MASTER REVISION NOTES AND PRACTICE SET
◉ A patient is diagnosed with meningitis. Which type of isolation
precaution is most appropriate for this patient? Answer: droplet
precautions
◉ A patient is placed on Airborne Precautions for pulmonary
tuberculosis. The nurse notes that the patient seems to be angry, but
he knows that this is a normal response to isolation. What is the best
intervention? Answer: Explain the reasons for isolation procedures
and provide meaningful stimulation.
◉ removal of PPE order Answer: 1. remove/dispose of gloves
2. remove eyewear
3. Untie waist and neck strings of gown. Remove gown
4. Untie top and then bottom mask strings and remove from face
5. perform hand hygiene
◉ A patient is experiencing some problems with joint stability in the
right leg. The doctor has prescribed crutches for the patient to use
while being allowed to bear weight only on the left leg. Which of the
following gaits should the patient be taught to use? Answer: three
point
, ◉ RACE (fire safety) Answer: rescue, alarm, confine, extinguish
◉ PASS (Fire Safety) Answer: Pull, Aim, Squeeze, Sweep
◉ Discuss the importance of proper positioning and movement for
promoting client comfort. Answer: -Safety is first priority
-Ask patient to help as much as possible
-Determine if patient comprehends
-Ask their comfort level
-Determine if you need assistance
-Proper positioning allows patients to be comfortable and allows
their body to work efficiently
-Without movement, the body starts to have negative effects
◉ Discuss considerations for the safe application of restraints.
Answer: -Restraints must be the intervention of last resort.
-need Dr. order
-Include the patient's family in the decision
-Explain the purpose of them, expected care while in them, and
remind them they are temporary and protective
-Monitor the patient every 2 hours (15 minutes for violent patients)
to inspect vital signs, skin integrity, nutrition, hydration, circulation,