NUR 110 Test 2: Critical thinking, asepsis, fluids
& electrolytes, sleep, client education, Fall
2022/2023
Higher order thinking, the skill of learning to analyze and interpret data to solve a
problem
Critical Thinking
Remembering, Understanding, Applying
Low order thinking skills
Analysing, Evaluating, Creating
High order thinking skills
Basic, Complex, Commitment
3 Levels of critical thinking
A conclusion about a patient's needs or health problems and/or the decisions to
take or avoid action, use or modify standard approaches, or create new
approaches based on the patient's response
Clinical Judgement
Order of Maslow's Hierarchy of Needs is:
Physiological Needs, Safety, Love and Belonging, Esteem, Self Actualization
ADPIE Stands for..
Assessment, Diagnosis, Planning, Implementation, Evaluation
ABCDE addresses...
Airway, breathing, circulation, disability or discomfort, examine or education
Considering which problem is the greatest risk to the patient is and what is the
worst case scenario is an example of..
Safety and Risk Reduction
Prioritizing Interventions involves...
Choosing the least restrictive/invasive interventions first
True or false: Clinical reasoning/ judgement can be delegated to an unlicensed
staff
False, clinical reasoning/judgement cannot be delegated
A conscious effort to think about an activity or incident that allows us to consider
what was positive or challenging, and if appropriate, plan how it might be
enhanced, improved or done differently in the future
Reflection
techniques used to destroy all pathogenic organisms, also called sterile
technique
Surgical Asepsis
Would you use sterile technique: During procedures that require intentional
perforation of the patient's skin, such as the insertion of peripheral IV catheters
or a central IV line
Yes
Would you use sterile technique: When performing a physical examination
No
, Would you use sterile technique: When the integrity of the skin is broken as a
result of trauma, surgical incision, or burns
Yes
Would you use sterile technique: During invasive procedures, such as the
insertion of urinary catheters
Yes
Would you use sterile technique: When assisting with bathing
No
When a sterile object touches another sterile object is it still sterile?
Yes
When a sterile object touches a clean object, is it still sterile?
No, it's considered contaminated
When a sterile object touches a contaminated object, is it still sterile?
No, it's considered contaminated
If you're questioning the state of sterility of an object, should you continue to use
it?
No, discard of it regardless of it the object appears untouched
True or False: Only sterile objects can be placed on a sterile field?
True
Can you hold a sterile object below the waist?
No, any sterile object held below the waist is considered contaminated.
True or false: Keep sterile objects in front with your hands as close together
True
A nurse turns their back on a sterile field, is it still considered sterile?
No, nurses cannot turn their backs or have a sterile field be out of vision.
If a stored sterile package is wet, what should you do?
Dispose of the objects or send for resterilization
During a surgical hand scrub, where should you hold your hands?
Above your elbows so that contaminated fluid rolls down, away from the hands.
Are the edges of a sterile field (Approx. 1 inch) considered contaminated?
Yes, borders of the sterile field, 1 inch, is considered contaminated.
Is there is a high risk for infection when inserting a urinary catheter?
Yes.
What should you ensure is done before inserting a urinary catheter?
Peri care
The average adult accounts for how much water in their weight
60%
Amount of water in blood
90%
One liter of water is equivalent to
2.2 lb (1kg)
Water is necessary because..
Water is the solvent in which salts, nutrients, & wastes are dissolved and key to all body
functions
Urination, feces, wound drainage (measurable) are examples of..
Sensible water loss
& electrolytes, sleep, client education, Fall
2022/2023
Higher order thinking, the skill of learning to analyze and interpret data to solve a
problem
Critical Thinking
Remembering, Understanding, Applying
Low order thinking skills
Analysing, Evaluating, Creating
High order thinking skills
Basic, Complex, Commitment
3 Levels of critical thinking
A conclusion about a patient's needs or health problems and/or the decisions to
take or avoid action, use or modify standard approaches, or create new
approaches based on the patient's response
Clinical Judgement
Order of Maslow's Hierarchy of Needs is:
Physiological Needs, Safety, Love and Belonging, Esteem, Self Actualization
ADPIE Stands for..
Assessment, Diagnosis, Planning, Implementation, Evaluation
ABCDE addresses...
Airway, breathing, circulation, disability or discomfort, examine or education
Considering which problem is the greatest risk to the patient is and what is the
worst case scenario is an example of..
Safety and Risk Reduction
Prioritizing Interventions involves...
Choosing the least restrictive/invasive interventions first
True or false: Clinical reasoning/ judgement can be delegated to an unlicensed
staff
False, clinical reasoning/judgement cannot be delegated
A conscious effort to think about an activity or incident that allows us to consider
what was positive or challenging, and if appropriate, plan how it might be
enhanced, improved or done differently in the future
Reflection
techniques used to destroy all pathogenic organisms, also called sterile
technique
Surgical Asepsis
Would you use sterile technique: During procedures that require intentional
perforation of the patient's skin, such as the insertion of peripheral IV catheters
or a central IV line
Yes
Would you use sterile technique: When performing a physical examination
No
, Would you use sterile technique: When the integrity of the skin is broken as a
result of trauma, surgical incision, or burns
Yes
Would you use sterile technique: During invasive procedures, such as the
insertion of urinary catheters
Yes
Would you use sterile technique: When assisting with bathing
No
When a sterile object touches another sterile object is it still sterile?
Yes
When a sterile object touches a clean object, is it still sterile?
No, it's considered contaminated
When a sterile object touches a contaminated object, is it still sterile?
No, it's considered contaminated
If you're questioning the state of sterility of an object, should you continue to use
it?
No, discard of it regardless of it the object appears untouched
True or False: Only sterile objects can be placed on a sterile field?
True
Can you hold a sterile object below the waist?
No, any sterile object held below the waist is considered contaminated.
True or false: Keep sterile objects in front with your hands as close together
True
A nurse turns their back on a sterile field, is it still considered sterile?
No, nurses cannot turn their backs or have a sterile field be out of vision.
If a stored sterile package is wet, what should you do?
Dispose of the objects or send for resterilization
During a surgical hand scrub, where should you hold your hands?
Above your elbows so that contaminated fluid rolls down, away from the hands.
Are the edges of a sterile field (Approx. 1 inch) considered contaminated?
Yes, borders of the sterile field, 1 inch, is considered contaminated.
Is there is a high risk for infection when inserting a urinary catheter?
Yes.
What should you ensure is done before inserting a urinary catheter?
Peri care
The average adult accounts for how much water in their weight
60%
Amount of water in blood
90%
One liter of water is equivalent to
2.2 lb (1kg)
Water is necessary because..
Water is the solvent in which salts, nutrients, & wastes are dissolved and key to all body
functions
Urination, feces, wound drainage (measurable) are examples of..
Sensible water loss
