skills lab

Question 1

ACP-C

Answer 1

comfort care
no CPR
control symptoms and improve quality of life; allows patient to enjoy what time they have left

Question 2

ACP-M

Answer 2

medical care
no CPR
provide interventions to treat acute conditions

Question 3

ACP-R

Answer 3

cardiopulmonary resuscitation
provide CPR
do whatever interventions are necessary to maintain life

Question 4

prn

Answer 4

as needed

Question 5

od

Answer 5

once daily

Question 6

bid

Answer 6

2x daily

Question 7

tid

Answer 7

3x daily

Question 8

qid

Answer 8

4x daily

Question 9

kg to lbs

Answer 9

1 kg = 2.2 lbs

Question 10

metric system

Answer 10

G * * M * * h k da B d c m * * mc * * n

Question 11

dysphagia

Answer 11

difficulty swallowing or chewing

Question 12

phases of swallowing

Answer 12

oral phase
pharyngeal phase
esophageal phase (peristalsis)

Question 13

10 rights of safe medication administration

Answer 13

patient
medication
dose
route
time/frequency

reason
education
evaluation
documentation
to refuse

Question 14

3 checks during medication administration

Answer 14

1: in medication room; compare MAR to physicians order
2: before bringing meds to patient; compare label, MAR, bottles
3: in patient’s room; compare MAR and label

Question 15

chain of infection

Answer 15

infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host

Question 16

modes of transmission

Answer 16

droplet
contact (direct or indirect)
vector
vehicle
airborne

Question 17

droplet transmission

Answer 17

large particles from coughing, sneezing, etc.

travel <2m

Question 18

airborne transmission

Answer 18

small particles from coughing, sneezing, etc.

air suspension allows particles to move >2m

Question 19

direct contact

Answer 19

skin to skin contact between susceptible host and reservoir

Question 20

indirect contact

Answer 20

between susceptible host and intermediate object that is infected

Question 21

vehicle transmission

Answer 21

one infected source (water, food, IV fluid, etc.) infects multiple people

Question 22

vector transmission

Answer 22

pest or insect transmits disease to human

Question 23

cleaning

Answer 23

REMOVES microbes but does not kill them

Question 24

disinfection

Answer 24

kills all microbes except endospores

Question 25

sterilization

Answer 25

kills ALL microbes

Question 26

critical items

Answer 26

equipment that is inserted into the tissue or vascular system -scalpels, needles, catheters

Question 27

semicritical items

Answer 27

equipment that comes into contact with non-intact skin or with mucous membranes, but do not penetrate -thermometer, specula, endoscope

Question 28

noncritical items

Answer 28

come into contact with intact skin, but not mucous membranes | -stethoscope, cuff, linen, cutlery

Question 29

how to eliminate the chain of infection

Answer 29

eliminate reservoir, mode of entry, mode of exit, control transmission, protect susceptible hosts

Question 30

routine practices

Answer 30

applied to all patients regardless of diagnosis PPE and hand hygiene applied when nurse is likely to come into contact with -non intact skin or mucous membranes -bodily fluid (not sweat) -blood

Question 31

isolation precautions

Answer 31

``` for patients diagnosed with a transmissible disease followed IN ADDITION to routine practice 3 types -airborne -contact -droplet ```

Question 32

droplet precautions

Answer 32

private room or cohort door closed unless patient is more than 2m from door mask when within 2m of patient

Question 33

airborne precautions

Answer 33

private room with negative airflow N95 mask worn when in room door closed

Question 34

contact precautions

Answer 34

``` private room or cohort door can be open clean or discard any used equipment/PPE before exit limit patient movement outside PPE upon entry (gloves, gown) ```

Question 34

contact precautions

Answer 34

``` private room or cohort door can be open clean or discard any used equipment/PPE before exit limit patient movement outside PPE upon entry (gloves, gown) ```

Question 35

reverse isolation

Answer 35

protecting the patient from us | organ transplant patients, cancer patients, other immunocompromised patients