Nursnig process
what is critical thinknig?
analysis of information and weighing all the options
What are some of the tools you can use to assess pain?
1-10 numerical scale
FACES scale
How many ml your patient got?
calculate I&Os: Your patient is getting:
1 cup water
4 oz milk
8 oz juice
1/2 cup water
1 tablespoon cough syrup
1 teaspoon syrup.
770ml
The patient's family is not agreeing about what should be done to the patient. What would be the best course of action?
requesting an ethics committee meeting
You want to delegate IV medication adminstration to the unlicensed personal. Would this be appropriate?
no, they are not lincensed and trained to do this procedure
When administering medication, which part of the nursing process are you practicing while reassessing the patient and see if the medication worked?
evaluation
What are some of physiological and psychological concerns with chronic pain?
irritability, fatigue, depression, insomnia, sleep disturbances
You calculate the dose written for your patient and the dose is 3 times higher than normal. You notify the provider, but he says just give the dose. What would you do?
notify the supervisor or manager
You gave the wrong medication to your patient, no appearant harm to the patient at this time. Which unintentional tort could you be sued for?
negligence
What are some of the things you have to consider before you delegate a task?
Five rights:
right task
right circumstance
right person
right direction/communcation
right supervision/evaluation
What is the nursing diagnosis?
personalized plan of care to meet the client's needs
What are some of hte characteristics of acute pain?
happens suddenly
protective ,temporary
physiological signs: elevated HR, BP, RR
Order: 0.5 mg of medication. On hand, you have 2 mg/2ml. HOw much you give?
0.5 ml
You gave a patient an IV that stopped the patient heart. Later you discovered that the medication you gave was not ordered for your patient but for another. If your patient dies, what type of unintetional tort are you responsible for?
malpractice
What is one of the key assessment you must do before you delegate a task?
assess the person's knowledge and skills to perform the task
What are parts of nursing assessment?
current and past medical history
review of systems
subjective and objetive data
Which type of pain can cause referred pain?
visceral pain (internal organs)
Order: give 1.2 gram of medication. On hand, you have: 2400mg/10 ml. HOw much you give?
5 ml
Your patient keep wanting to get out of bed and you tell him that if he doesn't stop, you are going to put restraints on him. WHat type of intentinal tort is this?
verbal assault
You want to delegate vitals signs to a tech on a patient who just came out of the OR and the BP is little labile. WOuld this be appropriate?
no
What would be an objective sign of pain during your assessment?
patient guarding his abdomen, grimacing
Which type of pain is peripherally generated?
diabetic neuropathy
Order: 0.75 gram of medication. You have on hand 1500 mg/5 ml. HOw much you give?
2.5 ml
You get some lab results back on your patient that are ubnormal but you are really busy and don't report them to the physician. What type of intentinal tort are you responsible for?
negligence