Nursing Process
Organized and ongoing
appraisal of a patient’s
well-being - The first step in the Nursing Process.
What is assessment?
7500 ml converted to liters Rounded to the tenth.
What is 7.5L?
Gown
Mask
Goggles
Gloves
What is the order for donning PPE
Using of vision and smell to
examine characteristics of a whole
person and individual body
systems
What is inspection?
Rounded to the whole number 4.687
What is 5?
"I am having pain and I don't feel well" is an example of this type of data
What is Subjective data?
Introduce
Duration
Explanation
Thank
What is AIDET?
Gloves and Gowns are always worn with this precaution for C-diff, MRSA, skin and wound infections
What is Contact Precaution?
Bulging of large veins that run down the side of the neck because blood is backing up in the heart or the vein that carries oxygen-depleted blood from the body back to it.
What is Jugular Vein Distention or JVD?
Rounded to the tenth 7.433
What is 7.4?
Description of what a nurse
observes or discovers while
assessing a patient and
Identification of a problem, potential
problem, or opportunity for
improvement
What is a Nursing Diagnosis?
The assessment order of the head - to - toe physical assessment
What is Inspect, Auscultate, Palpate?
Gloves
Goggles
Gown
Mask
What is the order for doffing PPE?
Using touch to assess body
organs and skin
What is palpation?
4000mg converted to grams
What is 4gm?
Response to nursing interventions
and goal or outcome attainment
What is evaluation?
This tool can be used to identify risk factors for falls in hospitalized patients. The total score may be used to predict future falls, but it is more important to identify risk factors using the scale and then plan care to address those risk factors.
What is the Morse Fall Scale?
This PPE is required for Airborne Precautions such as tuberculosis, measles, and chicken pox
What is N95 mask, gown, gloves, goggles?
Listening to sounds made by body
organs or systems
What is auscultation?
1kg converted to lbs
What is 2.2lbs?
This type of data is measurable - vital signs, diagnostic testing
What is objective data?
A nosocomial infection of Methicillin-resistant Staphylococcus aureus was detected in the client, who has been put on contact precautions as a result (MRSA). What protective equipment should a nurse prepare before providing colostomy care?
D.
Splashes of bodily secretions are possible when doing colostomy care. Goggles, a mask, or a face shield are worn to protect the face and eye mucous membranes during procedures that could cause splashes of blood, body fluids, secretions, or excretions. Additionally, gloves are necessary for contact precautions, and a gown should be worn for direct client contact.
Easily the most important step for preventing infection in all precautions.
What is Hand hygiene?
PERRLA
What is Pupils are Equal, Round, Reactive to Light and Accommodation?
1tsp converted to ml
What is 5ml?