Correct Answers (Original Exam) A+
Graded-Alabama
What are active failures?
When hazards find their way through safeguards that have been put in place. Usually
falls on Nurse or Physician. (Think of the pieces of cheese put together analogy)
List the three types of restraints and when we should use them
-Chemical
-Physical
-Environmental
Only use restraints as a last resort
What can lead to falls happening?
,-Limited Mobility
-Delirium
-Medication
chain of infection
infectious agent, reservoir, portal of exit, mode of transmission, portal of entry,
susceptible host
What does HAI stand for?
healthcare associated infections
What do pathogens need to survive in a reservoir?
-food
-air (aerobic vs anaerobic)
-Water
-Temperature around 37 degrees (Mesomorphs)
-Neutral pH (5-7)
-Little light
Priority setting
the process of establishing a preferential order for nursing strategies
,Levels of priority and examples
High- ABC's
Intermediate- non-emergent
Low- What affects future well-being
What does the acronym SMART mean when referring to planning?
Specific
Measurable
Attainable
Realistic
Timed
How to format your plan:
, Combine verb with condition and criterion.
Patient will demonstrate minimal episodes of agitation as evidence by a calm
demeanor over 48 hours.
What are the three types of goals when it comes to interventions?
Independent, dependent, and collaborative
What must you do before initiating appropriate nursing interventions?
reassess the patient, organize resources or assistance, anticipate/prevent
complications.
What is required with implementation?
Rationale; why your going to do what your going to do, reason. Must utilize a scholarly
source.
ADPIE: Evaluation
Assessing whether outcome criteria have been met and revising the plan as
necessary. An evaluation is patient centered. Must include a "goal met", "goal partially
met", or "goal not met"