NUR 112 FINAL EXAM Review
Donning PPE order:
1.) Gown
2.) Mask
3.) Goggles / face shield
4.) Gloves
Doffing PPE:
1.) Gloves
2.) Goggles / face shield
3.) Gown
4.) Mask
What is the correct sequence for using a fire extinguisher?
Pull pin
Aim nozzle
Squeeze handle
Sweep towards base of fire
What do you do if a fire occurs?
RACE:
Rescue and remove clients in immediate danger
Activate alarm
Contain fire
Extinguish fire
Assault
- An intentional threat toward another person that places them in reasonable fear of
harmful, imminent, or unwelcome contact. - NO actual contact is necessary
- Ex: A threat to tie a patient or to give an injection to quiet a patient when they have
refused consent.
Battery - Intentional offensive touching without consent or lawful jurisdiction.
- May be harmful or merely offensive to the client (giving the injection or tying the client)
Negligence
Conduct that deviates from what a reasonable person would do in a particular
circumstance.
Unintentional tort, 4 elements necessary for malpractice: - Client must be owed a duty
- Breach of that duty
- Element of foreseeability
- Injury must have resulted as a direct result of breach of duty- causation
Nurse’s role in informed consent is limited to: - Witnessing a patient’s signature
- Validating that the consent is voluntary, that risks, benefits, & alternatives & right to
refuse the procedure were discussed with the patient by the health care provider. - The patient should be competent
- Informed consent is accurately & appropriately filled out with date, time, & appropriate
signatures – On the patient’s chart before transporting the patient to the procedure area. - If patient refuses procedure then obtain written, signed, and witnessed documentation
of refusal.
Informed consent indicates that the client has received the following info: - Diagnosis or condition that requires treatment
- Purpose of treatment
- What the client can expect to feel or experience
- Intended benefits
- Possible risks or negative outcomes
- Advantages/disadvantages of possible alternatives (including no treatment)
Grey Turner’s or Cullen’s Sign
Indicates peritoneal hemorrhage / intra-abdominal bleeding. Mark it to determine
borders.
Florence Nightingale (1820-1910)
“Lady with the Lamp”; wrote Notes on Nursing: What It Is, and What it is Not. Was a
nurse during the Crimean War.
Clara Barton (1812-1912)
Organized nursing services during the American Civil War; established the American
Red Cross.
Linda Richards (1841-1926)
Introduced nurse’s notes & doctor’s orders; initiated the practice of wearing uniforms.
Lillian Wald (1867-1940)
The founder of public health nursing; established the Henry Street Settlement.
Case Method (Total Care)
One-to-one care; one nurse provides all aspects of care for one patient during a single
shift.
Advantages:
The nurse and patient work closely together, patients needs are readily met, nurses
have greater autonomy.
Disadvantages:
High costs
Uses: Intensive care, L&D, private duty care
Functional Nursing
- Task-oriented approach to care delivery.
- Implemented when inadequate staff
- Head nurse delegates task to team members who complete specific tasks rather than
caring for specific clients. - Example: One nurse administers medication & changes dressings while another
monitors orders & communicates with physicians. - Unlicensed assistive personnel (UAP)—Critical component; provide basic care
(feeding, bathing, etc) - Advantage:
Cost effective - Disadvantage: