Infection
Most effective way to prevent the spread of infection
What is hand hygiene?
Signs of wound infection
What is redness, warmth, swelling, pain, and purulent drainage?
Active range of motion is performed by:
What is the client?
Two types of data in nursing assessment
What is subjective and objective?
Normal oxygen saturation
What is 95-100%
Normal respiratory rate for an adult
What is 12-20 breaths per minute?
The first action a nurse should take after a needlestick injury
What is wash thoroughly with soap and water?
Hard, dry, dark tissue in a wound
What is eschar?
Activities of daily living
What is bathing, dressing, toileting, feeding, transferring, etc?
Common vision screening test
What is the Snellen eye chart?
Arteries carry blood which direction?
What is away from the heart?
Most accurate route when obtaining temperature
What is rectal?
Isolation precautions required for a patient with influenza
What is droplet precautions?
Scale used to determine a client's risk for developing pressure injuries
What is Braden scale?
Scale for assessing fall risk
What is Morse?
Correct order of abdominal assessment
What is inspection, auscultation, and palpation?
Types of adventitious lungs sounds
What is wheezes, rhonchi, crackles?
Another term for apical pulse
What is point of maximal impulse (PMI)?
Considered an endogenous source of infection
What is normal flora?
Factors that impair wound healing
What is poor nutrition, infection, age, diabetes, smoking, etc?
Nursing actions to reduce fall risk
What is bed in lowest position, call light within reach, siderails up, bed alarms, non-slip footwear, etc?
Signs of fluid overload on assessment
What is edema, crackles, bounding pulse, JVD, etc?
Purpose of incentive spirometry
What is promote lung expansion and prevent atelectasis?
Quality of pain examples
What is sharp, dull, throbbing, stabbing, aching, burning, etc?
Type of precaution is used for a patient with C. diff
What is contact precautions?
Blanchable erythema over a bony prominence
What is a stage 1 pressure injury?
An unexpected event causing death or serious injury
What is a sentinel event?
PQRST method used for assessing?
What is pain?
Provokes
Quality
Radiates
Severity
Timing
Pursed lip breathing helps which 2 conditions mostly
What is COPD and asthma?
Vital sign that increases with hemorrhage
What is pulse?
Definition of leukopenia
What is an abnormally low white blood cell count?
Type of drainage that requires a wound culture
What is purulent?
Priority risk for a client who has been on bedrest for 7 days
What is DVT/blood clot?
Nurses should educate females and males on which self assessments?
What is breast exam for females and testicular exam for males?
Nursing interventions for shortness of breath with asthma
What is elevate the head of the bed, oxygen therapy, bronchodilators, emotional support, etc?
Priority assessment before administering a beta blocker
What is assess pulse?
PPE used for airborne precautions
What is N95 mask, gown, gloves, and negative pressure room?
Immediate nursing action for an eviscerated wound
What is cover with saline-moistened sterile dressing?
Priority assessment when using wrist restraints
What is neurovascular checks?
Priority assessment for a client on anticoagulants
What is signs of bleeding?
Name all of the pulses learned so far
What is carotid, brachial, radial, apical, femoral, popliteal, posterior tibial, and dorsalis pedis?
4 components when assessing pulses
What is rate, rhythm, strength, and equality?