Fall Risk
A nurse is caring for patients in a long-term care facility. She knows that there are several factors that place a patient at risk for falls. Which patient would be at risk?
A. A 50 year old patient prescribed Lasix
B. A patient ready for discharge after being admitted for COPD exacerbation
C. An 80 year old patient ready for discharge, requiring antibiotic therapy, after being admitted for sepsis from UTI.
A. A 50 year old patient prescribed Lasix.
COPD exacerbation does not warrant a fall risk, and there is not enough information in option C that states the patient is a fall risk or has a history of falls.
what is one thing we can do to prevent CAUTIs
clean the catheter based on hospital protocol.
What is the first and most important step when administering medications to ensure patient safety
Verifying two patient identifiers
Name, and date of birth.
What is it called when we honor a patents wishes about their care, and let them make their own decisions.
autonomy
What are three safety steps we can take when admitting a patient to a room to prevent falls
check for chords, check for any slip hazards on the floor like wet floors, place grippy socks on the patient, etc.
Where should the catheter bag be placed on the bed?
below the bladder.
Which group of patients are at the highest risk for drug-drug interactions
Older people that are prescribed multiple medications. (Polypharmacy)
A patient was admitted for DKA, and is currently experiencing generalized weakness. The nurse knows that the patient is at an especially high risk for bed sores, and poor wound healing. The nurse ensures that the patient is turned every 2 hours and the skin integrity is assessed. What ethical term is the nurse exemplifying
Nonmaleficence
what is something we need to place on the patient anytime we walk them.
gait belt
what are 3 common symptoms of a CAUTI
blood in urine, fever, cloudy urine, etc.
A nurse on a medical unit is teaching a new nurse about giving Insulin. What are some important nursing interventions to teach the new nurse to ensure patient safety has been met
- 2 identifiers
- two nurse verification
- reassessing for signs of hypoglycemia and effectiveness 30 minutes to an hour after administration
- ensuring right type of insulin is being given at the right time in the right location
You answer the phone at the nurses station, and a woman on the phone states that she is the patient in room 209's sister. The patient does not have this person listed as a support partner, but is demanding to know the status of the patient. How would you respond?
Ask for their name, and let them know that they are currently not on the patient's support partner list, and that you will let the patient know that they called. Explain that they are free to contact the patient by calling the room, or asking other family members that are on the list, but information cannot be given over the phone.