Fluid & Electrolytes
Before hanging IV potassium, what must the nurse check first?
Confirm IV fluid is compatible with IV potassium
What foods are complex carbohydrates?
whole grains, brown rice, legumes
What patients are at most risk for falls?
Stroke patients, weakness, confusion
Which communication technique uses leaning forward, nodding, and eye contact?
Active Listening
After planning in the nursing process, what comes next?
Implementation
When is the best time to weigh a patient to detect fluid retention?
Morning, before breakfast, after voiding
What is the best nursing action if tube feedings cause nausea/diarrhea?
Stop feedings
What items are considered when doing a fall risk assessment?
Age, medications, balance
Patient States: I do not like the food here.
Nurse States: Our cooks work hard to make you good food.
What communication block is this?
Defensive response
What action should the nurse take before administering NPH insulin?
roll vial gently to mix
A patient with severe diarrhea is at risk for which acid-base imbalance?
Metabolic acidosis
How much sun exposure provides adequate vitamin D?
9-25 minutes per day
What should be checked when applying wrist restraints?
Circulation, color, warmth, pulses
Nurse replies to patient: What solutions have you considered?
This demonstrates what type of communication?
Therapeutic communication
Order of primary survey
Airway, breathing, circulation, LOC, exposure
What are the functions of water in the body?
Transport nutrients, heat regulation, removing waste from cells
Which foods must be avoided in the Muslim religion?
Pork
What is the best environmental intervention for respiratory congestion?
Use a humidifier
What are considered blocks to effective communication?
Changing the subject, giving advice, asking probing questions
List 2 strategies in using an interpreter
Use facility interpreter, face towards patient, ask one question at a time
What is a sign or symptom of: hypocalcemia & hyperkalemia
Hypocalcemia: tingling around mouth
Hyperkalemia: muscle weakness
An older adult with memory loss and poor nutrition—best nursing action?
Involve family
At what point does discharge planning begin?
At admission
During SBAR call to a provider, which info must be included?
Patient condition, change in VS, urinary output
Which tasks are the nurse’s responsibility when transferring a client?
Ensure valuables, verbal report, transfer form