sub Q needle length
5/8-1"
heparin is most at risk of bleeding when they are taking what?
NSAID
Dr. Orders meds PO, it comes by in injection form? what does a nurse do?
call the pharmacy and get the correct route
is it ok to hide medications if pt. routinely refuses?
no
Do you rub your skin after administering insulin?
no
Pt. in negative pressure isolation for TB, and coughs large blood sputum. What
is the most important way for a nurse to protect self?
N95, gloves, shield and gown
The nurse is caring for several pts with contact precautions. Is it ok to cohort
them all in the same room?
yes, if they have the same disease
pt. with infection with oral/fecal transmission and the nurse has a tear in glove
during care? what does nurse do?
remove glove, wash hands, adorn fresh gloves and finish care
pt. is on isolation and tries to leave isolation room? what should nurse
implement?
talk with pt. to find ways to reduce loneliness
nurse is teaching hand washing, how do you know its effective?
,pt. tells you to use soap, water & friction
3yr old in isolation, how do you reduce anxiety?
put mask, glove and gown on in view of child
Doffing PPE order
gloves, gown, goggles, mask
HH in between each removal
donning PPE
gown, mask, goggles, gloves
should you wash your hands in Hot water?
no
Do you use surgical asepsis for a tube feed?
No
C-diff what type of contact precautions are used?
contact precautions
what would you find in an assessment of a pt. with paresthesia?
numbness, tingling, burning, prickling in hands/ feet
usually painless
If the nurse suspects an abnormal heart rate/beat how long should you
auscultate?
full minute (60 seconds)
plural friction rub clear with a cough?
false
- only fine crackles clear with cough (upper lobes)
what indicates hand hygiene education was effective?
rubs sudsy hands together for 10-15 seconds
what should the nurse do if the patient has blue nailbeds?
, assess oxygen saturations
when is a general assessment done?
as often as needed
Nurse concerned about impaired peripheral perfusion, what would nurse expect
to see?
bilateral pedal pulses/ legs absent
Abdominal assessment is done in what order?
observation
auscultate
palpate
back pain
pt. asking why nurse needs such in-depth info and frustrated with questioning,
what does the nurse say?
Need complete data to perform effective nursing care
pt. constipated, what do you expect to find?
abd distended and taught
what characteristic is consistent with melanoma?
larger than 6mm in size
ABCDE rule of melanoma
asymmetry, border, color, diameter, evolving
Pt. education is effective on self injections when the pt. states?
I will rotate the injection site
nurse administers 25mg and it should have been 15mg, who is at fault?
nurse
Pt. in need of immediate pain relief, quickest method
IV
5/8-1"
heparin is most at risk of bleeding when they are taking what?
NSAID
Dr. Orders meds PO, it comes by in injection form? what does a nurse do?
call the pharmacy and get the correct route
is it ok to hide medications if pt. routinely refuses?
no
Do you rub your skin after administering insulin?
no
Pt. in negative pressure isolation for TB, and coughs large blood sputum. What
is the most important way for a nurse to protect self?
N95, gloves, shield and gown
The nurse is caring for several pts with contact precautions. Is it ok to cohort
them all in the same room?
yes, if they have the same disease
pt. with infection with oral/fecal transmission and the nurse has a tear in glove
during care? what does nurse do?
remove glove, wash hands, adorn fresh gloves and finish care
pt. is on isolation and tries to leave isolation room? what should nurse
implement?
talk with pt. to find ways to reduce loneliness
nurse is teaching hand washing, how do you know its effective?
,pt. tells you to use soap, water & friction
3yr old in isolation, how do you reduce anxiety?
put mask, glove and gown on in view of child
Doffing PPE order
gloves, gown, goggles, mask
HH in between each removal
donning PPE
gown, mask, goggles, gloves
should you wash your hands in Hot water?
no
Do you use surgical asepsis for a tube feed?
No
C-diff what type of contact precautions are used?
contact precautions
what would you find in an assessment of a pt. with paresthesia?
numbness, tingling, burning, prickling in hands/ feet
usually painless
If the nurse suspects an abnormal heart rate/beat how long should you
auscultate?
full minute (60 seconds)
plural friction rub clear with a cough?
false
- only fine crackles clear with cough (upper lobes)
what indicates hand hygiene education was effective?
rubs sudsy hands together for 10-15 seconds
what should the nurse do if the patient has blue nailbeds?
, assess oxygen saturations
when is a general assessment done?
as often as needed
Nurse concerned about impaired peripheral perfusion, what would nurse expect
to see?
bilateral pedal pulses/ legs absent
Abdominal assessment is done in what order?
observation
auscultate
palpate
back pain
pt. asking why nurse needs such in-depth info and frustrated with questioning,
what does the nurse say?
Need complete data to perform effective nursing care
pt. constipated, what do you expect to find?
abd distended and taught
what characteristic is consistent with melanoma?
larger than 6mm in size
ABCDE rule of melanoma
asymmetry, border, color, diameter, evolving
Pt. education is effective on self injections when the pt. states?
I will rotate the injection site
nurse administers 25mg and it should have been 15mg, who is at fault?
nurse
Pt. in need of immediate pain relief, quickest method
IV
