Skin Care
How frequently should a patient be turned/repositioned to prevent pressure injuries?
What is every 2 hours?
What does WAR stand for?
What is Within Arms Reach?
A normal adult oxygen saturation is.
What is 90-100%
Name 2 types of specimens you can collect?
sputum, stool, clean catch urine, 24-hour urine.
How do you measure the patient's leg for knee high antiembolism stockings?
What is measure the circumference of the calf at its widest point and measure the leg length from the bend of the knee to the base of the heel.
How long do you need to wait to complete CHG treatment after a bath?
What is 1 hour?
A patient is wearing yellow socks and a yellow wristband. What do these indicate?
What is a fall risk patient?
Using a blood pressure cuff that is too small may cause this error.
What is falsely high blood pressure readings?
What tool should be used to observe and document stool consistency?
What is the Bristol Stool Chart?
If a patient verbally or physically assaults you, what documentation should be completed in the patient's medical record?
What is Behavioral Safety Plan?
Name 2 of the patient requirements that warrant the need for a CHG bath?
What is foley catheter, central line, ICU, Hem/Onc?
Name three fall prevention interventions
What is bed alarm on, call light within reach, non-skid footwear, clutter-free room, rounding, assistive devices available.
Name 2 things that can impact the accuracy of an sp02 measurement.
Cold fingers, movement, nail polish
Name three things that are considered clear liquids
What is pulp-free fruit juices, broth, gelatin, popsicles, Italian ice, soda, tea and black coffee.
Name 3 reasons you may be assigned to continuously observe a patient.
What is Neurological disorder, Psychiatric disorder, Drug/alcohol withdrawal, Delirium/dementia, Confusion/disorientation, High fall risk with impulsivity, Attempts to remove medical devices, Risk of intentional self-harm or harm to others, Elopement risk, Violent/aggressive behavior?
Which cream should not be used with the Abri-San pads (Clam Shells)?
What is Z-Guard (orange cream)?
When obtaining lift sheets from the linen closet, how do you know you are grabbing the correct size?
What is color coded guide?
A patient's blood glucose level is 70 mg/dL. You notified the RN. How frequently should the blood glucose be rechecked until the result is greater than 90 mg/dL on two consecutive readings?
What is every 15 minutes?
Unless contraindicated, what is the minimum head-of-bed elevation recommended for a patient with an aspiration or swallowing risk?
what is 30-45 degrees?
What order do you remove PPE?
Gloves, Goggles, Gown, Mask
This color-coded skin protectant is used on intact skin to help prevent breakdown and provide a moisture barrier. Which color tube is used to protect intact skin that is at risk for breakdown?
What is Blue (Remedy Phytoplex Silicone Cream) tube?
This lift device is placed around a patient's stomach and attatched to the lift to assist with ambulation and help prevent falls during transfers and walking.
What is the MasterVest?
A patient's blood pressure was 128/76 four hours ago and is now 84/48. What should you do?
What is notify the nurse immediately?
Why is it important to document that frequency and stool type every time?
What is C. Diff protocol fires to alert staff that C. Diff may be present, and a stool sample needs to be collected.
What order do you put PPE on?
What is gown, mask, goggles, gloves