study guide 120 exam 3

Module 11 Documentation: Communicating Through the Patient Record

Charting using different formats (SOAP, PIE, DAR, CBE, narrative).

Recording subjective and objective patient data accurately.

Interpreting documentation abbreviations

Identifying trends in data

Recognizing documentation errors and actions to avoid making them

Module 12 NG Tube Insertion, Maintenance and Removal; Enteral Feeding

Technique for NG tube insertion

Administration of a continuous feeding

Administration of an intermittent feeding

Techniques for unclogging feeding tubes.

Actions when unable to aspirate gastric secretions

Module 13 Bowel Elimination

Patient positioning for enemas.

Managing patient discomfort during enema procedures.

Cleaning and caring for stomas and peristomal skin.

Measuring and fitting ostomy appliances properly.

Bedpan types and appropriate use for patients with limited mobility.

Safe assistance techniques for toileting and elimination.

Immediate nursing actions during patient bowel distress.

Recognizing and responding to signs of intolerance to enema administration.

Teaching for a patient with a new colostomy.

Comprehensive Lab Skills

Module 3 Safe Medication Administration: Reducing Risk of Medication Errors

Administering liquid medications accurately.

Administering otic and ophthalmic medications accurately

Administering insulin correctly (injection sites, angles, storage of vials, and mixing insulins).

Administering medications from vials and ampules safely.

Correct techniques for subcutaneous (SQ) and intramuscular (IM) injections.

Special considerations for administering heparin injections.

Post-injection care and manage bleeding at the injection site.

Performing the three checks before medication administration

Interpreting HCP order on when to administer medication (once daily, etc)

Module 6: Perioperative Nursing and Ensuring Airway, Breathing, and Gas Exchange

Correct use of incentive spirometers.

Proper oxygen delivery with face masks and nasal cannulas.

Monitoring oxygen saturation with pulse oximeters

Teaching patients coughing, deep breathing, and leg exercises.

Correct nasopharyneal catheter insertion and suctioning techniques.

Preventing mucosal damage during suctioning.

Correct positioning of pneumatic compression devices.

Proper placement of knee-length graduated compression stocking

Management of surgical dressing changes

Module 7 Sterile Technique, Infection Control and Providing Wound Care

Maintaining a sterile field and recognizing when sterile field is contaminated

Proper sterile glove application techniques.

Staple and suture removal procedures.

Managing and emptying Hemovac and Penrose drains.

Handling contaminated or compromised sterile fields.

Identifying interventions to reduce pressure injury risk

Module 9 Urinary Elimination

Safe removal techniques for urinary catheters.

Signs of improper catheter placement or malfunction.

Proper sterile technique during catheter insertion and care (male and female genitalia)

Sterile collection of urine samples from indwelling catheters.

Module 10 IV Fluid Administration, Fluid Balance and Venipuncture

Safe and correct technique for collecting venous blood samples.

Indicator catheter has entered vein successfully

Techniques to promote vein distension during venipuncture.

Proper site preparation before inserting a needle.

Timing for tourniquet release during blood draws.

Proper handling of IV tubing and sterile connections.

Priming IV lines and maintaining aseptic technique.

Setting up and monitoring intravenous (IV) infusions by gravity.

Priority actions when IV infusion is slow or stopped infusing. provide a study guide