Study guides, Class notes & Summaries

nurse's role in health assessment: 4 goals - ANSWER promote health prevent illness treat human responses to health or illness

what are the 4 types of assessments - ANSWER emergency general survey comprehensive focused whats the benefit of using the "head-toe" approach to assessments? - ANSWER it is the most organized ensuring every body part is inspected thoroughly. When is an "emergency assessment" performed? - ANSWER in life-threatening situations use your ABCDE commonly used in trauma / ER

continuous bladder irrigation - ANSWER 3 way lumen -inflating the balloon w 30ml -instillation -outflow continuous irrigation may be used w/ what? - ANSWER TURP The amount of fluid recovered in the drainage bag must equal... - ANSWER amount of fluid instilled (secondary hemorrhage may occur from over-distention) what should an RN do if pt c/o pain w/ continuous irrigation? - ANSWER exam tubing. irrigate drainage system w/ fluid (50ml) if indicated: clear obstruction continu...

The nurse is caring for a client with a continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the plan of care? a. Flush the tube with 50 mL of water q 8 hrs b. Check for tube placement and residual volume q4 hrs c. obtain a daily x-ray to verify tube placement d. position on left side with head of bed elevated 45 degrees - ANSWER b. Check for tube placement and residual volume q4 hrs A 77-year-old female client is adm...

Acetaminophen (Tylenol) 1) NSAID or not? 2) What can it be used for? 3) Toxic to what organ? 4) Patient teaching 5) Antidote - ANSWER 1) Not an NSAID 2) Decrease fever and pain 3) Liver 4) Don't drink alcohol while taking 5) Acetylcysteine Aspirin (Acetylsalicylic acid) 1) NSAID or not? 2) What can it be used for? 3) Side effects? 4) Patient teaching - ANSWER 1) Not an NSAID 2) Relieve pain, reduce fever, anticoagulant 3) Bleeding, GI uspet 4) Don't take if also on an antico...

Standardized care plans - ANSWER are prepared care plans that identify the nursing diagnoses, outcomes, and related nursing interventions common to a specific population or health problem. Initial planning - ANSWER is performed by the nurse with the admission nursing history and the physical assessment. This comprehensive plan addresses each problem listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care. Ongoing planning - ANSWER I...

a patient with end stage cancer is prescribed morphine sulfate to reduce pain. for which effect is this medication prescribed - ANSWER Palliative the nurse accidentally provides a patient with 10 mg of warfarin instead of 5 mg as prescribed. which action should the nurse take - ANSWER Complete an incident report according to the facilitys policy a patient is prescribed fluoxetine 20mg by mouth daily for treatment of depression. The nurse caring for the patient is unfamiliar with this drug....

Eye drop admin - ANSWER -Administer medication safely and appropriately, -Avoid cornea, -Never touch eye or eye lid with administration device, -Pressure to lacrimal duct after giving medications, -Inner to outer canthus Enema Patient Preparation - ANSWER -Explain the purpose -A reclining position for enema administration -Specifically left side-lying with the upper thigh pulled toward the abdomen if possible, or the knee-chest position -If the patient has a respiratory disorder or ...

A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? - ANSWER Metoprolol tartrate (Lopressor) Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective and less likely to cause bronchoconstriction. A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provi...

Levels of Health Promotion - ANSWER primary, secondary, tertiary Application Examples of Levels of Promotion - ANSWER primary- weight loss, diet, smoking cessation Secondary- papsmears, mammograms, testicular exams Tertiary- medication therapy, surgical treatment, physical therapy, teaching foot care education to diabetic care Primary - ANSWER promotes health and preventing development of disease process or injury Secondary - ANSWER screening for early detection of disease Tertiary...