Tasks outside of NA scope - Answer -giving medications, orders from doctors,
monitors/pumps, sterile technique
Team approach to patient care - Answer -Assessment, delegation, communication
5 rights of delegation - Answer -right task, right circumstances, right person, right
direction/communication, right supervision
Pt identification - Answer -use name and date of birth
Height/weight - Answer -Cm/kg
Daily weights - Answer -Same time and same scale
Oral temperature - Answer -36-37.5 Celsius- posterior sublingual pocket
If patient has eaten or drank something/smoked or chewed gum - Answer -Wait 15-30
min
axillary temperature - Answer -armpit
Rectal temperature - Answer -rectum
Respirations - Answer -12-20 breaths per minute
Bradypnea/Tachypnea - Answer -<12 and >20
Pulse - Answer -60-100 bpm. Use radial side (thumb side)
Bradycardia/tachycardia - Answer -<60 and >100
Blood pressure- systolic - Answer -100-140 mmHg
Blood pressure- diastolic - Answer -60-90 mmHg
Hypertension - Answer -Systolic > 140
Diastolic > 90
Hypotension - Answer -Systolic <90
diastolic <60
Purpose of bathing - Answer -Prevent spread of infection, comfort, circulation, mobility,
skin assessment, establish rapport
, Bathing reminders - Answer -Perform bathing daily and change linens twice a week,
wash clean to dirty
Antimicrobial soaps - Answer -Hibiclens and gentle rain
Skin protectant - Answer -Critic- Aid clear and Critic-aid paste applied after each
incontinent episode
Baza cleanse - Answer -Mild cleanser, deodorizer, moisturizer,
Sween 24 - Answer -Used for chapped lips, normal moisterizer
Skin prep - Answer -Applied to bony prominences
Interdry - Answer -applied under folds of skin to prevent infection
Electrodes for Cardiac lead placement - Answer -gel dries after 24 hours, no alcohol
prep on skin
Cardiac lead placement - Answer -
Yellow alarm and red alarm - Answer -low battery alarm and replace battery
Check and replace electrodes - Answer -Every 24 hours
O2 saturation range - Answer -92-100 report anything under 92
Restraints - Answer -ensures the immediate physical care of the patient, staff, and
others. Used for falls, disruption of medical procedures, hostility
Restraints continued - Answer -Full side rails- least restrictive Hard limb restraints-most
restrictive
clean catch specimen: female - Answer -Wash hands, separate skin folds, clean front
to back twice, mid stream collection
clean catch specimen: male - Answer -Wash hands, clean head of penis, clean in
circular motion twice, mid stream collection
Foley catheter - Answer -empty every 8 hours
Bowel and bladder devices - Answer -Bedside commode, bed pan, urinal, hat, stat lock,
condom catheter, pure wick
Focused hourly rounding: 5 P's - Answer -Pain, potty, pump, position, placement of
personal belongings