Care of Neuro Patient
When feeding a stroke patient with facial weakness, food should be placed on this side of the mouth.
What is the unaffected side?
This organism commonly causes severe diarrhea and is associated with recent antibiotic use.
What is Clostridium difficile (C. diff)?
A patient with a Foley catheter has only 100 mL of urine output in 4 hours. This should be reported because normal urine output is approximately this amount per hour.
What is 30 mL per hour?
The main way germs travel in the healthcare setting.
What are healthcare workers' hands?
CO providers must document this patient information every 15 minutes.
What are the patient’s level of consciousness (LOC) and behavior?
You are ambulating a patient who has right leg weakness following a stroke. You should position yourself on this side while providing assistance.
What is the affected (right) side?
A patient with an ostomy should generally have the pouch emptied when it reaches approximately this level.
What is one-half full?
During a 24-hour urine collection, the patient's first urine specimen is handled this way before collection begins.
What is discarded?
The correct order for donning this PPE: gloves, gown, mask/eye protection.
What is gown, mask/eye protection, gloves
This is where the CO provider should position themselves in the room to maintain personal safety and a quick exit if needed.
What is between the door and the patient?
This term is used to describe a manifestation of symptoms of an underlying condition that affects mental processes such as memory, learning, concentrating, understanding, following instructions, making decisions, or exercising judgement.
What is cognitive impairment?
An ostomy bag cleaned with this substance and changed a minimum of this number of days.
What are water and 7 days?
A patient drinks 8 oz of milk, 4 oz of orange juice, and 20 oz of iced tea. The total number of mLs there consumed would be this number.
What is 960 mL ?
Purple top and orange top wipes require this amount of contact time for disinfection to occur.
What is 2 minutes and 4 minutes?
Name 2 instances when an Environmental Risk Assessment is required to be completed?
What are: time of admission, change in location, after visitors leave, at shift change.
A patient with aphasia becomes frustrated when trying to communicate. Name 2 recommended communication strategies.
Using simple language, ask yes/no questions, allow extra response time, use gestures/pictures/ communication boards, reduce distractions
Name three things that should be monitored or done when caring for a patient with an NG tube.
What are no pull/kink tube, tube secure before moving pt, observe nostrils for s/s pressure ulcer, lubricate tube where it touches nostril, mouth rinses & lubricant to lips, HOB elevated 30 degrees, observe for s/s aspiration, notify nurse if leaking, skin breakdown, pt c/o nausea/vomit/feeling full/discomfort/distention
When obtaining a daily weight, these 3 guidelines need to be followed each day.
What are same time each day, same scale each day, and patient dressed only in a gown ?
This PPE is required for Contact Precautions and this type of PPE is required for Droplet Precautions.
What are gown and gloves: What is a mask?
Name 5 items that pose a threat to the patient or others and need to be removed when completed an Environmental Risk Assessment.
What are O2 tubing, phone cord, curtain tie backs, call light, hand sanitizer, ointment, stethoscope, silverware, stepstool, trash bag, pen or pencil, personal items of patient or CO provider
While providing care to a patient, they start to have a seizure. List 3 actions you should take immediately.
Call for help, protect from injury, remove hazardous objects from bed, assist to floor if needed, place padding under head, loosen restrictive clothing, observe, roll onto their side, maintain patent airway, observe seizure activity.
Name the three things that should be monitored and documented when assessing a patient's stool.
What are amount, color, and consistency?
According to the CAUTI Bundle, name 4 things that you can do in the care and management of a foley catheter that will help prevent UTIs.
What are: use of securement device, unobstructed flow, bag below level of bladder, empty drain bag q4h/prior to transport & when > half full, red seal intact, bag not on floor, cath care every shift & after every BM.
According to the WHO's 5 Moments of Hand Hygiene, name 3 moments in which hand hygiene should be performed.
What are: before touching patient, before clean/aseptic procedures, after body fluid exposure, after touching a patient, after touching patient surroundings.
Name 3 warning signs that indicate a patient may be escalating.
What are pacing, watching the time, tapping fingers on table, increase tone/volume of voice, talking a lot or stop talking, clenched teeth, raise in eyebrows, eye rolling, significant change in behavior.