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00NCLEX > Safety/Skills > Flashcards

Safety/Skills Flashcards

1
Q

Fire evacuation

A
  • first patients that are in immediate danger then ambulatory patients
  • pull fire alarm
  • put out fire
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2
Q

Most common location of back injuries

A

lumbar spine

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3
Q

Following the oral consumption of gasoline

A

inducing emesis is generally contraindicated.

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4
Q

Hand hygiene

A
  • hands should be dried from fingers to wrists
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5
Q

Grapefruit juice

A
  • calcium channel blockers may combine to cause toxic effects
  • statins
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6
Q

Donning PPE

A
  • gown
  • mask
  • goggles
  • gloves
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7
Q

Doffing PPE

A
  • gloves
  • goggles
  • gown
  • mask
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8
Q

Removing a central venous catheter

A
  • Place client supine or Trendelenburg
  • do not elevate HOB
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9
Q

Inserting catheter for female

A
  • Clean gloves are used to clean the perineum
  • sterile gloves to clean labia
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10
Q

Intravenous contrast

A
  • 20-gauge catheter (for blood too)
  • creatine and GFR baseline test
  • hold metformin
  • shellfish allergy not contraindicated
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11
Q

Amputated extremity care

A
  • wrap in gauze
  • place in plastic bag
  • place bag in ice water
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12
Q

Full-liquid diet

A
  • plain ice cream
  • plain yogurt
  • sherbert
  • strained soups
  • milk
  • pudding
  • custard
  • vegetable juice
  • refined cooked cereal
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13
Q

Clear liquid diet

A
  • no dairy or pulp
  • sugar and salt allowed
  • tea
  • gelatin
  • apple juice
  • fast-free bouillon
  • seltzer
  • lemonade
  • gingerale
  • clear hard candy
  • coffee (no creamer or milk)
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14
Q

5 rights of delegation

A
  • right person
  • right task
  • right circumstance
  • right direction/communication
  • right supervision/evaluation
  • documentation
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15
Q

Found unresponsive client

A
  • call rapid response
  • request code cart/defib
  • check for carotid pulse
  • start compressions
  • give rescue breaths
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16
Q

Calculating intake

A
  • include ice cream, gelatin, water, juice, cola
  • ice chips = half volume
  • pureed foods are not included
17
Q

Giving PPI, avoid

A
  • avoid giving with other meds
  • decreases absoption
18
Q

Developmental dysplasia of the hip (DDH) care

A
  • pavlik harness
  • keep hips abducted as much as possible
  • for infants
18
Q

Cleaning nebulizer

A
  • warm, soapy water
    • only mask/mouthpiece, top, and cup
    • never expose tubing to water
  • wash nebulizer after every use
  • mask/mouthpiece once a week
    - warm water/vinegar
19
Q

Patient-Generated Subjective Global Assessment (PG-SGA)

A
  • tool to assess nutrional status
    • esp in cancer
20
Q

Klein-Bell Scale

A
  • assess clients self-care ability
  • ability to preform ADL
21
Q

Barthel Index

A
  • measures performance in ADL
  • ten variables describing ADLs and mobility
  • the higher the number, the better
22
Q

Obtaining wound culture

A
  • clense with sterile normal saline
  • collect using Levine technique
    • rotate swab with pressure to express fluid
  • do not physically touch wound
    • clean gloves OK, not sterile
23
Q

Breast exam

A
  • sitting or supine
  • pillow placed under shoulder of side that is being assessed
  • when sitting
    • sit erect
    • arms at side, or raised overhead
  • when flat
    • place clients hand on examined side under head
24
Q

Discontinue oxygen flow

A
  • turn vavle counter clockwise
25
Q

Priming IV tube

A
  • prevents air embolism
26
Q

Braden score

A
  • level of pressure ulcer risk
  • high risk is 10-12
  • very high is 9 or lower
  • 23 means no risk
27
Q

Side rails restraint

A
  • 3 side rails up is fine
  • 4 side rails is restraint
28
Q

Orthostatic hypotension

A
  • BP cuff over brachial artery
  • supine, sitting, standing
    • wait 3 minutes between each position change
  • watch for falls
  • IF SYSTOLIC DROPS BY 20 OR DIASTOLIC DROPS BY 10, POSITIVE FOR ORTHOSTATIC HYPOTENSION

00NCLEX (30 decks)

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