Communication
What does SBAR stand for?
What is Situation, Background, Assessment, Recommendation
Name one example of PPE (personal protective equipment)
What are gloves, mask, gown, goggles
What are the 5 rights to medication administration?
What are Right patient, right medication, right dose, right route, and right time.
You have a 75 y/o patient admitted yesterday with pneumonia, hx of DM and CHF. You enter the room and find him sitting in a high fowler's position, note intercostal retractions and using accessory muscles. He is lethargic and confused. Vitals are BP 90/52 Pulse 96, respirations 24 SPO2 83% on 2 liters. What is your initial response to get immediate help?
Activate a Rapid Response Team
After receiving a verbal order for restraints, what is the timeframe the physician must assess the patient.
What is 24 hours
65% of Communication that includes Gestures, Facial Expressions, and Posture.
What is nonverbal communication
You are caring for a patient that has suspected Tuberculosis. What type of isolation precautions should be initiated?
What are airborne precautions.
You have a doctors order to give metoprolol 25 mg bid. What 2 vitals would you evaluate prior to administering the medication?
What are blood pressure and pulse
You are assisting your 82 y/o patient up to the bathroom. As he sits up at the bedside, he becomes unresponsive, he is not breathing and does not have a pulse. What code should you initiate?
What is a code blue
Your patient is in a vest restraint. How often do you need to assess and document?
What is every 2 hours
What does HIPAA stand for?
Health Insurance Portability Accountability Act
You have completed IV antibiotics for your patient. How do you properly dispose of the IV bag/tubing?
What is the pharmaceutical waste container
The medications below are an example of?
Oxycontin-Oxycodone
Epinephrine-Ephedrine
Celebrex-Celexa-Cerebyx
Hydroxyzine-Hydralazine
What are SALAD: Sound Alike, Look Alike, Drugs
An 80 y/o female was admitted to your unit for observation of altered mental status. Her son is in the room and demanding answers to why she is still in the hospital. When the nurse attempts to answer his questions, he becomes agitated, aggressive, and verbally threatening. What code should the nurse initiate by dialing *7?
What is a code gray
What is the tool utilized for fall risk assessments?
What is Morse Fall Risk Assessment.
Name at Least 1 of the 2 types of remote interpretation available at CMH.
What is telephonic interpreters or Video remote interpretation (Cyracom cart)
You are caring for a patient with a wound. You have successfully changed the dressing. What should be performed immediately after removing gloves.
Handwashing/hand hygeine
Name one abnormal lab value that can cause cardiac dysrhythmia
What are potassium, magnesium, calcium
The antidote for opioid overdose?
What is Narcan (naloxone)
A Fall Risk Score greater than ____ will have the High Fall Risk interventions implemented?
What is a score higher than 50.
The percentage of adult patients are NOT health literate.
What is 88%
You are caring for a patient with tuberculosis. What PPE mask should be worn?
What is N-95
The nurse prepares morning medications for Mrs. Jones. The physicians orders read: Lasix 400mg po daily. The nurse knows the usual dose of Lasix is 20-80mg. There are 10 tablets in the patient's medication drawer, what should the nurse do?
What is contact the physician to obtain the correct order.
You have initiated a Rapid Response for a patient who now needs intubation, what should you do?
What is call a code blue
What are the 4 P's when evaluating patients with a fall risk?
What are Pain, Potty/personal, Position, Prevent falls