NCLEX NURSING 110 (Exam 1 ) Karteikarten am Safe and Therapeutic Environment I and II, erstellt von Gwen Paparone am 20/09/2016.
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Erstellt von Gwen Paparone
vor etwa 8 Jahre
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Schließen
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Erstellt von Gwen Paparone
vor etwa 8 Jahre
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Safety
Patient Nurse Relationship
Patient Nurse Relationship STEPS
A safe environment
Reasons for safety concerns in Older adults?
poly pharmacy
RACE (fire safety)
The nurse’s first action after discovering an electrical fire in a patient’s room is to…
A client is being discharged with oxygen therapy via a cannula. Which of the following instructions should the nurse give to the client and family?
Electrical Safety
Radiation Safety
Infectious Waste
Contributing factors that increase risk of falls
The nurse is completing admission histories for the newly admitted clients on the unit. The nurse is alert that the client with the greatest risk of injury…
Restraints
Do you need an order from a HCP to administer a restraint?
What is the amount of slack needed for physical restraints?
How often do you asses the skin integrity when a restraint is in place?
How often do you have to remove the device?
Do you leave all 4 side rails up in a patient's bed to ensure the patients risk for falls is minimal?
What are some ways to occupy a patient or prevent them from leaving the bed?
Types of restraints
The nurse obtains a prescription from a health care provider to restrain a client and instructs an unlicensed assistive personnel (UAP) to apply the safety device to the client. Which observation by the nurse indicates unsafe application of the safety device by the UAP?
HIPAA
PHI
infection
Colonization
Communicable Disease
Symptomatic
Asymptomatic
Chain of Infection
Infectious agent
Reservoir
Port of Exit
Port of Entry
Susceptible host
Pathogens
localized
Systemic
Incubation Period
Prodromal Stage
Illness stage
Convalescence
Skin defense mechanisms
Immune Response
Requirements of healthy immune response
Natural KiIller cells
Helathcare associated infection (HAI)
Latrogenic
Nosocomical
Exogenous
Endogenous
Neutropenic
Older adults Immune response
Nurses roles in infection
How often do you wash your hands?
Asepsis
Aseptic technique
Medical asepsis
Surgical asepsis
How can a sterile object become
unsterile?
The nurse observes a family member changing the dressing and recognizes that further education is needed after observing which of the following behaviors?
A nurse has been assigned to care for four clients that are stable. Using the principle of medical sepsis, which client should be assessed first?
PPE
Gown
Masks/eye protection
Droplet
Airborne
Contact
The nurse is preparing to give a bed bath to an immobilized client with tuberculosis. The nurse should wear which item when performing this care?
Contact precautions are initiated for a client with an nosocomial infection caused by methicillin-resistant staphylococcus aureus (MRSA). The nurse prepares to provide colostomy care and should obtain which protective items to perform this procedure?
Post Mortem Care
