UPDATED Hondros Nurse 150 Final 100% SOLUTION 2023//2024

What are the Hospital National Patient Safety Goals - ANSWER 1. Identify pt's correctly 2. Improve staff communication 3. Use Meds safely 4. Use alarms safely 5. Prevent Infection 6. ID pt safety risks 7. Prevent mistakes in Surgery What are the Long Term Care National Patient Safety Goals - ANSWER 1. ID Residents correctly 2. Use meds safely 3. Prevent Infection 3. Prevent residents from falling 4. Prevent bed sores Procedure for fecal Impaction Removal - ANSWER 1. Verify physician written order, Introduce self, hand hygiene, ID patient, explain procedure and provide privacy. Fecal impaction cont'd...after explaining procedure, what's next? - ANSWER Raise bed and lower side rail, position pt to Sim's position Fecal impaction cont'd...after putting pt in Sim's, what do you do next? - ANSWER Drape pt's trunk and lower extremities with bath blankets, put waterproof pad under buttocks/hips. Place bedpan next to pt. Fecal Impaction cont'd...after placing bedpan next to pt, what is next? - ANSWER Hand hygiene and don clean gloves, lubricate gloved index finger and middle finger of dominant hand and tell pt to take deep, slow breaths, in and out during procedure. Fecal impaction cont'd... after instructing pt to breathe deeply, what is the next step? - ANSWER Insert gloved index finger, gradually and gently, feel anus relax and insert middle finger. Move fingers gradually towards wall of rectum towards umbilicus and loosen mass by moving fingers in a scissor like motion. Work stool downward and remove small pieces of feces into bedpan. Fecal impaction cont'd....what signs to observe during removal - ANSWER Pt response, heart rate, dyspnea or heart palpitations fecal impaction cont'd...after observing pt response, what do u do next? - ANSWER Continue to clear feces and allow pt to rest at intervals. Perineal hygiene and Inspect feces color and consistency. Properly dispose of feces and gloves. Hand hygiene, position pt to comfortable position and call light within reach. Sequence for med admin via NG tube... - ANSWER 1. Check proper placement 2. Check residual 3. Flush 30 mL 4. Give med 5. Flush 30 mL Define SOAPIER with examples - ANSWER Subjective-what pt says their pain is Objective-facts u can measure like a temperature Assessment-head to toe assessment Plan-plan patient care Intervention-implementation Evaluation-reflecting on what was done Revision-what would I have done differently Define Professionalism - ANSWER Behavior and attitude patterns exhibiting standards and character marked by pride in oneself and one's career, respect for the people served and commitment to the continued development of skills in the pursuit of excellence. Define ethics - ANSWER A principle of right or good behavior, a system of moral principles or values, a study of moral philosophy, or the rules and standards of conduct governing the members of a profession. Subjective data - ANSWER information perceived only by the affected person objective data - ANSWER information that is seen, heard, felt, or smelled by an observer; signs that can be measured SBAR - ANSWER S: Situation B: Background A: Assessment R: Recommendation-effective communication between staff Ohio Nurse Practice Act - ANSWER Providing and practicing safe nursing care with satisfaction and established standards, we cannot teach the practice of nursing, supervise, evaluate nursing practice, cannot IV push (SCOPE OF PRACTICE) What is the proper sequence to remove PPE? (DOFFING) - ANSWER Gloves, goggles, gown, mask What is the proper sequence to put on PPE? (DONNING) - ANSWER Gown, mask, goggles, gloves What can you do to prevent injuries from heat and cold packs? - ANSWER Place a barrier How do ineffective coping affects one health? - ANSWER They might start drinking, doing drugs, or doing risky behaviors which effects the person in a negative way. How do you properly apply wrist restrains? - ANSWER Inspect skin, attach wrist restraint to a movable part of bed, attach other end to pt's wrist and be sure two fingers can fit between restraint and pt's skin. Where is the preferred place to take pulse on an unresponsive patient? - ANSWER Carotid What is the z-track method? - ANSWER This is used for IM injections. Use nondominant hand to pull skin laterally and hold it in position while giving injection. Release skin immediately after withdrawing needle to seal off the injection site. This prevents the medication from leaking through the more sensitive subcutaneous tissue from the muscle. Done at the ventrogluteal or dorsogluteal sites. What is CAUTI and how can you minimize the patient's risk? - ANSWER catheter- associated urinary tract infection: only if necessary, don't keep in place longer than necessary, hand hygiene and gloves, clean genital area every shift, chg drainage bag and keep below patient. Define dysphagia - ANSWER difficulty swallowing Define dysphasia - ANSWER Difficulty speaking How do you draw regular (clear) and NPH (cloudy) insulin in syringe? - ANSWER Air in cloudy, air in clear, draw up the clear, draw up the cloudy What are the normal values for temperature - ANSWER 97.0-99.7 What is normal blood pressure? - ANSWER BP: 90-140/50-90 What is normal pulse? - ANSWER 60-100 Normal respiration - ANSWER 12-20