Nursing Process/Initial Action
Patient and family should be included (think of phases in the nursing process)
What is the planning phase?
Disease Causing Organism
What is a pathogen?
Moving the patient to a room closer to the nurses' station.
What is the nurse addressing the patient's safety need(s) OR an intervention for a fall risk patient?
_______is priority action if the patient is having a reaction to a blood transfusion.
What is stopping the infusion?
This test will allow the physician to directly check for damage to the esophagus.
What is a Esophagogastroduodenoscopy (EGD)
This focuses on patient responses to interventions and achievement of outcomes. (Phase in nursing process)
What is the evaluation process?
During ______ you elevate the head of the bed to help prevent aspiration.
What is providing oral care?
A possible link in the chain of infection.
What is the mode of transmission?
Assessing the patient’s respiratory status can be an example of _______
What is an intervention as the highest priority?
Family history of diseases , Patient’s health promotion practices, demographic data, pt allergies, hx of illness & surgery are examples of what?
What is an in-depth health history of a patient?
You raise the head of the bed
(this is an intervention for what kind of patient...)
What is an initial action for a patient with low o2 saturation?
The lab value that can indicate an infection
WBC
A nurse standing close to an object being moved is an example of________
What is the nurses understanding of body mechanics?
A patient underwent a _______and the nurse checks the gag reflex.
What is the best action the nurse should do after a bronchoscopy.
BUN 25mg/dl would be seen in what type of patient?
What is a patient who is dehydrated? (The expected reference range for BUN values is 10 to 20 mg/dL. If the BUN is above this range, the kidneys might be having difficulty excreting urea and nitrogen. Elevation can be seen in dehydration and might require the use of intravenous fluids-report to provider).
Asking about potential allergies (nursing phase)
What is part of the assessment phase?
Position the patient to relieve pressure on coccyx.
Report the new finding to the provider and document findings
Report the area to the next nurse during hand-off
Are examples of...
What are actions the nurse should take while observing reddened skin/wound on a patient?
Quick-release ties attached to the bed frame
What is an appropriate way to tie restraints?
Determining if the patient is having any difficulty breathing is an example of ________
What is a priority action of the nurse?
The patient is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose?
What is 50ml?
The focus is patient responses to interventions and achievement of outcomes. (nursing phase)
What is part of the evaluation phase?
Utilizing gloves when emptying a foley, oral care, emptying an ostomy are examples of_______
What are situations that require standard precautions.
“You should advance your weak leg forward to the cane, then move your strong leg.” Is education for a specific type of patient
What is nursing education for a patient that uses a cane. (The nurse should instruct the client to move the cane and then advance his weak leg forward to the cane, followed by advancing the stronger leg past the cane. This provides for the client’s body weight to be distributed between the cane and the stronger le).
The nurse should do this when a patient is unable to void for 8-10 hours.
What is obtaining an order from the provider to straight-catheterize a patient.
The patient wishes to withdraw informed consent for the procedure. The nurse should take the action of....
What is telling the provider?