NURS 221 EXAM 1 STUDY GUIDE
A.I.D.E.T. - Answers -A-acknowledge
I-introduce
D-duration
E-explanation
T-thank you
patient-inherent accident - Answers -the patient is the primary cause of the accident
potential safety hazards include - Answers --physical hazards
-fire
-poison
-med error
-transmission of pathogens (HAI)
populations with high risk for falls include: - Answers --the elderly
-sensory impaired
-impaired mobility
-urinary frequency
-those taking certain medications
-those with hx of falls
-cognitive dysfunction
-physical conditions
Falls prevention (nursing intervention) - Answers --side rails up
-bed in low position
-call bell/personal items in reach
-glasses/hearing aid/ambulatory aid in use
-no skid socks
Falls prevention (environment) - Answers --clean up spills
-provide good lighting
-ensure pt room is clutter free
The 6 P's of Rounding - Answers --Pain
-Potty
-Plan
-Place call bell
-Personal Items
-Position
_______________ are always a last resort - Answers -restraints
types of restraints - Answers --chemical
, -physical (mitts, vest, wrist/ankle, etc)
alternatives to restraints include - Answers --bed/chair alarm
-hospital sitter
-providing distractions (crossword puzzles, knitting, etc)
Restraints require MD order that must be signed within ______ hr(s) of use and requires
renewal every ________ hr(s) - Answers --1 hr
-24 hrs
Documentation of Restraints must include - Answers --what kind of behaviors required
restraints
-type of restrain applied
-education provided to pt/family
-consent?
-time of application/removal
-assessment of limb/ROM/care given when in restrains
-assessment of therapy (IV/foley cath./etc)
-Review of MD order
R.A.C.E. - Answers -R-rescue
A-alarm
C-confine
E-extinguish
P.A.S.S. - Answers -P-pull pin
A-aim
S-squeeze
S-sweep
Seizure precautions - Answers --always stay with pt
-lower pt to floor/cradle head in lap
-provide privacy
-note the start/stop time of seizure
-turn pt on side if possible/prevent aspiration
-maintain patent airway
'infection" - Answers -the invasion of a susceptible host by pathogens or microbes
resulting in disease
"colonization" - Answers -occurs when microbes invade a host, but do not cause
infection
"Iatrogenic infection" - Answers -infection caused by medical procedure (therapeutic
procedure, diagnostic testing)
A.I.D.E.T. - Answers -A-acknowledge
I-introduce
D-duration
E-explanation
T-thank you
patient-inherent accident - Answers -the patient is the primary cause of the accident
potential safety hazards include - Answers --physical hazards
-fire
-poison
-med error
-transmission of pathogens (HAI)
populations with high risk for falls include: - Answers --the elderly
-sensory impaired
-impaired mobility
-urinary frequency
-those taking certain medications
-those with hx of falls
-cognitive dysfunction
-physical conditions
Falls prevention (nursing intervention) - Answers --side rails up
-bed in low position
-call bell/personal items in reach
-glasses/hearing aid/ambulatory aid in use
-no skid socks
Falls prevention (environment) - Answers --clean up spills
-provide good lighting
-ensure pt room is clutter free
The 6 P's of Rounding - Answers --Pain
-Potty
-Plan
-Place call bell
-Personal Items
-Position
_______________ are always a last resort - Answers -restraints
types of restraints - Answers --chemical
, -physical (mitts, vest, wrist/ankle, etc)
alternatives to restraints include - Answers --bed/chair alarm
-hospital sitter
-providing distractions (crossword puzzles, knitting, etc)
Restraints require MD order that must be signed within ______ hr(s) of use and requires
renewal every ________ hr(s) - Answers --1 hr
-24 hrs
Documentation of Restraints must include - Answers --what kind of behaviors required
restraints
-type of restrain applied
-education provided to pt/family
-consent?
-time of application/removal
-assessment of limb/ROM/care given when in restrains
-assessment of therapy (IV/foley cath./etc)
-Review of MD order
R.A.C.E. - Answers -R-rescue
A-alarm
C-confine
E-extinguish
P.A.S.S. - Answers -P-pull pin
A-aim
S-squeeze
S-sweep
Seizure precautions - Answers --always stay with pt
-lower pt to floor/cradle head in lap
-provide privacy
-note the start/stop time of seizure
-turn pt on side if possible/prevent aspiration
-maintain patent airway
'infection" - Answers -the invasion of a susceptible host by pathogens or microbes
resulting in disease
"colonization" - Answers -occurs when microbes invade a host, but do not cause
infection
"Iatrogenic infection" - Answers -infection caused by medical procedure (therapeutic
procedure, diagnostic testing)
