Answers Graded A+
cyanosis - Correct answer-a bluish discoloration of the skin resulting from poor
circulation or inadequate oxygenation of the blood.Fasciculation
pneumothorax - Correct answer-collapsed lung
a collection of air outside the lung but within the pleural cavity.
ISBARR - Correct answer--Identify
-Situation
-Background
-Assessment
-Recommendations
-Read back orders
Personal Protective Equipment - Correct answer-The use of personal protective
equipment (PPE) includes goggles, gowns, surgical masks, gloves, face shields and
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,N95 masks. Each item serves a particular purpose related to infectious agents and
client immune status. The nurse should follow current health guidelines and facility
policy when determining the appropriate PPE to use when caring for clients with
specific disease processes.
-Goggles or face shields should be worn if there is a threat of splashing any bodily
fluids with routine care and with wound and burn care.
-Gowns are used to protect the nurse from the client and the client from the nurse
regarding the transfer of infectious particles that may be obtained from clothing
and the environment. They will either be paper gowns that are one-time use only,
or reusable cloth gowns that are still one-time use but get returned to the dirty
laundry bin for disinfection and redistribution.
-Surgical masks are used to keep airborne particles away from the nose and mouth.
It can also be used to prevent the spreading of any particles from the individual
wearing the mask.
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,-Gloves are to be worn when providing hands-on care in situations that may
involve contact with blood, body fluids, mucous membranes, and non-intact skin.
Gloves should be changed when either the task is completed or upon soiling.
-N95 masks are specialized masks that have a tight fit around the nose and mouth
and are used when there is a risk of transmission of very small airborne particles.
N-95 masks should be used when caring for clients who are on airborne
precautions.
Therapeutic Communication - Correct answer-Therapeutic communication is an
approach to communication that is both verbal and nonverbal. Introduce yourself
and state your title. Be sure that your identification badge remains visible for the
client to reference if needed. Focus on the person, not the problem.
EX: Open-ended questions, touch
Some things to avoid while communicating therapeutically include the following.
-Using inappropriate plural pronouns ("we")
-Asking for explanations ("WHY" "What made you")
-Assuming the client knows about a health interview or physical
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, -Asking personal questions that are not relevant to the situation
-Giving personal opinions
-Using automatic responses and false reassurances
Relaying disapproval of client statements or health practices
Non-therapeutic communication - Correct answer-Asking personal questions
Giving personal opinions
Changing the subject
Automatic responses
False reassurance
Sympathy
Asking for explanations
Approval or disapproval
Defensive responses
testing
Interpreting
Passive or aggressive responses
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