Exam (elaborations)
2024 KAISER EXAM WITH CORRECT ANSWERS
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2024 KAISER EXAM WITH CORRECT ANSWERS
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2024 KAISER EXAM WITHCORRECT ANSWERS
CAUTI Bundle - CORRECT ANSWERS-Document Q12 and discuss at NKE
1) Necessity of indwelling catheter
2) Unobstructed flow
3) Bag below level of bladder
4) Secured with adhesive or velcro device
5) Bag off floor
6) Pericare
Telemetry Utilization - CORRECT ANSWERS-1. Rhythm strips shall be
interpreted and posted in the Strip Record Sheet by the RN delivering patient
care at 0800, 1600, and 2400 hours. The rhythm interpretation shall include
PR interval, QRS, lead placement rate, and identified cardiac rhythm.
A. Any changes in the patient's cardiac rhythm will be documented in the
Nurses Progress Notes with appropriate interpretation, i.e., patient with
increasing number of PVC's. When possible, a copy of the arrhythmia shall be
placed on the patient's Strip Record Sheet or the strip immediately following
shall be labeled: Arrhythmia notes. See Nurses Notes. The licensed nursing
personnel shall inform the
physician of any changes in the patient's condition (i.e., chest pain; do not
treat orders).
2. The Telemetry clipboards will be left next to the monitors.
CLABSI Prevention - CORRECT ANSWERS-1) Adherence to CLIP (central line
insertion practice)
Hand hygiene
Maximal barrier precautions
chlorhexidine skin antisepsis
Optimal catheter site selection, with subclavian vein preferred.
Femoral site must removed in 24 hours
2) Daily assessment of line necessity with prompt removal of unnecessary
lines followed with documentation
3) Assessment of line with documentation
4) Dressing change protocol
5) Patient education
Code Stroke Algorithm
A person complains of SUDDEN ONSET of:
Severe headache of unknown cause
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