Nursing Process
The Nursing Process is known as this......
What is ADPIE?
Possible explanation of what is happening is...
What is a hypothesis?
Which need comes first according to Maslow
What is air, food, temperature regulation and anything else under physiological?
Which task can the PN delegate to the UAP
What is taking routine vital signs?
A heart failure patient refuses a low-sodium diet. Best approach is
What is Explore the patient's concerns and barriers
Four types of nursing interventions are......
What are Direct patient care, Indirect patient care, Independent interventions, and dependent interventions?
A post-op patient hasn't voided for 7 hours. The PN should try this first.
What is assist the patient to stand or use the bathroom?
The second tier of Maslow's Hierarchy is....
What is Safety and Security?
Which task cannot be delegated
What is initial patient teaching?
A CHF patient reports difficulty breathing when lying flat. Priority action is
What is raise head of bed (optimize breathing)
Expected Outcomes are found under which section of ADPIE
What is Planning?
A PN notices that a chest tube drainage increases from 20 mL/hr to 200 mL/hr. Next action is....
What is notify the RN/provider immediately â possible hemorrhage
Which medication requires checking potassium levels before giving
What is Furosemide (Lasix)
A UAP reports a BP of 80/60. The PN should
What is reassess the patient personally?
You suspect fluid overload in a CHF patient. What is the first priority assessment is
What is Auscultate lung sounds?
Four Techniques used to gather data of how a patient's body is functioning are.........
What is...Inspection, Auscultation, Palpation, and Percussion?
A post-op patient requesting pain medication or
A diabetic patient with blood glucose of 58 mg/dL or
A patient with a dressing saturated with old, dried blood or
A patient with COPD whose oxygen saturation is 89% on 2 L/min
What is Blood glucose 58 mg/dL requires immediate correction to prevent hypoglycemic crisis
A patient has a new rash after taking an antibiotic. Priority action is
What is Hold the medication â possible allergic reaction and then notify provider
Which patient should not be assigned to a UAP
Patient 1 hour post operative abdominal surgery or
Patient on fall precautions with new confusion or
Patient waiting for a procedure
What is a patient on fall precautions with new confusion?
A patient post-op suddenly becomes restless and anxious. PNâs priority is....
What is Assess oxygenation.
The Steps in the Nursing Process are.......
What is...Assessment, Diagnosis, Planning, Implementation, and Evaluation?
A new post-op patient complains of "popping" at the wound. The PN should....
What is inspect incision for dehiscence/evisceration
Best teaching method for an older adult is
What is Slow pace, simple instructions, return demonstration
You suspect a UAP falsified vital signs. The best action is?
What is report to RN/supervisor â patient safety risk
A patient refuses to ambulate post-op due to pain. Best response is
What is Explain importance + pre-medicate before walking?