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20 Cards in this Set

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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.
Nursing Care of the Adult 1



Step 2
Perform hand hygiene and put on PPE, if indicated.
Nursing Care of the Adult 1



Step 3
Identify the patient.
Nursing Care of the Adult 1



Step 4
Provide privacy.
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.
Nursing Care of the Adult 1



Step 6
Obtain vital signs. Monitor vital signs as needed throughout the scenario.
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.
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.
Nursing Care of the Adult 1



Step 9
Assess level of consciousness, motor and sensory status
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.
Nursing Care of the Adult 1



Step 11
Assess intake and output, evaluate for urinary retention and monitor serum electrolyte levels.
Nursing Care of the Adult 1



Step 12
Assess condition of wounds and drains (if present).
Nursing Care of the Adult 1



Step 13
Relieve pain by administering medications ordered by the physician.
Nursing Care of the Adult 1



Step 14
Perform first skill & answer 3 theory questions
Nursing Care of the Adult 1



Step 15
Perform first skill & answer 3 theory questions
Nursing Care of the Adult 1



Step 16
Perform first skill & answer 3 theory questions
Nursing Care of the Adult 1



Step 17
Remove or discard all equipment. Remove gloves (and PPE) and perform hand hygiene.
Nursing Care of the Adult 1



Step 18
Assist the patient to a comfortable position and provide for warmth.
Nursing Care of the Adult 1



Step 19
Perform hand hygiene.
Nursing Care of the Adult 1



Step 20
Document all procedures.