte imbalance places the patient at greatest risk for seizures.
What is hyponatremia?
Older adults are at increased risk for pneumonia because age-related changes reduce the effectiveness of this protective airway mechanism.
What is the cough reflex?
This medication is considered the first-line drug for most patients with Type 2 diabetes when combined with lifestyle modifications.
What is metformin?
This medication safety technology helps ensure that the correct patient receives the correct medication at the correct time.
What is barcode medication administration (barcode scanning)?
Unlike vitamin B12 deficiency anemia, this type of deficiency anemia does not cause neurologic symptoms such as numbness and tingling.
What is folic acid deficiency (megaloblastic) anemia?
This is the maximum amount of time suction should be applied during one pass.
What is 10-15 seconds
What is the first action the nurse should perform immediately after removing all PPE?
What is hand hygiene.
This assessment finding indicates increased work of breathing and may include nasal flaring or use of neck muscles.
What is accessory muscle use?
A patient with hyperkalemia may receive regular insulin and dextrose to move this electrolyte back into the cells.
What is potassium?
A patient with COPD receiving 6 L/min via non-rebreather mask becomes increasingly drowsy and difficult to arouse. The nurse recognizes this as a possible sign of this life-threatening complication.
What is hypercapnic respiratory failure (carbon dioxide narcosis)?
A patient with hyperglycemia develops fruity-smelling breath, abdominal pain, tachypnea, and confusion. The nurse recognizes these findings as this life-threatening complication.
What is diabetic ketoacidosis (DKA)?
When a hospitalized patient suddenly develops respiratory distress and a decreasing level of consciousness, the nurse should activate this team before the patient experiences a cardiac arrest.
What is the Rapid Response Team?
When the kidneys detect hypoxia, they release this hormone to stimulate the bone marrow to produce more red blood cells.
What is erythropoietin (EPO)?
The nurse should limit suctioning to this number of passes before reassessing the patient.
What is 3?