Plan of Care
Medications
Nursing Protocols
Lab Values
100
Patient has a basilar Left Pleural Effusion. This test revealed that on admission.

What is an Xray?

100

This medication is given to patients with high blood pressure but held when the patient has a LOW heart rate.

What is a beta blocker?


Example: metoprolol
100

A patient is ordered Insulin Fast acting before meals. When is the best time to administer the insulin.

Before the patient eats.
100

Hemoglobin is 6.5. This nurse should prepare for this intervention.

Blood transfusion

200

Patients baseline is no Oxygen. Nurses can wean 02 down up to this Liter.

What is 4L . After 4L must call Respiratory.

200

Patient is ordered Enoxaporin. The nurse should educate the patient that this is important because...

What is a blood clot that could lead to a pulmonary embolism

200
Patient has an order for IV piggyback Ceftriaxone but is not ordered any fluids. The nurse knows to get this kind of tubing.

Primary Syringe tubing.

200

Patient presents with a fever 101.2, lethargy and weakness. The nurse checks these two labs to determine sepsis.

WBC and LActic Acid.

300

Patient needs placement due to domestic abuse at home. The correct consultant to get involved in this case.

What is Domestic Social worker?

300

This medication is given for nerve pain

What is Gapapentin

300
Daughter of patient requests to be POA. Another daughter requests power of attorney. 2 sisters do not speak to eachother. The nurse should do this when speaking about the plan of care.

Only speak to the patient and call social work to intervene on family dynamics.

300

Patient is in liver failure. The nurse can interpret this by looking at these specific lab results.

AST and ALT.

400

Patient has a foley catheter and order reads per NURSING protocol. On day 3 the nurse should ask the physician to do this intervention.

Trial void and remove Foley catheter.

400

This medication is given for to prevent inflammation and should be tapered down.

What is a steroid?


Example: prednisone

400

The nurse administers IV heparin Subcutaneous. She teaches her orientee to administer appropriately this way.

alcohol swab, pinch subcutaneous tissue, administer 45 degree angle, put safety cap on.

400

INR is 4.2. Doctor calls and orders 5 mg of coumadin. The nurse does this.

question and clarify. Tell the physician it is inappropriate to adminnister coumadin to a patient with an INR of 4.2
500

patients blood pressure is 189/90. Nurse calls physician and physician says do not administer anything. The nurses next intervention will be ..

What is a physician notification?

500

When giving this medication, an INR should be checked first.

What is coumadin?

500

Patient comes back negative for MSRA in his nares, but positive on his foot. The nurse puts the patient on this kind of isolation.

Contact Isolation.

500

The patient presents with acute kidney injury. The nurse looks at this result to determine severity.

BUN and Creatinine

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