- The sterile field remains sterile
- The sterile field is contaminated
- Only the area you turned your back on is contaminated
- It depends on how long you turned your back

Category: BS Nursing
- Panic Disorder
- Social Anxiety Disorder
- Generalized Anxiety Disorder
- Specific Phobia
- Ask them to describe the content of the hallucinations, particularly if they are command hallucinations
- Tell them the hallucinations are not real
- Ignore the hallucinations to avoid reinforcing them
- Suggest they take over-the-counter medication
- "It's a secret. Just take it."
- "It's for your condition, as prescribed by the doctor. Do you have any concerns?"
- "I don't know, I just administer what's ordered."
- "It's to make you feel better."
- Administering opioids for pain
- Providing large amounts of alcohol to taper
- Administering benzodiazepines as ordered to manage withdrawal symptoms
- Giving antibiotics
- Engage in the philosophical discussion indefinitely
- Gently bring the conversation back to the client's current concerns and goals
- Tell them their thoughts are irrelevant
- Terminate the session due to lack of progress
- Low; can wait for primary care appointment
- Moderate; monitor at home
- High; requires immediate emergency medical attention
- Routine; schedule for elective imaging
- Temperature
- Respiratory rate
- Blood pressure and heart rate
- Oxygen saturation
- Numeric rating scale (NRS)
- Wong-Baker FACES pain rating scale or FLACC scale (for non-verbal)
- Verbal descriptor scale
- Visual analog scale (VAS)
- Override the directive for their well-being
- Respect the patient's wishes as stated in the advance directive
- Ask the family to decide, regardless of the directive
- Provide nutrition against their wishes
- Post-operative pain
- Airway obstruction
- Nausea
- Dehydration
- Suction for prolonged periods (e.g., over 30 seconds)
- Apply suction while inserting the catheter
- Limit suction passes to 10-15 seconds and hyperoxygenate before/after
- Use sterile technique only for catheter insertion, not for withdrawal
- Discussing patient details in public areas
- Leaving the patient's room door open during care
- Knocking before entering and closing the door during care
- Using the patient's full name in casual conversation
- Administer oral insulin
- Administer IV dextrose (if available and trained) or glucagon IM
- Provide a sugar-free drink
- Give a full meal
- Parkinsonism
- Akathisia
- Dystonia
- Tardive Dyskinesia
- 15:02
- 30:02:00
- 5:01
- Continuous compressions
- Encourage them to relive the entire memory in detail
- Use grounding techniques to help them orient to the present moment
- Tell them the memory is not real
- Change the subject abruptly
- Apply mitts or restraints immediately
- Distract and redirect the patient with a preferred activity
- Yell at the patient to stop
- Ignore the behavior
- Sodium
- Potassium
- Calcium
- Magnesium
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