Care Planning

Question 1

What are the 6 rights of medication administration?

Answer 1

Drug, dose, time, route, patient, documentation

Question 2

How do you locate the dorsogluteal site for an intramuscular injection?

Answer 2

Patient lies laterally, divide buttocks into quarters, injection site is the upper outer quadrant

Question 3

What is the ideal position for a patient who requires prolonged bed rest?

Answer 3

Fowlers or semi-fowlers (30 degrees sitting upright)

Question 4

Describe the care of a person with anti-embolism stockings.

Answer 4

Measure for correct size/ application, twice daily skin and pressure assessment,*document findings

Question 5

Which type of medications can not be crushed?

Answer 5

Slow release, modified release, enteric coated, long acting

Question 6

Name 3 factors that increase a patient’s risk of pressure injury?

Answer 6

Weight, sex, age, tissue malnutrition, continence, mobility, appetite, neurological deficit, surgery, medication

Question 7

What are 4 nursing interventions that can be implemented to minimisea patient’s risk of falls?

Answer 7

Call bell within reach, visual/ hearing aids, mobility aids, frequent toileting, non-slip shoes/ shoes, minimise clutter in the room, education on medication, phyio/ OT review, avoid using bed rails, supervision when mobilising etc.

Question 8

Differentiate between
Standard and Surgical
Aseptic Non-Touch Technique

Answer 8

Standard – simple, < 20 min, not many key parts or key sites
Surgical – complex,> 20 min, many key parts and key sites

Question 9

State 4 nursing interventions aimed at preventing VTE.

Answer 9

*Early mobilisation; hydration; leg exercises; compression devices; anti-embolic stockings; subcut anticoagulant

Question 10

Name the elements of a comprehensive wound assessment

Answer 10

Intention, type, size, appearance of wound bed, exudate, wound edges, periwound condition, odour, tissue loss, pain,*phase of wound healing