Safe and Therapeutic Environment I and II

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