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what is the order of the 4 steps of the CCN blood exposure policy ANS 1. milk the wound to make it bleed
2. wash wound
3. notify instructor
4. follow the hospital policy
what needs to be worn for contact precautions ANS gown and gloves
eye protection and masks if risk for splashing
what precautions does a patient need with influenza ANS droplet precautions
what is the order of donning PPE ANS 1. perform hand hygiene
2. gown
3. mask
4. gloves
what is the order of doffing PPE ANS 1. gloves
2. goggles
3. gown
4. mask
5. perform hand hygiene
someone on airborne precautions would have what kind of room ANS negative pressure room
a patient with tuberculosis or shingles would be on what kind of precaution ANS airborne
what do you need to wear into a room with a patient on droplet precautions ANS surgical mask
, what do you need to wear into a room with a patient on airborne precautions ANS N95 mask
a client is admitted with potassium levels of 5.5, what do you as the nurse anticipate? ANS continuous
cardiac monitoring
what are 3 s/s of fluid volume overload ANS dyspnea
headache
elevated blood pressure
what labs would be the most specific in telling you if a patient has internal hemorrhage ANS Hct and Hgb
when does a 24 hour urine sample begin ANS after the first void. discard the first one and document the
time.
a patient reports bleeding for longer than normal. they most likely are deficient in which vitamin? ANS
vitamin K
in older adults, does thirst increase or decrease? ANS decreases
client has an order for a digital removal of stool. the nurse should monitor for what during this procedure?
ANS bradycardia
how does anesthesia affect the bowel? ANS anesthesia temporarily paralyzes the bowel/stops peristalsis so
you must assess for bowel sounds before resuming food
a patient has a central venous line (CVL), the patient has orders for labs including CBC and BMP, who would
you expect to obtain the blood specimen from the CVL? ANS RN
what are normal urine characteristics ANS pale, straw to amber color, transparent
urinalysis specimen needs to be examined within how long ANS 2 hours