Ati Fundamentals Flashcards
Droplet precautions are
Gown and gloves in private room
Diseases with droplet precautions
Rubella, meningococcal pneumonia, and streptococcal pharyngitis
Difference in droplet size for airborne vs droplet precautions
If greater than 5 microns, droplet. Smaller then airborne
What clients need a protective environment
Compromised immune systems
During the anger stage of the clients psychosocial adaption to an illness a nurse should do what to support the client
Explain that this is an expected reaction, focus on teaching on the present issues, listen to their concerns and avoid challenging them
Actions for Thigh length sequential compression sleeves
- Place pt in dorsal recumbent or semi Fowler s position
- Place sleeve under leg with opening at knees and wrap around leg so that it is secure
- Make sure 2 fingers can fit under sleeves
- Set ankle pressure between 35-55 mmhg for therapeutic effect
Stage 2 pressure injury dressing
Hydrocolloid - creates a moist wound bed
Define accountability for a nurse
The responsibility of nurses to explain their own actions to the clients, an employer
Define advocacy for nursing
A key component of professional nurses code of ethics. The nurse, ensures, clients, safety, health and rights, including the right to privacy, confidentialities and refusal of care.
What actions should the nurse take while performing medication reconciliation?
The nurse should compare the clients home medication’s with the providers prescriptions when performing medication reconciliation
What assessments should the nurse identify the clients safety needs when assessing an older adults risk for falls?
Pupil clarity= cateracts, visual fields, visual acuity
Expected reference range of creatinine
0.5-1.1
Expected range of BUN
10-20 mg/dL
Potassium expected range
3.5-5
