A
Remove all metal objects
Remove all patches
Careful monitoring for tattoos
Get order for sedative, if needed
What is nursing care provided for client getting an MRI?
Check gag reflex return
Check bowel sounds
Check for order to discontinue NPO status
Assess for normal vital signs
What is nursing care provided before giving client something to drink?
No more than three consecutive ones given
Lower the height of the solution container if client reports cramping
Monitor lab values for fluid and electrolytes
What is the nursing care provided for client receiving an enema?
Urine specific gravity 1.040
Skin tenting
Dry mucus membranes
Fever
What are signs and symptoms of dehydration?
Assist client to Fowler's position
Increase oxygen flow rate per order
What is the nursing care provided for client with difficulty breathing?
Hold the ophthalmic solution 2 cm (3/4 in) above the lower conjunctival sac.
What is the administration of an ophthalmic solution (eye drops) to a client?
Have it changed to a liquid form
What is the nursing intervention for a client who has difficulty swallowing a medication in pill form?
Ventrogluteal
Vastus lateralis
Deltoid
Rectus femoris of the thigh
What are sites for intramuscular injections?
Clot developed in a varicose vein
Erythema
Warmth
Swelling
Tenderness
What is phlebitis?
Remove the medication by tapping the stem
Cover the tip with alcohol swab
Break the tip away from you
Use a filter needle to withdraw the medication
What are the steps for using a medication ampule?
Thorughly wash the puncture wound with soap and water
Report to the charge nurse immediately
Complete an incident report or occurrence report
Follow agency policy for treatment and follow up
What are steps to take if needlestick occurs?
Oxygenation device that delivers precise concentration
What is a Venturi mask?
An infusion
Allows client to safely self-administer analgesia
Client should tell the nurse is pain is not well controlled
What is a patient-controlled analgesia (PCA) infusion device?
Draws wound edges together
Support healing
Negative pressure
Drains excess fluid
Settings are changed by provider only
What is a vacuum assisted closure (wound vac)?
Placing sterile dressing on the border of sterile field
Holding a sterile item below the waste level
Opening sterile tray by first opening flap closest to body
Opening a sterile package directly on the sterile field
What are ways to contaminate a sterile field?
Client's full name
The name of the drug
The dosage to be given
The route of the administration
How often the med is to be given
The date and time written
The prescriber's signature
Specific total number of doses that are to be given
What is a complete medical order or drug order?
Often used to give meds to children
Used to give clients who are vomiting
Client placed in Sim's position
What is the rectal route?
Hyperventilation
Lightheadedness
Paresthesia
Blurred vision
What is respiratory alkalosis?
Pressure on the bladder
Triggered by coughing, laughing, lifting or physical exertion
Most common in pregnancy and menopause
Treatment: pelvic floor exercises
What is stress incontinence?
Detects fecal occult blood
Colon cancer screening
Client must avoid vitamins, aspirin, NSAIDs
Stool occult blood test
What is a guaiac stool test?
A nurse is calculating a client's fluid intake over the past 6 hr. The client had one 8-oz cup of tea, 3 oz of milk, and 8 oz of soda. The client’s water pitcher had 900 mL and 200 mL remain. The client also had IV fluids infusing at 40 mL/hr via an IV pump. How many mL should the nurse document as the client’s total intake for the shift?
What is 1510 mL?
The HCP has ordered TPN to run from 1800 till 0600. The order is for 1500 ml to infuse over this time. How many ml per hour should the TPN infuse?
What is 125 mL?
The nurse has an order to infuse Normal Saline 1000 ml over 12 hours. How many ml per hour will the client receive? Round to the nearest whole number.
What is 83 mL?
The client with diabetes is to receive their regular dose of lispro insulin 2 units prior each meal. The HCP has ordered 5 more units be ordered to their lunchtime dose. How many total units will the client receive for the lunch time of lispro?
What are 7 units?
The HCP has ordered to infuse 1000 mls of Lactated Ringers in 14 hours. The drip factor is 15 gtts/ml. How many gtts/min will this IV infuse at? (Round to the nearest whole number.)
What are 18 gtts/min?