NUR 110 Test 2: Critical thinking, asepsis, fluids & electrolytes, sleep, client education, Fall 2022/2023

NUR 110 Test 2: Critical thinking, asepsis, fluids & electrolytes, sleep, client education, Fall 2022/2023 Higher order thinking, the skill of learning to analyze and interpret data to solve a problem Critical Thinking Remembering, Understanding, Applying Low order thinking skills Analysing, Evaluating, Creating High order thinking skills Basic, Complex, Commitment 3 Levels of critical thinking A conclusion about a patient's needs or health problems and/or the decisions to take or avoid action, use or modify standard approaches, or create new approaches based on the patient's response Clinical Judgement Order of Maslow's Hierarchy of Needs is: Physiological Needs, Safety, Love and Belonging, Esteem, Self Actualization ADPIE Stands for.. Assessment, Diagnosis, Planning, Implementation, Evaluation ABCDE addresses... Airway, breathing, circulation, disability or discomfort, examine or education Considering which problem is the greatest risk to the patient is and what is the worst case scenario is an example of.. Safety and Risk Reduction Prioritizing Interventions involves... Choosing the least restrictive/invasive interventions first True or false: Clinical reasoning/ judgement can be delegated to an unlicensed staff False, clinical reasoning/judgement cannot be delegated A conscious effort to think about an activity or incident that allows us to consider what was positive or challenging, and if appropriate, plan how it might be enhanced, improved or done differently in the future Reflection techniques used to destroy all pathogenic organisms, also called sterile technique Surgical Asepsis Would you use sterile technique: During procedures that require intentional perforation of the patient's skin, such as the insertion of peripheral IV catheters or a central IV line Yes Would you use sterile technique: When performing a physical examination No Would you use sterile technique: When the integrity of the skin is broken as a result of trauma, surgical incision, or burns Yes Would you use sterile technique: During invasive procedures, such as the insertion of urinary catheters Yes Would you use sterile technique: When assisting with bathing No When a sterile object touches another sterile object is it still sterile? Yes When a sterile object touches a clean object, is it still sterile? No, it's considered contaminated When a sterile object touches a contaminated object, is it still sterile? No, it's considered contaminated If you're questioning the state of sterility of an object, should you continue to use it? No, discard of it regardless of it the object appears untouched True or False: Only sterile objects can be placed on a sterile field? True Can you hold a sterile object below the waist? No, any sterile object held below the waist is considered contaminated. True or false: Keep sterile objects in front with your hands as close together True A nurse turns their back on a sterile field, is it still considered sterile? No, nurses cannot turn their backs or have a sterile field be out of vision. If a stored sterile package is wet, what should you do? Dispose of the objects or send for resterilization During a surgical hand scrub, where should you hold your hands? Above your elbows so that contaminated fluid rolls down, away from the hands. Are the edges of a sterile field (Approx. 1 inch) considered contaminated? Yes, borders of the sterile field, 1 inch, is considered contaminated. Is there is a high risk for infection when inserting a urinary catheter? Yes. What should you ensure is done before inserting a urinary catheter? Peri care The average adult accounts for how much water in their weight 60% Amount of water in blood 90% One liter of water is equivalent to 2.2 lb (1kg) Water is necessary because.. Water is the solvent in which salts, nutrients, & wastes are dissolved and key to all body functions Urination, feces, wound drainage (measurable) are examples of.. Sensible water loss