Where to go for follow-up care
Most recent vital sign data
Contact information for the home health care agency
Advance directives status
Instructions for diet and medications
Body mass index
Any difficulty swallowing
Usual times for meals and snacks
keep a box of facial tissues nearby for the client to use during the dressing change.
. keep the sterile field at least 6 ft away from the client’s bedside
place a mask on the client to limit the spread of micro-organisms into the surgical wound.
instruct the client to refrain from coughing and sneezing during the dressing change.
The edge of the sterile drape at the base of the field
An irrigation syringe on the sterile field
A bottle containing a sterile solution
One gloved hand with the other gloved hand
The inner wrapping of an item on the sterile field
The left side flap
The flap farthest from the body
The flap closest to the body
The right side flap
Wash the hands with soap and water for at least 15 seconds
Use a clean paper towel to turn off hand faucets
Apply 3 to 5 mL of liquid soap to dry hands
Allow the hands to air dry after washing.
Rinse the hands with hot water.
The nurse turns to speak to someone who enters through the door behind the nurse.
The provider drops a sterile instrument onto the near side of the sterile field.
The nurse moistens a cotton ball with sterile normal saline and places it on the sterile field.
The client’s hand brushes against the outer edge of the sterile field
The procedure is delayed 1 hr because the provider receives an emergency call.
Determining public health priorities
Planning and evaluating control and prevention strategies
Ensuring proper medical treatment
Identifying endemic disease
Monitoring for common-source outbreaks
Wear a mask when providing care within 3 ft of the client
Use sterile gloves when handling soiled linens
. Place the client in a room that has negative air pressure of at least six exchanges per hour.
Wear a gown when performing care that may result in contamination from secretions.
Place a surgical mask on the client if transportation to another department is unavoidable
Systemic lupus erythematosus
Increase in pulse and respiratory rate
Pain or tenderness
Provide the client with nonskid footwear
Ensure that the client’s call light is within reach.
Place a belt restraint on the client when he is sitting on the bedside commode
Keep the bed in low position with full side rails up.
Complete a fall-risk assessment
“I will be prepared to insert an airway.”
“I will administer medications as prescribed.”
“I will place the client on his side.”
“I will go to the nurses’ station for assistance.”
Extinguish the fire.
Evacuate the clients
Close all open doors on the unit
Pull the fire alarm
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