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Questions and Answers
Which type of isolation is needed for diseases such as influenza and respiratory syncytial virus?
Which type of isolation is needed for diseases such as influenza and respiratory syncytial virus?
What is the appropriate PPE for dealing with patients at high risk for infection and adverse outcomes?
What is the appropriate PPE for dealing with patients at high risk for infection and adverse outcomes?
Under which condition should hands be washed with either nonantimicrobial soap or antimicrobial soap and water?
Under which condition should hands be washed with either nonantimicrobial soap or antimicrobial soap and water?
What are the 'never events' in hospitals according to Box 27-4?
What are the 'never events' in hospitals according to Box 27-4?
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What is the appropriate sequence for donning PPE?
What is the appropriate sequence for donning PPE?
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When should respiratory hygiene and cough etiquette be practiced?
When should respiratory hygiene and cough etiquette be practiced?
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Which type of isolation is needed for conditions such as multi-drug resistant infections and herpes simplex?
Which type of isolation is needed for conditions such as multi-drug resistant infections and herpes simplex?
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What type of room is required for patients undergoing allogenic hematopoietic stem cell transplants?
What type of room is required for patients undergoing allogenic hematopoietic stem cell transplants?
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When should hand hygiene be performed as per standard precautions?
When should hand hygiene be performed as per standard precautions?
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What are some examples of manifestations of poor glycemic control according to 'never events'?
What are some examples of manifestations of poor glycemic control according to 'never events'?
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What type of isolation is needed for diseases such as Neisseria meningitides and rubella?
What type of isolation is needed for diseases such as Neisseria meningitides and rubella?
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What is the appropriate PPE for dealing with patients undergoing allogenic hematopoietic stem cell transplants?
What is the appropriate PPE for dealing with patients undergoing allogenic hematopoietic stem cell transplants?
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What is a characteristic of endogenous sources of infection?
What is a characteristic of endogenous sources of infection?
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What intervention is recommended for older adults to address age-related functional deterioration in the immune system function?
What intervention is recommended for older adults to address age-related functional deterioration in the immune system function?
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What is the least invasive intervention for fall prevention according to age-related considerations and interventions?
What is the least invasive intervention for fall prevention according to age-related considerations and interventions?
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What should be the first step in donning sterile gloves?
What should be the first step in donning sterile gloves?
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Which step of the nursing process involves setting priorities, goals, and interventions?
Which step of the nursing process involves setting priorities, goals, and interventions?
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What is included in the assessment phase of the nursing process?
What is included in the assessment phase of the nursing process?
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What is the purpose of a PES statement in nursing diagnosis?
What is the purpose of a PES statement in nursing diagnosis?
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What distinguishes subjective data from objective data in the nursing assessment?
What distinguishes subjective data from objective data in the nursing assessment?
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What type of isolation is needed for diseases such as influenza and respiratory syncytial virus?
What type of isolation is needed for diseases such as influenza and respiratory syncytial virus?
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What is a critical consideration for older adults in relation to fall risk?
What is a critical consideration for older adults in relation to fall risk?
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Which type of room is required for patients undergoing allogenic hematopoietic stem cell transplants?
Which type of room is required for patients undergoing allogenic hematopoietic stem cell transplants?
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What intervention is recommended for endogenous sources of infection?
What intervention is recommended for endogenous sources of infection?
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What is the maximum duration for an original restraint order for adults (18 years +) in a hospital?
What is the maximum duration for an original restraint order for adults (18 years +) in a hospital?
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Who is responsible for assessing a nonviolent patient's condition every 2 hours while under restraint?
Who is responsible for assessing a nonviolent patient's condition every 2 hours while under restraint?
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What is the first step to be taken before considering the use of restraints?
What is the first step to be taken before considering the use of restraints?
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What is the role of the licensed practical nurse (LPN) in the context of restraint use?
What is the role of the licensed practical nurse (LPN) in the context of restraint use?
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What is the time frame for renewing an original restraint order in a hospital?
What is the time frame for renewing an original restraint order in a hospital?
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Which professional is responsible for specifying the type, location, duration, and circumstances of a restraint order?
Which professional is responsible for specifying the type, location, duration, and circumstances of a restraint order?
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What must be done if a restraint is needed due to violence or self-destructive behavior?
What must be done if a restraint is needed due to violence or self-destructive behavior?
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According to CMS guidelines, what does 'CMS' stand for in the context of restraint use assessment?
According to CMS guidelines, what does 'CMS' stand for in the context of restraint use assessment?
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What is the goal regarding the use of restraints?
What is the goal regarding the use of restraints?
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Which action related to restraint use cannot be delegated to another staff member?
Which action related to restraint use cannot be delegated to another staff member?
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Study Notes
Infection Control and Isolation
- Airborne precautions are necessary for diseases such as influenza and respiratory syncytial virus
- Contact precautions are necessary for diseases such as multi-drug resistant infections and herpes simplex
- Droplet precautions are necessary for diseases such as Neisseria meningitides and rubella
Personal Protective Equipment (PPE)
- Appropriate PPE for dealing with patients at high risk for infection and adverse outcomes includes gloves, gowns, masks, and eye protection
- Appropriate PPE for dealing with patients undergoing allogenic hematopoietic stem cell transplants includes gowns, gloves, and masks
Hand Hygiene
- Hands should be washed with either nonantimicrobial soap or antimicrobial soap and water when leaving a patient's room or after touching a patient
- Hand hygiene should be performed as per standard precautions before and after patient contact
Patient Safety and Fall Prevention
- "Never events" in hospitals include patient falls, surgical errors, and medication errors
- Respiratory hygiene and cough etiquette should be practiced to prevent the spread of infection
- The least invasive intervention for fall prevention is to encourage patients to ask for help when getting out of bed
Nursing Process
- The planning phase of the nursing process involves setting priorities, goals, and interventions
- The assessment phase of the nursing process involves gathering subjective and objective data about the patient
- A PES statement in nursing diagnosis includes the problem, etiology, and signs and symptoms
- Subjective data includes the patient's perceptions and feelings, while objective data includes measurable signs and symptoms
Restraint Use
- The maximum duration for an original restraint order for adults (18 years +) in a hospital is 4 hours
- The licensed practical nurse (LPN) can assist with implementing restraints under the supervision of a registered nurse (RN)
- The registered nurse (RN) is responsible for assessing a nonviolent patient's condition every 2 hours while under restraint
- The goal regarding the use of restraints is to minimize their use and ensure patient safety
- The physician is responsible for specifying the type, location, duration, and circumstances of a restraint order
- CMS guidelines emphasize the importance of assessing a patient's condition before using restraints
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Description
Prepare for your healthcare exam with this study guide covering restraints, their application, protocols, and delegation to licensed and unlicensed individuals. Learn about the appropriate use of restraints and the least invasive measures to be taken first.
