A nurse reports to a patient that he will be back in 40 minutes to check on pain level after medication administration. The nurse returned in 40 minutes
What is Fidelity
Which nursing process usually follows after assessment.
What is diagnosis.
Symptoms or issues that a client tells you that you cannot observe or measure.
What is subjective data.
Who do you see first?
Patient A: admitted for HF exacerbation. Reports 4/10 chest pain approx 8 hours ago
Patient B: admitted with pneumonia. Chronic lumbar back pain, 6/10
Patient A....why?
Your nursing note is descriptive yet to the point. (what characteristics?)
What is CLEAR AND CONCISE nursing documentation?
The patient asks a nurse whether an error was in this medication administration. The nurse tells the patient there was an error.
What is Veracity
What are the three parts of a nursing diagnostic statement.
What is problem, etiology and symptoms.
The cognitive process used to develop and implement the nursing process.
What is critical thinking.
Define Maslow's Hierarchy of needs
What is physiological, safety, love/relationships, self-esteem, self-actualization.
DAR, SOAP, Flowsheet, CBE, Narrative...
A nurse delays going to a patient room when the call bell rings out of frustration as this patient has been ringing every 20 minutes
What is justice
What stage of the nursing process is a nurse using when gathering information.
What is assessment.
A process known as a systematic framework used to help nurses think critically about solving client problems.
What is the nursing process.
Define CURE
What is critical, urgent, routine, and extra.....can you provide examples of each!?
Your nursing note includes a wound measurement and description with a signature and credentials at the end.
What is accurate and authentication
A patient refuses to have a life-saving surgery
Autonomy
Define ADPIE.
Assessment, Diagnosis, Planning, Implementing and Evaluation
Define components of SMART goals
Specific, Measurable, Achievable, Realistic and Timed
Nurse Abdul has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first?
a. A client who is ambulatory
b. A client scheduled for physical therapy at 1 pm
c. A client with a fever who is diaphoretic and restless
d. A postoperative client who has just received pain medication
Who is C. Why??
A patient states, "I can't catch my breath" or rates their pain as a 5 on a scale from 0 to 10.
Subjective data
A nurse reviews a patient's allergies before administering a medication
What is non-maleficence
Giving medications, sitting a patient up, assisting with feeding, educating about a new medication...what step
What is implementation
Signs and symptoms in a patient that can be seen, felt, heard and/or smelled.
What is objective data.
Nurse Caitlynn is caring for four clients and is preparing to do his initial rounds. Which client should the nurse assess first?
A. A client with diabetes is being discharged today.
B. A 35-year-old male with tracheostomy and copious secretions.
C. A teenager is scheduled for physical therapy this morning.
D. A 78-year-old female client with a pressure ulcer that needs a dressing change.
What is: B....why?!
V/S: 148/86, 110, 22, 99.9
What is Objective data