Intro Benchmark

Small-bore NG Tube

A tube used for gastric feeding or decompression, inserted through the nostril into the stomach.

High Fowler's position

Patient position where the back is at a 90-degree angle, facilitating easier swallowing.

pH check for NG tube placement

Method of confirming NG tube placement by aspirating gastric contents and checking if pH is typically less than 5.

Gold standard for confirming tube placement

X-ray confirmation.

Denture hygiene importance

Maintaining oral hygiene and preventing infections in patients with dentures.

Non-abrasive cleaner

A type of cleaner used for dentures that does not scratch the surface.

Patient autonomy in physician-assisted suicide

The right of patients to make decisions about their own medical treatment, including the choice to end life under certain conditions.

Living Will

A legal document specifying a person's wishes regarding medical treatment in situations where they are unable to communicate.

Durable Power of Attorney for Healthcare

A legal document that designates a person to make healthcare decisions on behalf of someone else.

Rights of patients with medication administration

Patients have specific rights regarding their medication including right patient, right medication, and right to refuse.

MRSA

Methicillin-Resistant Staph Aureus, a type of bacteria resistant to certain antibiotics.

C. difficile

Clostridium difficile, a bacterium that causes severe diarrhea and other intestinal issues.

Preventive measures for contact transmission

Use of gown and gloves to prevent the spread of infections such as MRSA and VRE.

Droplet transmission

Transmission of infectious agents through respiratory droplets.

Precautions for droplet transmission

Use of surgical masks, gowns, and gloves when in contact with secretions.

N95 respirator

A protective mask designed to achieve a very close facial fit and very efficient filtration of airborne particles.

Airborne transmission

Spread of infectious agents through tiny droplets that remain suspended in the air.

Conditions requiring airborne precautions

Includes tuberculosis, measles, and varicella (chickenpox).

Nurse's role in advanced directives

To understand, clarify, and advocate for the patient's wishes as expressed in advance directive documents.

Patient privacy and dignity in denture care

Ensuring that the patient's personal space and honor are maintained during denture handling.

Gown and gloves in contact transmission

Precautions that healthcare personnel should take to protect themselves and their patients from infectious organisms.

Effective communication to patients

Educating patients about their medication, including potential side effects and purpose.

Right to refuse medication

A basic patient right allowing them to decline any medication they do not wish to take.

Informed consent in medication administration

The process of getting permission from a patient before conducting a healthcare intervention.

Scabies

A contagious skin condition caused by a tiny burrowing mite, requiring contact precautions.

Documenting medication administration

Recording the details of administered medications, their dosage, and patient's response.

Influenza transmission precautions

Require droplet precautions including surgical masks to prevent spread.

COVID-19 transmission modes

Can be droplet and airborne, necessitating different precautions.

Wound infections and transmission risk

Infections that require contact precautions to prevent spread due to drainage.

Clean denture storage

Keeping dentures in a labeled container with water or denture solution to prevent drying.

Emotional support in assisted suicide

Providing comfort and understanding to patients considering physician-assisted suicide.

Educating families about end-of-life options

Explaining choices available to families involved in a patient's care at end-of-life stages.

Rationale for high Fowler's position during NG tube insertion

Facilitates swallowing during the procedure, reducing the risk of aspiration.

Key steps for placing an NG tube

Includes confirming order, hand hygiene, and patient preparation.

Standard for confirming NG tube placement

X-ray is considered the most reliable confirmation method.

Approach to denture care

Focus on gentle handling and effective cleaning to prevent damage.

Role of nurses in adherence to advanced directives

Nurses must ensure the patient's wishes are honored and documented.

Essential components of medication rights

Verification of right patient, medication, route, time, documentation, and reason for administration.

Understanding pH in NG tube placement

A pH less than 5 typically indicates proper gastric placement.

Recognizing germ transmission through droplets

Understanding how infections spread through respiratory droplets and necessitating surgical masks.

Promoting good denture hygiene practices

Encouraging patients to personal hygiene and removal of dentures at night.

Consumption of water during NG tube insertion

Allows swallowing to facilitate tube passage.

Implications of a nurse's refusal to participate in assisted suicide

Nurses can ethically refuse to participate if it goes against their beliefs with appropriate handoff.

Cleanliness requirements for denture hygiene

Use of lukewarm water for cleaning to prevent warping of plastic.

Identifying common conditions needing contact precautions

Includes MRSA, VRE, and C. difficile among others.

Importance of nurse advocacy regarding advanced directives

Ensures that the patient's wishes are respected in all healthcare decisions.

Role of hand hygiene in NG tube insertion

Prevents infection and maintains a sterile environment during procedure.

Med Admin and patient rights

• Right patient – verify using 2 identifiers.

• Right medication

• Right dose

• Right route

• Right time

• Right documentation

• Right reason

• Right response (assess effectiveness)

• Right to refuse

• Right to be informed (about the medication’s purpose, side effects, etc.)

Contact precautions require

gown and gloves

Contact precautions required for:

• MRSA (Methicillin-Resistant Staph Aureus)

• VRE (Vancomycin-Resistant Enterococcus)

• C. difficile (spores – handwashing required, not hand sanitizer)

• RSV (also droplet)

• Herpes simplex virus (HSV)

• Scabies

• Impetigo

• Lice (Pediculosis)

• Wound infections with drainage not contained by dressings

Droplet precautions require

Surgical mask; gown/gloves if contact with secretions

Droplet precautions required for

• Influenza

• COVID-19 (also airborne in some cases)

• Pertussis (Whooping cough)

• Mumps

• Rubella

• Meningitis (N. meningitidis)

• Diphtheria (also contact)

• RSV (also contact)

Airborne precautions require:

N95 respirator, negative pressure room

Airborne precautions required for

• Tuberculosis (TB)

• Measles (Rubeola)

• Varicella (Chickenpox)

• Disseminated Herpes Zoster (Shingles)

• COVID-19 (in some aerosol-generating procedures)