Answers 100% Verified
True or False: PHI can be disposed of so long as it is in the correct locked bin or
shredding box. - ANSWER False
What is the proper sequence for removing PPE? - ANSWER gloves, goggles, gown,
mask
What is the proper sequence for putting on PPE? - ANSWER gown, mask, goggles,
gloves
true or false
An assisted fall does not try to impede the patient from falling but guides the patient to
the floor safely. - ANSWER true
Assisted fall-the following should be protected - ANSWER Head and neck
When ambulating a patient, you should check if the patient has walked within the past
____ hours. - ANSWER 12 hours
True or False: Researchers may walk fall risk subjects without escort/staff assistance -
ANSWER False
Identify appropriate hand positioning while ambulating without gait belt: - ANSWER
One hand on pt scapula, other loose supportive position around wrist of patient
What is aspiration? - ANSWER The inhalation of secretions, fluids, or solids, usually
food, into the trachea rather than into the esophagus
,What types of patients or characteristics are associated with aspiration? - ANSWER -
Dysphagia (difficulty swallowing)
- Facial, oral, or neck surgery or trauma
- Post-anesthesia
- Decreased level of consciousness
- Unable to lift upper body
What are the indications of aspiration? - ANSWER - Complaints of food sticking in
throat
- Multiple swallows
- Throat clearing
- Coughing before or after swallowing
- Pocketing food inside the cheek
What is silent aspiration and how is it evaluated? - ANSWER No overt signs of
aspiration or choking. It is evaluated by means of:
- Chest x-ray
- Temperature
- Respiratory status
- Multiple pneumonias
- Swallowing status
What does NPO stand for? - ANSWER Non Per Os (nothing by mouth)
Vital signs
Supplies
,Requirements
Process - ANSWER Supplies:
- Automated vitals machine
- Alcohol wipes
- Temperature probe cover
- IV or BP cuff sign (on the board in pt's room)
- Paper and pen
Requirements:
- RN approval and direction
- Fowler's position
- Nurse presence
Process:
*Prepare*
1. Validate with RN to ensure an endorsement and instructions
2. Gather equipment needed
3. Do hand hygiene, then wipe down the machine before entering the patient's room
4. Observe:
- Boards "No BP/Lab draws on L/R arm"
- Note location of catheters/monitors
- Note that bed brakes are engaged
5. Lower bed to working height
*Take vital signs*
1. Clean all parts of the vitals machine
2. Position the patient optimally
, - Uncross arms/legs
- The patient should be on their back, in Fowler's position
3. Start by asking them to rate their pain on a scale of 1-10 (if the patient responds with
pain, ask if this is new pain and where). Document pain
4. Place the blood pressure cuff around the patient's bare, upper arm (align the arrow
on the cuff with the brachial artery)
*Cuff should NOT be placed on the same arm as the IV line
5. Attach the oxygen saturation sensor to the patient's index finger, opposite extremity
of the BP cuff, make sure red light is on top
6. Press "start"
7. Document the BP, HR, and O2 saturation
8. Remove thermometer and wrap the probe with plastic. Place the thermometer in the
patient's mouth, tip under the tongue
9. Document the temperature
10. While the machine is measuring the above vitals count the Respiratory rate
unobtrusively
11. Document respiratory rate
12. Document the time you took the patient's vital
13. Remove the blood pressure cuff. Clean the cuff and place back onto the bed rail
14. Clean machine
15. Report vital signs to the patient's nurse and provide the nurse with the record sheet
What is healthcare-associate infection (HAI)? - ANSWER An infection that develops in a
setting where healthcare is delivered. It is a leading cause of death in the United States
Nosocomial infection - ANSWER An infection that is acquired while a patient is in a
hospital
Infectious disease - ANSWER An illness that results from the infection, presence, and
growth of one or more pathogenic microbial agents in a host organism