Exam (elaborations)
Hondros Nurse 150 Final Questions With Complete Solutions
- Course
- NUR 150
- Institution
- Hondros College School Of Nursing
Hondros Nurse 150 Final Questions With Complete Solutions
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Hondros Nurse 150 Final Questions WithComplete Solutions
What are the Hospital National Patient Safety Goals
1. Identify pt's correctly 2. Improve staff communication 3. Use Meds safely 4. Use alarms safely 5. Prevent Infection 6. ID pt safety risks 7. Prevent mistakes in Surgery
What are the Long Term Care National Patient Safety Goals
1. ID Residents correctly 2. Use meds safely 3. Prevent Infection
3. Prevent residents from falling 4. Prevent bed sores
Procedure for fecal Impaction Removal
1. Verify physician written order, Introduce self, hand hygiene, ID patient, explain procedure and provide privacy.
Fecal impaction cont'd...after explaining procedure, what's next?
Raise bed and lower side rail, position pt to Sim's position
Fecal impaction cont'd...after putting pt in Sim's, what do you do
next?
Drape pt's trunk and lower extremities with bath blankets, put waterproof pad under buttocks/hips. Place bedpan next to pt.
Fecal Impaction cont'd...after placing bedpan next to pt, what is next? Hand hygiene and don clean gloves, lubricate gloved index finger and middle finger of dominant hand and tell pt to take deep, slow breaths, in and out during procedure.
Fecal impaction cont'd... after instructing pt to breathe deeply, what is the next step?
Insert gloved index finger, gradually and gently, feel anus relax and insert middle finger. Move fingers gradually towards wall of
rectum towards umbilicus and loosen mass by moving fingers in
a scissor like motion. Work stool downward and remove small pieces of feces into bedpan.
Fecal impaction cont'd....what signs to observe during removal
Pt response, heart rate, dyspnea or heart palpitations
fecal impaction cont'd...after observing pt response, what do u do next?
Continue to clear feces and allow pt to rest at intervals. Perineal hygiene and Inspect feces color and consistency. Properly dispose of feces and gloves. Hand hygiene, position pt to comfortable position and call light within reach.
Sequence for med admin via NG tube...
1. Check proper placement
2. Check residual
3. Flush 30 mL
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