Role of a Nurse - Answers Caregiver
Communicator
Teacher/Educator
Counselor
Leader
Researcher
Advocate
Subjective data - Answers information perceived only by the affected person
Objective data - Answers information that can be seen or measured by another person
ADPIE: The Nursing Process acronym - Answers 1. Assess: the pt to determine the need for nursing
care
2. Diagnose: for actual or potential health problems
3. Plan: identify expected outcomes
4. Implement: execute the care plan
5. Evaluate: the results
SBAR: acronym for initiating a plan of care - Answers 1. Situation: complaint, diagnosis, treatment
plan, patient needs
2. Background: vitals, mental and code status, list of meds, lab results
3. Assessment: providers assessment of the situation
4. Recommendation: identify what needs to be done over the next few hours to help pt
Actual diagnosis: - Answers is a pt problem that is present at the time of the assessment
Potential diagnosis: - Answers a problem that is possible due to arising symptoms
Health promotion - Answers motivated by the desire to increase a person's well-being and health
potential
Illness prevention - Answers avoiding development of disease, interventions to limit progression of a
disease
Stages of infection: - Answers 1. Incubation period:the interval between the pathogens invasion
2. Prodromal stage: early signs and symptoms, most contagious
3. Full stage of illness: symptoms and signs are in full swing
4. Convalescent period: recovery period
C-diff (Clostridium difficile): - Answers cant use hand sanitizers to kill bacteria, treat with Flagyll and
Vancomyacin, also Probiotics
Healthcare Associated Illness - Answers MRSA, VRE, C-diff, UTI, Pressure Ulcers
Bacteria: - Answers the most significant and commonly observed infection causing agent
Do Not Use List: set by Joint Commission - Answers U,u= must write Units
IU= must write International Units
QD,qd=must write daily
QOD, qod= must write every other day
no trailing zeros= 0.4mg, not 0.40mg
lack of leading zeros= 0.4mg, not .4mg
MS= must write Morphine Sulfate
MS04= must write Magnesium Sulfate
Fall Prevention: - Answers assess pt, identify risk factors, assist pt out of bed, keep floor clear, keep
important items within reach of pt
Sleep for pts - Answers is critical to enforce quiet times, limit visitors, silence alarms, and dim lights
Flexion - Answers act of bending
Extension - Answers straightening of a body part
Adduction - Answers movement towards the midline of the body
Abduction - Answers movement away from the midline
Semi-Fowlers - Answers semi-sitting, head raised 45 degrees, used for abdominal post-op
High Fowlers - Answers head raised 60-90 degrees, use for pts who are SOB
Prone - Answers face down, laying on stomach, used for examination of spine
Supine - Answers face up, laying flat on back, used for testing: MRI, CT
Lithotomy - Answers on back, knees bent, feet apart, used for gynecology exams and procedures
Sims - Answers pt laying toward left side, right leg across left leg, used for rectal exams