Answered Correct 100% Verified.
why is it important to document? - Answer proves what you have done for the patient in order
to have good outcome, if it wasn't charted it wasn't done!
Explain focus charting - Answer focuses on patients concerns instead of a problem list
What are safety measures a nurse should use with the EMR to ensure HIPAA compliance? -
Answer Record ownership and access, confidentiality, log off computers, limit access to pt
records that are not your patient
Describe DARE charting - Answer Data - subjective and objective information obtained
Action - planning and implementation
Response - evaluation
Education/pt teaching
Describe SOAPE charting - Answer Subjective - what pt says
Objective - visual information
Assessment - body systems reviewed
Plan - notify MD or apply MD order
Evaluation - how the patient reacted
Explain critical pathways - Answer clinical management tool that helps medical professionals
to coordinate care with for particular case types and conditions
Explain OBRA - Answer Omnibus Budget Reconciliation Act of 1987, revision of federal
standards for nursing homecare, creation of Medicare and Medicaid
Review of a medical record will include what information? - Answer gives a clear picture of
important information regarding pts medical history and problems
explain medical asepsis vs surgical asepsis - Answer Medical Asepsis - clean technique, object
, what is the relationship between a virus and antibiotics? - Answer virus - nonliving organism,
live in s human cell, only grows and reproduce inside host cells they infect, aka systemic
infection
bacteria - living organisms, can live in many places, usually confined to ONE part of the body,
AKA localized infection
explain what a Healthcare Associated Infection is and provide 2 examples. - Answer infections
people get while receiving healthcare for another condition, examples: UTI, respiratory
pneumonia, surgical site wound infection, etc.
why is hand hygiene important - Answer reduces hand contamination by 70-80%, reduces
cross contamination if properly used, protects pts and healthcare workers from infection
what increases patient risks for falls? - Answer HX of falls, Age, unfamiliar environment,
sedatives, unstable gait, balance problems, BP problems, vertigo, etc.
how should hot food and beverages be provided to the older adults? - Answer fill cups half full
what steps should be taken in the event og a mercury spill? - Answer evacuate room, ventilate
aread by closing doors and opening windows, do not vacuum spill, Mop floor with specific
cleanser, dispose accordingly to environment safety regulations
what risks are associated with the application of a Safety Reminder Devices? - Answer
increased immobility, skin impairment, impaired circulation, incontinence
What is PASS? - Answer Pull, Aim at base, Squeeze, Sweep side to side
what is the adults body weight in water? - Answer percent body weight depends on age, for
adults it is 50-60%
How much loss pf fluid can result in death in the adult patient? - Answer A loss of 20% can be
fatal to an adult
What would alert the nurse to declining kidney function? - Answer acid-base balance