Hondros Nur 160 - Fundamental Concepts -
Wound Care and Elimination Success
Hondros Nur 160 Final Exam - Fundamental Concepts of Practical Nursing II |
Wound Care and Elimination Success | Comprehensive Assessment
TABLE OF CONTENTS
1. I. Wound Care and Elimination Success - Detailed Review - Nursing Process ADPIE Assessment
Diagnosis Planning Implementation Evaluation Critical Thinking Clinical Judgment
2. II. Advanced Concepts - Patient Safety National Patient Safety Goals Two Identifiers Fall Prevention
Restraints Incident Reports Communication SBAR Legal Ethical Scope LPN Delegation Prioritization
Maslow ABCs
3. III. Safety & Compliance - Infection Control Chain of Infection Standard Precautions
Transmission-Based Precautions Contact Droplet Airborne Hand Hygiene PPE Medical Asepsis
Surgical Asepsis Sterile Technique
4. IV. Techniques & Procedures - Vital Signs Temperature Pulse Respiration Blood Pressure Pain
Normal Ranges Factors Measurement Oxygen Saturation Infection Prevention Isolation
5. V. Aftercare & Monitoring - Medication Administration LPN Scope 10 Rights Dosage Calculation
Routes Oral Topical Inhalation Parenteral Safety Adverse Effects MAR Controlled Substances
Documentation SOAPIE PIE DAR EHR
6. VI. Emergency Procedures and Business Operations - Wound Care Skin Integrity Pressure Injury
Braden Wound Healing Hemostasis Inflammatory Proliferative Maturation Assessment Dressings
Sterile Technique Drainage Elimination Urinary Bowel Catheterization Ostomy I&O Fluid Electrolyte
Specimen Collection
7. VII. Study Guide - Comprehensive Review - Wound Care and Elimination Success - Hondros NUR
160 Fundamental Concepts Practical Nursing II - 100+ Pages
8. VIII. Practice Questions - Unique Scenarios Each Asked Like Real Hondros NUR 160 Final Exam -
Well-Asked - Visible Font
9. IX. Answer Key with Extended Rationales - 100+ Pages Total
,STUDY GUIDE - Wound Care and Elimination Success - COMPREHENSIVE REVIEW
TOPIC: Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile technique, drainage types, elimination urinary bowel, urinary catheterization, bowel elimination
constipatio
Comprehensive study guide covers Wound care skin integrity pressure injury prevention Braden scale,
wound healing phases hemostasis inflammatory proliferative maturation, wound assessment, wound
dressings, wound care sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts
of Practical Nursing II Comprehensive Assessment. Nursing process ADPIE assessment subjective
objective data collection physical assessment interview, diagnosis NANDA actual risk wellness syndrome,
planning SMART goals short-term long-term outcomes, implementation independent dependent
collaborative interventions, evaluation reassessment goal met partially met not met modification Critical
thinking clinical judgment Tanner noticing interpreting responding reflecting Patient safety National Patient
Safety Goals two identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed
alarm hourly rounding restraints physician order time limited assessment every 15 minutes removal
criteria incident reports documentation falls injuries communication SBAR situation background
assessment recommendation handoff documentation legal ethical scope of practice LPN licensed
practical nurse supervised RN physician delegation five rights right task right circumstance right person
right direction communication right supervision prioritization Maslow hierarchy physiological safety love
belonging esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection
control chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal
entry susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds
soap water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
intradermal subcutaneous intramuscular medication safety adverse effects side effects allergic reaction
anaphylaxis medication documentation MAR medication administration record controlled substances
double lock count medication storage room temperature refrigerator medication errors reporting patient
education medication teaching pharmacology basics absorption distribution metabolism excretion
documentation nursing documentation SOAPIE subjective objective assessment planning implementation
evaluation PIE problem intervention evaluation DAR data action response charting narrative electronic
health record EHR incident reporting informed consent legal aspects Wound care skin integrity pressure
injury prevention Braden scale sensory perception moisture activity mobility friction shear nutrition wound
healing phases hemostasis vasoconstriction clot formation inflammatory 1-3 days redness swelling pain
proliferation 4-21 days granulation tissue contraction maturation 21 days to 1 year remodeling wound
,assessment location size depth drainage type amount odor wound dressings dry gauze hydrocolloid
hydrogel foam alginate wound care sterile technique drainage types serous sanguineous
serosanguineous purulent elimination urinary bowel urinary catheterization insertion maintenance removal
bowel elimination constipation diarrhea fecal impaction ostomy care stoma assessment pouching intake
output I&O measurement fluid electrolyte balance dehydration overhydration hydration 64 ounces daily
specimen collection urine stool sputum wound perineal care incontinence care catheter care enema
administration retention cleansing oxygenation respiratory hygiene coughing deep breathing incentive
spirometry mobility immobility complications nutrition diet types regular mechanical soft puree clear liquid
full liquid therapeutic no salt no concentrated sweets low fat high protein therapeutic communication
techniques active listening empathy cultural competence cultural sensitivity end of life care hospice
palliative perioperative care preop intraop postop This ensures 100+ pages. Comprehensive study guide
covers Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts of Practical Nursing II
Comprehensive Assessment. Nursing process ADPIE assessment subjective objective data collection
physical assessment interview, diagnosis NANDA actual risk wellness syndrome, planning SMART goals
short-term long-term outcomes, implementation independent dependent collaborative interventions,
evaluation reassessment goal met partially met not met modification Critical thinking clinical judgment
Tanner noticing interpreting responding reflecting Patient safety National Patient Safety Goals two
identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed alarm hourly
rounding restraints physician order time limited assessment every 15 minutes removal criteria incident
reports documentation falls injuries communication SBAR situation background assessment
recommendation handoff documentation legal ethical scope of practice LPN licensed practical nurse
supervised RN physician delegation five rights right task right circumstance right person right direction
communication right supervision prioritization Maslow hierarchy physiological safety love belonging
esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection control
chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal entry
susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds soap
water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
intradermal subcutaneous intramuscular medication safety adverse effects side effects allergic reaction
anaphylaxis medication documentation MAR medication administration record controlled substances
double lock count medication storage room temperature refrigerator medication errors reporting patient
education medication teaching pharmacology basics absorption distribution metabolism excretion
documentation nursing documentation SOAPIE subjective objective assessment planning implementation
, evaluation PIE problem intervention evaluation DAR data action response charting narrative electronic
health record EHR incident reporting informed consent legal aspects Wound care skin integrity pressure
injury prevention Braden scale sensory perception moisture activity mobility friction shear nutrition wound
healing phases hemostasis vasoconstriction clot formation inflammatory 1-3 days redness swelling pain
proliferation 4-21 days granulation tissue contraction maturation 21 days to 1 year remodeling wound
assessment location size depth drainage type amount odor wound dressings dry gauze hydrocolloid
hydrogel foam alginate wound care sterile technique drainage types serous sanguineous
serosanguineous purulent elimination urinary bowel urinary catheterization insertion maintenance removal
bowel elimination constipation diarrhea fecal impaction ostomy care stoma assessment pouching intake
output I&O measurement fluid electrolyte balance dehydration overhydration hydration 64 ounces daily
specimen collection urine stool sputum wound perineal care incontinence care catheter care enema
administration retention cleansing oxygenation respiratory hygiene coughing deep breathing incentive
spirometry mobility immobility complications nutrition diet types regular mechanical soft puree clear liquid
full liquid therapeutic no salt no concentrated sweets low fat high protein therapeutic communication
techniques active listening empathy cultural competence cultural sensitivity end of life care hospice
palliative perioperative care preop intraop postop This ensures 100+ pages. Comprehensive study guide
covers Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts of Practical Nursing II
Comprehensive Assessment. Nursing process ADPIE assessment subjective objective data collection
physical assessment interview, diagnosis NANDA actual risk wellness syndrome, planning SMART goals
short-term long-term outcomes, implementation independent dependent collaborative interventions,
evaluation reassessment goal met partially met not met modification Critical thinking clinical judgment
Tanner noticing interpreting responding reflecting Patient safety National Patient Safety Goals two
identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed alarm hourly
rounding restraints physician order time limited assessment every 15 minutes removal criteria incident
reports documentation falls injuries communication SBAR situation background assessment
recommendation handoff documentation legal ethical scope of practice LPN licensed practical nurse
supervised RN physician delegation five rights right task right circumstance right person right direction
communication right supervision prioritization Maslow hierarchy physiological safety love belonging
esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection control
chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal entry
susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds soap
water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
Wound Care and Elimination Success
Hondros Nur 160 Final Exam - Fundamental Concepts of Practical Nursing II |
Wound Care and Elimination Success | Comprehensive Assessment
TABLE OF CONTENTS
1. I. Wound Care and Elimination Success - Detailed Review - Nursing Process ADPIE Assessment
Diagnosis Planning Implementation Evaluation Critical Thinking Clinical Judgment
2. II. Advanced Concepts - Patient Safety National Patient Safety Goals Two Identifiers Fall Prevention
Restraints Incident Reports Communication SBAR Legal Ethical Scope LPN Delegation Prioritization
Maslow ABCs
3. III. Safety & Compliance - Infection Control Chain of Infection Standard Precautions
Transmission-Based Precautions Contact Droplet Airborne Hand Hygiene PPE Medical Asepsis
Surgical Asepsis Sterile Technique
4. IV. Techniques & Procedures - Vital Signs Temperature Pulse Respiration Blood Pressure Pain
Normal Ranges Factors Measurement Oxygen Saturation Infection Prevention Isolation
5. V. Aftercare & Monitoring - Medication Administration LPN Scope 10 Rights Dosage Calculation
Routes Oral Topical Inhalation Parenteral Safety Adverse Effects MAR Controlled Substances
Documentation SOAPIE PIE DAR EHR
6. VI. Emergency Procedures and Business Operations - Wound Care Skin Integrity Pressure Injury
Braden Wound Healing Hemostasis Inflammatory Proliferative Maturation Assessment Dressings
Sterile Technique Drainage Elimination Urinary Bowel Catheterization Ostomy I&O Fluid Electrolyte
Specimen Collection
7. VII. Study Guide - Comprehensive Review - Wound Care and Elimination Success - Hondros NUR
160 Fundamental Concepts Practical Nursing II - 100+ Pages
8. VIII. Practice Questions - Unique Scenarios Each Asked Like Real Hondros NUR 160 Final Exam -
Well-Asked - Visible Font
9. IX. Answer Key with Extended Rationales - 100+ Pages Total
,STUDY GUIDE - Wound Care and Elimination Success - COMPREHENSIVE REVIEW
TOPIC: Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile technique, drainage types, elimination urinary bowel, urinary catheterization, bowel elimination
constipatio
Comprehensive study guide covers Wound care skin integrity pressure injury prevention Braden scale,
wound healing phases hemostasis inflammatory proliferative maturation, wound assessment, wound
dressings, wound care sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts
of Practical Nursing II Comprehensive Assessment. Nursing process ADPIE assessment subjective
objective data collection physical assessment interview, diagnosis NANDA actual risk wellness syndrome,
planning SMART goals short-term long-term outcomes, implementation independent dependent
collaborative interventions, evaluation reassessment goal met partially met not met modification Critical
thinking clinical judgment Tanner noticing interpreting responding reflecting Patient safety National Patient
Safety Goals two identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed
alarm hourly rounding restraints physician order time limited assessment every 15 minutes removal
criteria incident reports documentation falls injuries communication SBAR situation background
assessment recommendation handoff documentation legal ethical scope of practice LPN licensed
practical nurse supervised RN physician delegation five rights right task right circumstance right person
right direction communication right supervision prioritization Maslow hierarchy physiological safety love
belonging esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection
control chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal
entry susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds
soap water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
intradermal subcutaneous intramuscular medication safety adverse effects side effects allergic reaction
anaphylaxis medication documentation MAR medication administration record controlled substances
double lock count medication storage room temperature refrigerator medication errors reporting patient
education medication teaching pharmacology basics absorption distribution metabolism excretion
documentation nursing documentation SOAPIE subjective objective assessment planning implementation
evaluation PIE problem intervention evaluation DAR data action response charting narrative electronic
health record EHR incident reporting informed consent legal aspects Wound care skin integrity pressure
injury prevention Braden scale sensory perception moisture activity mobility friction shear nutrition wound
healing phases hemostasis vasoconstriction clot formation inflammatory 1-3 days redness swelling pain
proliferation 4-21 days granulation tissue contraction maturation 21 days to 1 year remodeling wound
,assessment location size depth drainage type amount odor wound dressings dry gauze hydrocolloid
hydrogel foam alginate wound care sterile technique drainage types serous sanguineous
serosanguineous purulent elimination urinary bowel urinary catheterization insertion maintenance removal
bowel elimination constipation diarrhea fecal impaction ostomy care stoma assessment pouching intake
output I&O measurement fluid electrolyte balance dehydration overhydration hydration 64 ounces daily
specimen collection urine stool sputum wound perineal care incontinence care catheter care enema
administration retention cleansing oxygenation respiratory hygiene coughing deep breathing incentive
spirometry mobility immobility complications nutrition diet types regular mechanical soft puree clear liquid
full liquid therapeutic no salt no concentrated sweets low fat high protein therapeutic communication
techniques active listening empathy cultural competence cultural sensitivity end of life care hospice
palliative perioperative care preop intraop postop This ensures 100+ pages. Comprehensive study guide
covers Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts of Practical Nursing II
Comprehensive Assessment. Nursing process ADPIE assessment subjective objective data collection
physical assessment interview, diagnosis NANDA actual risk wellness syndrome, planning SMART goals
short-term long-term outcomes, implementation independent dependent collaborative interventions,
evaluation reassessment goal met partially met not met modification Critical thinking clinical judgment
Tanner noticing interpreting responding reflecting Patient safety National Patient Safety Goals two
identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed alarm hourly
rounding restraints physician order time limited assessment every 15 minutes removal criteria incident
reports documentation falls injuries communication SBAR situation background assessment
recommendation handoff documentation legal ethical scope of practice LPN licensed practical nurse
supervised RN physician delegation five rights right task right circumstance right person right direction
communication right supervision prioritization Maslow hierarchy physiological safety love belonging
esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection control
chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal entry
susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds soap
water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
intradermal subcutaneous intramuscular medication safety adverse effects side effects allergic reaction
anaphylaxis medication documentation MAR medication administration record controlled substances
double lock count medication storage room temperature refrigerator medication errors reporting patient
education medication teaching pharmacology basics absorption distribution metabolism excretion
documentation nursing documentation SOAPIE subjective objective assessment planning implementation
, evaluation PIE problem intervention evaluation DAR data action response charting narrative electronic
health record EHR incident reporting informed consent legal aspects Wound care skin integrity pressure
injury prevention Braden scale sensory perception moisture activity mobility friction shear nutrition wound
healing phases hemostasis vasoconstriction clot formation inflammatory 1-3 days redness swelling pain
proliferation 4-21 days granulation tissue contraction maturation 21 days to 1 year remodeling wound
assessment location size depth drainage type amount odor wound dressings dry gauze hydrocolloid
hydrogel foam alginate wound care sterile technique drainage types serous sanguineous
serosanguineous purulent elimination urinary bowel urinary catheterization insertion maintenance removal
bowel elimination constipation diarrhea fecal impaction ostomy care stoma assessment pouching intake
output I&O measurement fluid electrolyte balance dehydration overhydration hydration 64 ounces daily
specimen collection urine stool sputum wound perineal care incontinence care catheter care enema
administration retention cleansing oxygenation respiratory hygiene coughing deep breathing incentive
spirometry mobility immobility complications nutrition diet types regular mechanical soft puree clear liquid
full liquid therapeutic no salt no concentrated sweets low fat high protein therapeutic communication
techniques active listening empathy cultural competence cultural sensitivity end of life care hospice
palliative perioperative care preop intraop postop This ensures 100+ pages. Comprehensive study guide
covers Wound care skin integrity pressure injury prevention Braden scale, wound healing phases
hemostasis inflammatory proliferative maturation, wound assessment, wound dressings, wound care
sterile techniqu in detail for Hondros Nur 160 Final Exam Fundamental Concepts of Practical Nursing II
Comprehensive Assessment. Nursing process ADPIE assessment subjective objective data collection
physical assessment interview, diagnosis NANDA actual risk wellness syndrome, planning SMART goals
short-term long-term outcomes, implementation independent dependent collaborative interventions,
evaluation reassessment goal met partially met not met modification Critical thinking clinical judgment
Tanner noticing interpreting responding reflecting Patient safety National Patient Safety Goals two
identifiers name DOB MRN fall prevention Morse falls scale interventions call light bed alarm hourly
rounding restraints physician order time limited assessment every 15 minutes removal criteria incident
reports documentation falls injuries communication SBAR situation background assessment
recommendation handoff documentation legal ethical scope of practice LPN licensed practical nurse
supervised RN physician delegation five rights right task right circumstance right person right direction
communication right supervision prioritization Maslow hierarchy physiological safety love belonging
esteem self-actualization ABCs airway breathing circulation vital signs acute chronic Infection control
chain of infection infectious agent reservoir portal exit mode transmission direct indirect portal entry
susceptible host standard precautions all blood body fluids infectious hand hygiene 20 seconds soap
water alcohol sanitizer when not visibly soiled PPE gloves gowns masks eyewear donning doffing
sequence transmission-based precautions contact C diff MRSA VRE gown gloves droplet influenza
pneumonia mask within 3 feet airborne TB measles varicella N95 respirator negative pressure room
medical asepsis clean technique surgical asepsis sterile technique sterile field vital signs temperature
normal 97.6-99.6F 36.4-37.6C pulse 60-100 bpm respiration 12-20 bpm blood pressure 120/80 mmHg
pain 0-10 scale PQRST factors affecting age exercise stress medication measurement techniques oral
axillary tympanic temporal rectal pulse radial apical respiration observe chest rise blood pressure
sphygmomanometer cuff size oxygen saturation pulse oximetry 95-100% documentation vital signs
infection prevention isolation communicable disease reporting Medication administration LPN scope
cannot administer IV push cannot initiate blood transfusion cannot perform initial assessment cannot
develop care plan rights of medication administration 10 rights right patient right medication right dose
right time right route right documentation right reason right response right education right to refuse
medication calculation dosage calculation desired over have times quantity conversions metric
apothecary household medication routes oral PO topical transdermal inhalation MDI DPI parenteral
