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Chronic Illness
Blood Disorders
Cancer
Endocrine Disorders
End of Life Care
100
The nurse is caring for an 8-year-old child who has a chronic illness. The child has a tracheostomy, and a parent is rooming-in during this hospitalization. The parent insists on providing almost all of the child's care and tells the nurses how to care for the child. When planning the child's care, the primary nurse should recognize that the parent is:
The expert in care of the child.
100
A condition in which the number of red blood cells or the hemoglobin is reduced below normal values for age.
What is Anemia?
100
Five rights of medication administration
What are: 1. Right Patient 2. Right Medication 3. Right Dose 4. Right Time 5. Right Route
100
Essential to protecting your back
What is utilizing proper body mechanics?
100
Date of Birth and Medical Record Number
What are 2 acceptable patient identifiers
200
A form used to report adverse events, or specific events which are inconsistent with routine patient care.
What are incident or occurrence reports?
200
A bleeding disorder characterized by deficiency of factor VIII. Manifest in males only, treatment =replace the missing factor. Nursing considerations - protect from injury, manage pain, ID bracelet, special precautions before surgery & dental care, excellent oral hygiene needed.
What is hemophilia A?
200
Examples include QD., qod, U, IU, MS, MSO4, MgSO4, the use of a trailing zero (x.0 mg) or lack of leading zero (.xmg).
What is the DO NOT USE ABBREVIATIONS list?
200
What the World Health Organization states that about 3 millions health care workers worldwide are exposed to each year.
What are blood-borne pathogens?
200
This always requires a time limited order
What are restraints?
300
The fire safety acronym R.A.C.E. stands for this
What is Rescue, Alarm, Contain and Extinguish
300
The primary goal of nursing education.
What is training safe and competent nurses who are accountable for their actions?
300
Drugs, which by the nature of their name, are involved in a high percentage of medication errors or other adverse outcomes. Examples include Novolog and Novolin-R, Oxycodone and Oxycontin, Hydromorphone and Morphine, Heparin and Hespan.
What are Look Alike - Sound Alike Medications?
300
A form that provides toxicity, health effects, first aid, reactivity, storage, disposal, protective equipments and spill handling procedures on a particular substance.
What are Material Safety Data Sheets or MSDS?
300
Provided to protect the nurse from infectious and/or dangerous materials
What are Personal Protective Equipment?
400
The adverse patient event most frequently reported by hospitals to the Patient Safety Commission in 2009 and 2010.
What are falls?
400
Any process variation or error that could have resulted in harm to a patient, a visitor, or staff, but through chance or timely intervention, did not reach the individual
What is a Near Miss?
400
List at least two times that 2 nurses are needed to administer medications
What is 1. PCA administration 2. Insulin double check 3. Heparin infusions 4. Chemotherapy agents
400
Three of the seven Student Nurse Unsafe Events identified in the ANA Code 125
1. Harm to Patient, 2. Medication errors 3. Falls 4. Acting beyond your authorized role 5. Not prepared for assigned tasks 6. Didn't report abnormal vital signs & assessment findings 7. Gave medication without the presence of instructor or precepting nurse
400
98,000
What is the number of people who die of medical errors each year according to the Institute of Medicine report?
500
Name 5 of the 8 preventable injuries in a hospital.
1. Infection of blood, 2. Falls, 3. Check blood incompatibility, 4. Urinary tract infections, 5. No objects left during surgery, 6. Infections after cardiac surgery, 7. Embolisms, 8. Pressure sores.
500
Name 5 of the 9 "Always Events"
1. Pt. identification, 2. Read back medication telephone orders, 3. Disclosure of adverse events, 4. Medication error reduction strategies, 5. Surgical Time-Outs, 6. Appropriate anesthesia monitoring, 7. Tracking of imaging, lab and pathology results, 8. Making critical information available at handoffs or transitions, 9. Staff wear identification badges.
500
Three preventative measures for avoiding needle stick injuries
What is 1. Never recap used needles 2. Emply sharps containers when two-thirds full 3. Always be alert and aware when working with sharps 4. Properly dispose of sharps
500
Name 4 of the 7 "Never Events"
1. Surgical events, 2. Product or Device Events, 3. Patient Protection Events, 4. Care Management Events, 5. Environmental Events, 6. Radiologic Events, 7. Criminal Events.
500
One continuous, unremitting seizure lasting longer than 5 minutes
What is Status Epilepticus?