Nursing Interventions
edema lasting 15-30 seconds
What is 3+ pitting edema?
most comfortable position for assessment
What is supine?
bruit and trill
What is AV fistula assessment?
vitals
What is objective data?
Who is the RN?
sunken fontanels, absence of tears, low urine output
What are the S&S of dehydration in children?
position used for enema administration
What is the sim's position?
auscultation
What is assessment by listening?
data that can be physically assessed
What is objective data?
hygiene, vitals, weights, blood glucose moniter
What is an LPN is able to delegate?
paralytic ileus, bowel obstruction, constipation
What are causes for hypoactive bowel sounds?
lithotomy
What is the position most commonly used for gynecological exam?
using fingertips to tap the body's surface to produce vibration and sound
What is percussion?
pt complains of chest pain
What is subjective data?
introducing self, positive body language, open posture, asking open-ended questions, speaking at eye level
What are ways to improve communication?
blood pressure considered to be a medical emergency
What is 180/110?
position used for respiratory distress
What is orthopneic position?
decreased oxygenated blood flow to the tissues
What is ischemia?
scale used for assessment of LOC
What is the Glascow Coma Scale?
LPN's role in surgery consent
What is witnessing?
pulses weak & easily obliterated
What is thread?
position used for a patient shock
What is Trendelenburg position?
anuria
What is having no urine output?
patient interview
What is subjective data?
what the LPN does after receiving a verbal order
What is clarify order?