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Nursing Skills > Test 1 > Flashcards

Test 1 Flashcards

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1
Q

What is hippa?

A

law that gives patients privacy to their medical records.

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2
Q

Hippa ensures confidentiality in what forms?

A

personal, medical, financial

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3
Q

Child or elderly abuse should be reported verbally within ___ hours and a written report within ___ hours.

A

24 and 48

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4
Q

Can you get in trouble for a report being not true.

A

no.

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5
Q

What is a living will?

A

A legal document for making medical decisions for if/ when a person becomes unable to do so themselves.

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6
Q

What is a medical durable power of attorney

A

the person appointed to make medical decisions when someone is unable to do so for themselves.

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7
Q

What to do if there is a small hazardous spill?

A

clean up spill per SDS recommendations

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8
Q

Large hazardous spills?

A

call 3911, hazardous response team will respond

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9
Q

What are some factors that help improve verbal communication?

A

Vocab (language they understand), pacing (make time for patients), intonation (tone of voice), clarity and brevity (clear and precisely), denotative vs. connotative (definition vs. implied)

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10
Q

forms of nonverbal communication

A

facial expressions, posture, personal appearances, gestures, touch

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11
Q

Communication tool:

A

S- situation
B- Background
A- assessment
R- recommendation

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12
Q

When is alcohol- based not okay

A

patient with c-diff or hands visibly soiled

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13
Q

how long do you use alcohol- based handrubs

A

until dry

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14
Q

how long do you wash your hands

A

at least 20 seconds

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15
Q

What is the restrictions with fingernails

A

no chipped fingernail polish, no artificial nails, nails must be 1/4”

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16
Q

Ways to promote safety within group

A

team empowerment
open communication
accountability

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17
Q

What is the rule for clean and dirty

A

clean touches clean, dirty touches dirty.

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18
Q

Ways to promote safety in healthcare environment

A

preventing falls, equipment related injuries, fire/ electrical hazards, back injury, needlesticks, violence

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19
Q

Standard precautions

A

treat all patients as potentially infectious

wear gloves any time there is a risk for contact with bodily secretions

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20
Q

Donning process

A 
hand hygiene
gather supplies
gown
mask/ goggles
hair
shoes
hand hygiene
gloves
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21
Q

How to use proper body mechanics

A

raise height of bed
squat when lifting heavy objects
keep objects close to body
ect.

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22
Q

R.A.C.E

A

Rescue
Alarm
Contain
Extinguish/ Evacuate

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23
Q

What is the normal range for all vital signs

A 
Temperature: 98.6 F
Pulse: 60-100 (80 average)
Respiration: 12-20 bpm
Blood pressure: 120/80
O2 Saturation: 90% or above
24
Q

factors that affect temperature

A

age, environment, gender, exercise, emotion and stress

25
Q

what is the most accurate type of temperature

A

Rectal

26
Q

What is considered a fever

A

100F

27
Q

What is the most accurate pulse

A

apical pulse (heart)

28
Q

how do you measure a pulse

A

stethoscope

29
Q

How to count respirations

A

act like their taking your pulse and count their breaths, they should not know.

30
Q

What is used to measure O2 saturation

A

pulse oximetry

31
Q

Blood pressure prehypertension and hypertension

A

Pre: 120-139/ 80-89
HTN: 140+ /90+

32
Q

what is used to measure blood pressure

A

sphygmomanometer

33
Q

Correct cuff size

A

2/3 of the length of the upper arm

34
Q

When not to do blood pressure on a certain arm

A

iv infusion
swelling/ edema
dialysis

35
Q

The Five ADL’s

A

bathing, toileting, dressing, mobility, eating

36
Q

5 P’s

A

pain, position, potty, pathways, personal belongings

37
Q

How often is oral care performed

A

twice a day for all patients

every 1-2 hours for clients who are: NPO, have NG tubes, or oxygen

38
Q

How often do you clean dentures

A

once a day but preferably after every meal

39
Q

When do you not use a shaver

A

do not use a straight edge razor on patient with blood thinners

40
Q

how often should Urinary catheter care be done?

A

completed every shift or 3 times each 24 hours

or unless soiled after bowel movement

41
Q

Which side would you dress first if a patient has a weak extremity?

A

always dress the side with weak extremity first

42
Q

True or false: it is okay to dress a patient with an iv by removing the iv

A

FALSE! never disconnect the iv move the gown through the iv and bag

43
Q

OLDCARTS: what is it used for what does it stand for

A 
used for: assessing pain, trying to get as much information as possible
O: onset
L: location
D: duration
C: characteristics
A: alleviation/ agitation
R: related symptoms
T: treatment
S: severity
44
Q

What is the function of the skin?

A

protection, regulation, sensation, metabolism, and communication

45
Q

What causes skin breakage?

A

friction and shear, pressure, and moisture

46
Q

What is a concerning number for Braden Scale Risk Concern?

A

<9, the lower the number the more concerning

47
Q

When to start interventions for pressure ulcers? What are some of the interventions?

A

as soon as they are admitted, and more special treatment at the site of redness
air mattress, waffle bed, pressure, moving every 1-2 hours in bed, every 15 minutes in chair

48
Q

What is the function of the kidneys

A

remove waste from the blood and regulate blood pressure, electrolyte balance

49
Q

What is the function of the bladder

A

to hold urine

50
Q

Urinary terms to know: nocturia, polyuria, oliguria, anuria, dysuria, diuresis, enuresis, residual urine, bladder training, proteinuria, pyuria, hematuria, pyelonephritis, cystitis

A

Nocturia: awakening to void one or more times in the night
Polyuria:excessive urination
oliguria: decreased urine output
Anuria: absence of urination
Dysuria: difficulty urinating
Diuresis: excessive urine production
Enuresis: involuntary loss of urine
Residual Urine: urine left in bladder after urination
Bladder training: behavioral therapy using scheduled urination to improve function
Proteinuria: protein in urine
pyuria: pus present in urine
hematuria: blood in urine
pyelonephritis: infection that spreads to the upper urinary tract
cystitis: bladder infection

51
Q

How many mL are in an ounce

A

30 mL

52
Q

What is a clear liquid diets, full liquid diets, and mechanical soft?

A

Clear liquid: any liquid that you can see through
Full liquid: any liquid that can be melt down to liquid at room temperature (doesn’t have to be clear)
Mechanical soft: ground up or soft foods (ex. potatoes, mac and cheese,) something that is easy to chew

53
Q

What is included in fluid intake

A 
oral fluids (anything you drink)
iv medication
liquid medication
IV fluids
Bladder irrigation
54
Q

What is included in fluid output

A 
any liquid stool
urine
vomit
diapers
wound drainage
chest tubes
55
Q

When should you compress a drain?

A

After it is empty before you put in a stopper.

56
Q

When emptying a drain, what do you need?

A

non- sterilized gloves, rubbing alcohol wipes, and graduated cylinder

Nursing Skills (16 decks)

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