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Test 4 Fundamentals
Nursing Fundamentals
| Question | Answer |
|---|---|
| Name two identifiers | Name, DOB, phone number, hospital identification number |
| When should medication reconcilliation be conducted | At admission, upon discharge, or when the client is transferred to another level of care within the facility or to another facility. |
| The four hospital acquired infections monitored by the CDC | Central Line-associated with bloodstream infection (CLABSI) Catheter-associated urinary tract (CAUTI) Surgical Site infection (SSI) Ventilator-associated pnemonia (VAP) |
| Sentinel Event | A critical unexpected adverse event that cause severe physical or psychological harm to a client including death and dismemberment, permanent injury & severe or temp injury |
| Two work practices that have increased the amount of time a nurse spends at the clients beside | Hourly rounding and besdside handoff communication |
| Conditions to contact RRT the Rapid Response team | Sudden change in vitals, Low O2 stat despite efforts to oxygenate, Chest pain despite admin of nitroglycerin, seizure, Deep concern regarding clients condition, sudden change in mental status |
| Near Miss | a potentional error or event that occured that could have caused harm but was caught or avoided |
| Three principles that should be followed to assure radiation safety. | 1. reduce time near source of radiation 2.increase distance from source of radiation 3.implement shielding |
| Which fire extinguisher is a multipurpose fire extinguisher | A-B-C fire extinguisher A-Trash, Wood, Paper (Class A) B-Liquids ( Class B) C-Electrical Equipment ( Class C) |
| What does PASS stand for ( how to remember to use the Fire Extinguisher) | P-Pull the PIN A-Aim the nozzle S-Squeeze the handle S-Sweep from side to side |
| Three priority elements should be done if there is an active shooter in the workplace | 1. Run, Run away from the shooter if possible 2. Hide, Hide from the shooter if you cannot run away 3.Fight, Fight the shooter if you cannot run or hide |
| Seclusion | Placing a client in a securely locked room to prevent harm to self, other clients and staff |
| Four interventions that can be implemented to avoid use of restraints | Engage the client in social interactions, offer diversional activities, De-escalate the situation,place near nurses station, encourage family members to sit with client,sitter at bedside,Keep IV out of view, Remind to not get out of bed or pull medical IV |
| Three assesments nurses should perform frequently when client is restrained | Circulatory,respiratory, and skin intregrity checks |
| Four fall preventions interventions that should be used for all hospitalized clients | Use non skid footwear, bed in low position, locked bed wheels, brakes on wheelchair, clutter free environment, adequate lighting, placing call light and belongings near clients reach, Fall prevention education to clients |
| Five physical characteristics factors that increase a clients risk of falling | Stroke, amputation, recent surgery, multiple sclerosis, visual impairment, chronic pain, malnutritician, weakness and unsteady gait |
| Three cognitive factors that would increase a clients risk of falling | Sleep disorders, implusiveness, disorientation,Dementia, depression |
| Three interventions with clients who are admitted with a history of seizures | Ensure suction equipment is near bedside, Ensure O2 is near bedside, check baseline vital signs including O2 Stat, establish 2 IV sites, Ensure siderails are padded to prevent injury during potential seizure. |
| Should all clients be screened for suicidal thoughts regardless of their admitting diagnoses? | Yes, and if they have suicidal ideation they need a detailed assesment, and around the clock supervision while in the hospital and environment must be secured by removing harmful items and limiting what is brought into the room. |
| Time Outs | Safety protocols to prevent the risk of wrong site, wrong surgery, wrong client errors. Verify with 2 verifiers, check for correct site, marked the site by the surgeon, restate the procedure and make sure consent is signed Nurses cannot explain consent |
| The National Patient Safety Goals | focus on client safety and set the standards |
| Health care insitutions responsibity | identify safety needs and implement prevention measures and maintain a safety enviroment |
| Restraints should NEVER be used as | a means of cruelty,correction action, revenge, or as a convienance |
| Radiation and Chemical exposure | require the victim to be immediately decontaminated with a garden house, bucket of water or a shower, skin, hair eyes washed. Clothes cut off and put in biohazard bags, Workers need to have decontamination PPE to perform these processes |
Created by:
Rosayg26
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