ANSWERS GRADED A+
✔✔Requirements; Private room, gowns, gloves. When transporting a client in isolation
put PPE on the patient. example MDROs such as MRSA, VRE, C-Diff, Shigella, herpex
simplex, scabies. - ✔✔Contact precautions requirements are ______. give one example
of a contact precaution.
✔✔MDRO (multi drug resistant organisms) - ✔✔this term is used to describe organisms
that develops resistance to one or more broad-spectrum antibiotics, making it hard to be
treated (example MRSA, VRE, C-Diff)
✔✔Failure to properly ID a patient,leaving the bed elevated, infections or injuries as a
result of errors in procedures or malfunction or equipment, break in sterile technique. -
✔✔list a few procedural errors.
✔✔complete report immediately, inform the MD, manager, and risk management.
STATE ONLY FACTS AND NEVER MENTION ACTUAL REPORT IN NURSES
NOTES. nurses notes should include facts of situation, treatment provided, patients
response. - ✔✔the procedure for Occurrence/incident reports are_______.
✔✔patient safety event that reaches a patient and results in any of the following: death,
permanent harm, severe temporary harm and intervention required to sustain life. -
✔✔Sentinel events are _____.
✔✔Patients name, address, birthday, social, individuals physical or mental health
condition, any care provided to an individual, information concerning the payment for
the care provided that ID's the patient or information for which there is a reasonable
basis to believe could be used to ID the patient. - ✔✔what is considered protected
health information under HIPPA?
✔✔a tool that can help you identify patients likely to commit acts of violence. behaviors
include, staring, threatening tone and volume, anxiety, mumbling, and pacing. - ✔✔what
is the aggressive behavior risk assessment tool? (ABRAT)
✔✔Stimulate circulation, provide relaxation, cleanses the body, and enhances healing. -
✔✔Bathing a client helps the patient in what ways?
✔✔canthus this is term refers to both left and right portion of the eye. where the ends of
the superior and inferior eyelid meet. - ✔✔This areas clinical name is _____.
, ✔✔Distal to proximal. This helps with circulation. use light pressure in lower extremities
for clients with a history of DVT (so you dont release a blood clot) - ✔✔How do you
wash the patients extremities?
✔✔Gag reflex if they have a gag reflex chances are they are more than capable of
performing oral hygiene independently. - ✔✔What is one test you can do to check for an
increased risk of aspiration. (picture for hint)
✔✔suction it would also benefit the patient to be rolled on their side (if able) to allow for
drainage of water or oral secretions. - ✔✔What is one piece of equipment that should
be ready for use when performing oral hygiene on an unconscious patient that will help
prevent aspiration.
✔✔Do not apply lotion between the fingers or toes because the moisture can cause skin
irritation and breakdown. - ✔✔can you apply lotion between a patients toes and fingers
✔✔The patient is on coumadin, you can help the patient shave; however, Be sure to
use an electric razor a normal razor can cause a nick in the skin and cause extensive
bleeding. - ✔✔you just administered Tylenol, Xanax, and coumadin to a patient who is a
quadriplegic due to a past Motor vehicle accident. While you were in the room they ask
if you can help them shave. What is your response and what do you do?
✔✔No. the patient could bite your finger. - ✔✔your patient is a 59 year old male who is
unconscious and your performing oral hygiene. The patient's mouth keeps closing so
you open it by placing two fingers inside their mouth. Is this acceptable? why or why
not?
✔✔Temperature
Pulse
Respiration
Blood pressure
Oxygen saturation
Pain - ✔✔What are the 6 vital signs?
✔✔Patients normal vital signs range:varies from person to person
Patients past medical history:diseases affect the body (COPD lowers Sa02 saturation)
Patients medications:pt who took an antipyretic can have lower temp
Patients treatments:Pt who had fluid aspiration in the knee can feel a sense of relief
lowering pain
theres more like exercise, diet, etc but theres not enough room :( - ✔✔What are some
factors that can alter a patients vital signs.
✔✔Temp:36c-38c or 96.8f - 100.4f
Bp:>120/80