NR304 Week 7- 8 (CH 27-28)
Failure to rescue - answer is the inability to save a client's life with timely diagnosis and
treatment when complications develop. Failure to rescue is usually preventable.
potential cause of failure to rescue - answerDelaying notifying a healthcare provider
(HCP) that a post-operative client's pain medication is no longer working.
Returning to assess the client 1 hour after administering a high dose of narcotic pain
medication via intramuscular (IM) injection.
Administering STAT medication 2 hours after it was ordered
most common indicator that a client is at risk for clinical deterioration. - answerchange in
one or more vital signs
Monitoring for Deterioration; ABC - answerA: Appearance (skin and level of
consciousness)
B: Breathing (changes in pattern or work of breathing, and decreased oxygen
saturation)
C: Circulation (BP, HR, capillary refill)
frequent complication of bed rest - answerdevelopment of venous thromboembolism
(VTE) due to prolonged bed rest
My 5 Moments for Hand Hygiene
Moment 2 - answerbefore a clean or aseptic procedure
My 5 Moments for Hand Hygiene
Moment 3 - answerAfter a body fluid exposure risk
My 5 Moments for Hand Hygiene
Moment 4 - answerAfter touching a patient
My 5 Moments for Hand Hygiene
Moment 5 - answerAfter touching patient surroundings
My 5 Moments for Hand Hygiene
Moment 1 - answerBefore touching a patient
prevention measures of venous thromboembolism (VTE) - answeradministering aspirin
or heparin to decrease clot formation,
early ambulation after surgery, and
the use of sequential compression devices (SCD) to promote venous return from the
lower extremities.
Failure to rescue - answer is the inability to save a client's life with timely diagnosis and
treatment when complications develop. Failure to rescue is usually preventable.
potential cause of failure to rescue - answerDelaying notifying a healthcare provider
(HCP) that a post-operative client's pain medication is no longer working.
Returning to assess the client 1 hour after administering a high dose of narcotic pain
medication via intramuscular (IM) injection.
Administering STAT medication 2 hours after it was ordered
most common indicator that a client is at risk for clinical deterioration. - answerchange in
one or more vital signs
Monitoring for Deterioration; ABC - answerA: Appearance (skin and level of
consciousness)
B: Breathing (changes in pattern or work of breathing, and decreased oxygen
saturation)
C: Circulation (BP, HR, capillary refill)
frequent complication of bed rest - answerdevelopment of venous thromboembolism
(VTE) due to prolonged bed rest
My 5 Moments for Hand Hygiene
Moment 2 - answerbefore a clean or aseptic procedure
My 5 Moments for Hand Hygiene
Moment 3 - answerAfter a body fluid exposure risk
My 5 Moments for Hand Hygiene
Moment 4 - answerAfter touching a patient
My 5 Moments for Hand Hygiene
Moment 5 - answerAfter touching patient surroundings
My 5 Moments for Hand Hygiene
Moment 1 - answerBefore touching a patient
prevention measures of venous thromboembolism (VTE) - answeradministering aspirin
or heparin to decrease clot formation,
early ambulation after surgery, and
the use of sequential compression devices (SCD) to promote venous return from the
lower extremities.
