Safety
According to NPSG, how many identifiers should be used before administering care? What are the main two?
2 (Name and DOB)
WHat is the standard hygiene protocol for hand hygiene when caring for a patient with Clostridium Difficile?
Wash hands with soap and water
What is the direction in which a nurse washed a client's extremities during a bed bath to promote venous return?
Distal to Proximal
What is information reported directly by the patient?
Subjective Data
Rescue
Alarm
Confine
Extinguish
What is the single strongest predictor/factor in assessing a client's fall risk?
History of previous falls
What PPE is required for Airborne Precautions?
N95 Respirator
What position should an unconscious client must be placed in during oral care to prevent aspiration?
Lateral (side)
What is the first step in the 5 step Nursing Process where physical exam data and vital signs are gathered?
Assessment
How should you instruct a patient to walk up the stairs with crutches?
Unaffected leg first, crutch, then affected leg
What is the required maximum timeframe within which a nurse must obtain a provider's order after applying emergency physical restraints?
1 hour
What would you consider PPE? (Examples)
Mask, Gown, Gloves, and Face Shield/ Goggles
What is the essential action required immediately after retracting and cleansing the foreskin of an uncircumcised male?
Replacing the foreskin
The step on the NGN Clinical Judgement Action Model where the nurse identifies relevant clinical signs and cues?
Recognizing Cues
What is the correct order to DON PPE?
Gown, Mask, Goggles/Face Shield, and Gloves
What is the internal, non medical record documentation required for following an unexpected client event of fall?
incident report
What is the essential maintenance requirement for a urinary drainage bag to prevent hospital acquired CAUTIs?
Keep the bag below the level of the bladder at all times.
What us the proper body mechanism when lifting a patient?
Bend at the knees and hips
What is reassessing a client's pain level 30 minutes after administering analgesics represents this phase of the Nursing Process?
Evaluation
What are the ABCs
Airway, breathing, and circulation
What three interventions protect nurses from radiation exposure?
Time, distance, and shielding
What is maintaining a sterile field, free of all microorganisms, as opposed to medical cleanliness?
Surgical Asepsis
What is the permanent fixation of a joint caused by disuse and immobility?
Contracture (foot drop)
What is the acronym defining effective nursing care plan goals?
SMART Goals (Specific, Measurable, Attainable, Relevant, Time-Bound)
What is the correct way to DOFF PPE?
Gloves, Goggles, Gown, and Mask