Safety/Skills Flashcards
1
Q
Fire evacuation
A
- first patients that are in immediate danger then ambulatory patients
- pull fire alarm
- put out fire
2
Q
Most common location of back injuries
A
lumbar spine
3
Q
Following the oral consumption of gasoline
A
inducing emesis is generally contraindicated.
4
Q
Hand hygiene
A
- hands should be dried from fingers to wrists
5
Q
Grapefruit juice
A
- calcium channel blockers may combine to cause toxic effects
- statins
6
Q
Donning PPE
A
- gown
- mask
- goggles
- gloves
7
Q
Doffing PPE
A
- gloves
- goggles
- gown
- mask
8
Q
Removing a central venous catheter
A
- Place client supine or Trendelenburg
- do not elevate HOB
9
Q
Inserting catheter for female
A
- Clean gloves are used to clean the perineum
- sterile gloves to clean labia
10
Q
Intravenous contrast
A
- 20-gauge catheter (for blood too)
- creatine and GFR baseline test
- hold metformin
- shellfish allergy not contraindicated
11
Q
Amputated extremity care
A
- wrap in gauze
- place in plastic bag
- place bag in ice water
12
Q
Full-liquid diet
A
- plain ice cream
- plain yogurt
- sherbert
- strained soups
- milk
- pudding
- custard
- vegetable juice
- refined cooked cereal
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)
14
Q
5 rights of delegation
A
- right person
- right task
- right circumstance
- right direction/communication
- right supervision/evaluation
- documentation
15
Q
Found unresponsive client
A
- call rapid response
- request code cart/defib
- check for carotid pulse
- start compressions
- give rescue breaths
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
