Chapters 30,31,32
Orthopnea
What is shortness of breath when lying flat
The best time to check for post void residual
What is 15 minutes after the patient voided
A holistic nurse focuses on
What is the mind-body-spirit
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?
What is Reduced kidney functioning
Name the Kubler-Ross stage with marital discord over a terminally ill spouse.
What is the anger stage
a 9 YEAR OLD IS IN WHICH STAGE OF DEVELOPMENT ACCORDING TO Erikson
The best way to get a 24 hour urine specimen
What is discard the first void, and collect the rest in a container for 24 hours, kept in ice.
What nurses document about their Hospice patient that has died.
What is time of death, location of ID tags, and time of body transfer
A client tells the nurse about a pattern of a strong urge to void, followed by incontinence before the client can get to the bathroom. Based on the data provided, which condition would the nurse suspect?
What is Urge incontinence
A patient is experiencing respiratory acidosis, Which organ system is responsible for compensation in this patient?
What is the Renal system.
Name two isotonic fluids
What are normal saline and lactated ringers
A patient refuses his medication, what is the nurses first action
What is ask the patient why he does not want to take the medication
One of the biggest concerns when checking your chest tube on your patient
What is when there is no bubbling or continuous bubbling in the water seal, which can indicate an air leak (continuous bubbling) or obstruction (no bubbling) With no bubbling, the lung may have completed inflating. Must let doctor know on both of these immediately.
What is the best nonmedical approach for excessive worry and work stress - what therapy should she recommend?
What is meditation.
What is a priority instruction for a patient with a new ileostomy?
What is increase fluids.
The gentleman has to ask for more and more pain medication to get the same effect
What is a tolerance to the pain medication
What is a high fiber diet and plenty of fluids
A veteran is hospitalized after bilateral amputee of the lower part of both legs, injuries sustained during military service - the loss the nurse will focus the plan of care on
What is situational loss?
The nurse is caring for a patient who is having difficulty expressing simple ideas in words. Which type of aphasia will the nurse report to the oncoming shift?
What is Expressive aphasia
Which assessment finding indicates to the nurse that the patient is in stage 4 NREM
What is The patient is difficult to awaken.
To help assess with pain with a 4 year old, what method is best
What is the FACES Scale.
An injection in the deltoid muscle of an adult weighing about 160 lbs, what gauge and length on the needle.
What is a 25 gauge with a 1 inch needle
A good nursing intervention for a torn meniscus on the right knee
What is ice.
The intracellular compartment consists of
What is all the fluids inside cells of the body
The nurse is caring for a patient who suddenly experiences chest pain. What is the nurse’s first priority?
What is Ask the patient to rate and describe the pain.