The nurse is caring for a client with a foley catheter, which interventions will help prevent infection?
The nurse is preparing medications for a client and doesn't know what the medication is. What resources does the nurse have?
Pharmacist, drug guide, more experience nurse.
1mL
A client with xerostomia has....
The nurse understands that pain is always _______ and we are responsible for reporting pain.
subjective
At what age does a child have the ability to toilet train?
2 years old
At what angle will the nurse administer a subcutaneous injection?
45 degrees
A client refuses a medication, what is the nurse's responsibility?
Document, call the provider, and educate the client on why the mediation was ordered.
You are caring for a patient with influenza, what nursing interventions might you perform for sensory deprivation?
A patient with a pain level of 2 could be offered these interventions.
Acetaminophen, tylenol and/or nonpharmacological interventions.
What does oliguria and anuria mean?
Oliguria-diminished urine output, anuria no urine output
One of the ways to prevent medication errors when obtaining medications is to...
be in a distraction free environment.
These are considered examples of oral medications
buccal and sublingual tablets.
What are some safety concerns in the home for those with sensory deficits?
Throw rugs, poor lighting, expired food, and fire safety.
An example of nonpharmacological interventions includes...
Reiki, heat and warm packs, massage, distraction, music, guided imagery
A client who recently had surgery and is now experiencing incontinence after removal of the foley catheter would be considered which type of incontinence?
Transient (potentially reversible, caused by a medical procedure, medication, or procedure)
Liver and kidneys
Children can receive the same amount of an injection as adults.
False, infants and younger children have smaller volume amounts for injections.
Your patient has hearing aids that are currently not working, how else could you communicate with them?
Communication board, sit facing the client when speaking, replace the batteries in the hearing aids.
Constipation, respiratory depression, and falls.
The most common cause of urinary tract infections in the elderly is...
incontinence or improper cleaning.
A patient on a PCA can have a family member press the button for them. T/F
False. Only the patient can press the button.
use a gauze to protect from a cut from the glass, draw the medication up using a filter needle.
When guiding a patient with a visual impairment about the placement of objects, which technique is the best?
The clock method
A nurse must document this before administering pain medication.
A complete pain assessment not just the pain rating.