Quiz #1

R.A.C.E

Rescue, Alarm, Contain, Extinguish

P.A.S.S

Pull, Aim, Squeeze, Sweep

Four bed rails up

Considered to be a restraint

Physical restraint

Manually holding or immobilizing the client using physical strength

Mechanical restraint

Use of materials, straps, fabric, and leather devices that can be fastened around the wrists or ankles of a client (hand mitten is the least restrictive)

Chemical restraint

involves the administration of medications to a client to reduce the clients movements or control behavior (ex. benzodiazepines, antipsychotics, and neuromuscular-blocking agents)

Barrier restraint

Entails restraining the clients movement within a setting through the use of barriers to limit movement

Seclusion restraint

involves placing the client alone in a securely locked room without their consent

ISBARR

Identify, Situation, Background, Assessment, Recommendation, Read back orders

Adult HR

60-100bpm

Adult respiratory rate

12-20 breaths per minute

Adult BP

120/80

Rhonchi

a low pitched breath sounds caused when air passes through the bronchial tubes that contain fluid/mucus

Crackles

a high pitched breath sound caused if the small air sacs in the lungs fill with fluid and air movement (person has pneumonia or heart failure)

Wheezing

a high pitch whistling sound caused by narrowing of the bronchial tubes

Stridor

a harsh vibratory sound caused by narrowing of the upper airway

Bradycardia

HR less than 60

Tachycardia

HR higher than 100

Hypotension

BP less than 90/60

Hypertension

BP higher than 140/90

Temperature monitoring sites

-Rectal (not someone who has low platelets) -Temporal (forehead) -Tympanic (ear) -Axillary (armpit) -Oral/Sublingual (under tongue)

Contact precaution PPE

Gown and gloves

Droplet transmission PPE

Surgical mask

Airborne transmission

N95 mask

Steps for donning

Hand hygiene Shoe covers (if applicable) Gown Mask Eye protection Gloves

Steps for taking off

Shoe covers (if applicable) Gown and gloves together Perform hand hygiene Eye protection Mask Perform hand hygiene

Transdermal patch

-Topical medication are applied directly to the area being treated -Medication is absorbed through the mucous membranes or skin in the area of application and moves into the blood through the capillaries in that area

Otic applications

applied to or in the ear to treat conditions of the external and middle ear

Sublingual

placed under the tongue, dissolve and activate ingredients are quickly absorbed into the bloodstream

Buccal medications

placed between gum and cheek

Medical abbreviations

PO - orally, by mouth BID - twice a day PRN - taken as needed Qd - every day Qh - every hour Qid - four times a day

Isotonic solutions

has the same salt concentration as cells and blood

Hypotonic solutions

has a lower concentration of solutes that another

Hypertonic solutions

contains more dissolved particles than is found in normal cells and blood

Subcutaneous injections

absorption slower than IM injections, loose connective tissue under the dermis, (deltoid, thighs, abdomen in the umbilical region, lower loins)

Intramuscular injections

faster absorption than subcutaneous route (deltoid, vastus lateralis, rectus femoris, ventrogluteal)