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20 Cards in this Set
- Front
- Back
Nursing Care of the Adult 1
Step 1 |
Review the patient chart. Check the doctor’s orders. Plan the sequence of care. Gather needed equipment for all three skills.
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Nursing Care of the Adult 1
Step 2 |
Perform hand hygiene and put on PPE, if indicated.
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Nursing Care of the Adult 1
Step 3 |
Identify the patient.
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Nursing Care of the Adult 1
Step 4 |
Provide privacy.
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Nursing Care of the Adult 1
Step 5 |
Explain what you are going to do, also explain to the patient why you are going to do it in that sequence.
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Nursing Care of the Adult 1
Step 6 |
Obtain vital signs. Monitor vital signs as needed throughout the scenario.
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Nursing Care of the Adult 1
Step 7 |
Assess respiratory rate, depth, and quality. Monitor the patient’s oxygen saturation. Ask if patient is experiencing any difficulty breathing or shortness of breath.
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Nursing Care of the Adult 1
Step 8 |
Assess heart rate, rhythm and quality. Assess peripheral pulses, skin color and capillary refill. Ask if the patient is experiencing any chest pain.
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Nursing Care of the Adult 1
Step 9 |
Assess level of consciousness, motor and sensory status
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Nursing Care of the Adult 1
Step 10 |
Auscultate for bowel sounds. Assess abdomen for distension and firmness. Ask if patient feels nauseated, any vomiting, and if passing flatus.
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Nursing Care of the Adult 1
Step 11 |
Assess intake and output, evaluate for urinary retention and monitor serum electrolyte levels.
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Nursing Care of the Adult 1
Step 12 |
Assess condition of wounds and drains (if present).
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Nursing Care of the Adult 1
Step 13 |
Relieve pain by administering medications ordered by the physician.
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Nursing Care of the Adult 1
Step 14 |
Perform first skill & answer 3 theory questions
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Nursing Care of the Adult 1
Step 15 |
Perform first skill & answer 3 theory questions
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Nursing Care of the Adult 1
Step 16 |
Perform first skill & answer 3 theory questions
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Nursing Care of the Adult 1
Step 17 |
Remove or discard all equipment. Remove gloves (and PPE) and perform hand hygiene.
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Nursing Care of the Adult 1
Step 18 |
Assist the patient to a comfortable position and provide for warmth.
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Nursing Care of the Adult 1
Step 19 |
Perform hand hygiene.
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Nursing Care of the Adult 1
Step 20 |
Document all procedures.
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