patient states - I feel dizzy
What is subjective data
BONUS>>>> 15 extra points what type of subjective data is it?
All patients all the time
What is Standard Precautions
Sign out the medication and ensure the count is correct
What is removing a narcotic from the narc draw
Name and date of birth
What are 2 identifiers used
stool turns from brown to black and sticky
What is occult blood
Form that is filled out when a patient wants to leave the hospital
What is AMA
PNE, Pressure ulcers, and contractures
Friction and Pressure
Main causes of pressure ulcers
Why is the 1st blood away when performing a glucose check
1st sample is diluted with serous fluid
straw color, SG 1.015, pH 6.0`
What are characteristics of a normal urinalysis
Best way to manage death and dying
understand your own views on death
What needs to be assess prior to an MRI
no metal
Why is this important post surgery
support surfaces and internal tissues
determining potential health problems and clustering related assessments
what is the purpose of nursing diagnosis
Labs that need to monitored with multiple enemas
Na and K
Introducing yourself and calling the client by chosen name are essential components of what?
Developing a rapport
What is going on here?
Phlebitis -
BONUS 100 points... what is the biggest difference between phlebitis and infiltration
Client has been in bed for over 1 week, finally is able to get OOB. You and the CNA go in together, while the patient is dangle on the side of the bed... what do you hot shot?!?!?
ASSESS....response to change in position, dizziness, N/V, b/p and pulse changes
Vessels are being cleansed of fatty deposits
What is elevated HDL (high density lipoprotein)
assessing swallowing abilities with sips of water
*post surgery once BS and gag reflex have returned
*administering liquid medications to a patient you are unsure about
An ER nurse has contacted the provider, gave the update and stated she would like to get stat blood work and a CXR. What is this considered (think documentation/reporting)
What is SBAR - Recommendations/requests
Restlessness, rising pulse, falling blood pressure
What are s/s of internal hemorrhage
How to assist an unsteady person OOB post surgery
assist with stand and pivot, w/c at right angle, using a gait belt/transfer belt
occlude air and promote breakdown of necrotic tissue
Occurs when the renal tubules reabsorb more water and reduce urine output
what is dehydration