ASSESSMENT/INTERVENTIONS
These S/S seen in a patient with GI bleeding/paleness, ashen color, cool and clammy skin. Type of physical assessment needed for this pt.
What is an emergency assessment?
Nonmaleficence?
What is "First, do no harm?"
Short time of illness.
What is acute?
When do you assess patients' spirtuality?
What is Life-changing diagnosis?
A closed wound.
What is a bruise?
Which assessment of your patient is important. Shortness of breath, Red coccyx, Draining wound, decreased urine output.
What is Shortness of breath?
Keeping a secret from a patient is in conflict with this?
What are Autonomy and Veracity?
Long term illness.
What is Chronic?
To demonstrate cultural maintenance, what is the Best response by the nurse caring for a pt from a different cultural background.
What is assist the patient with a healing ritual?
A beefy red tongue.
What is pernicious Anemia?
Risk, Health-promotion, Actual, Medical
What is nursing diagnosis?
The nurse understands who is responsible for explaining a procedure to the patient?
Who is the provider of the procedure?
No further symptoms or growth with cancer diagnosis after treatment.
What is remission?
Pathogen
What is a disease-causing organism?
Food source for Omega-3 fatty acids
What is salmon?
Pt. with chest pain shares he is scared as his father died of an MI at the same age as he. What Nursing diagnosis is appropriate?
What is fear?
In determining patient goals, the nurse should complete which action? Allow pt to identify what is most important to them? Take the lead and determine what is best for the patient? Focus on health promotion and safety? Explain the importance of avoiding complications?
What is allow the pt to identify what is most important to them?
Increase or return of symptoms of a disease.
What is exacerbation?
Mode of transmission
What is the possible link in the chain of infection?
Area of the brain impacted by a stroke causing alteration of sight.
What is the occipital area?
Medication administration is considered this type of nursing intervention?
What is Dependent?
It makes patient data immediately available to the health care team?
What is computer charting?
Examination of healthy eye first or diseased eye first?
What is a healthy eye?
Standard precautions
What is precautions used in all types of patients?
How to assess a patients hearing.
What is standing behind the pt and whispering?
What is an appropriate teaching topic for a patient returning from surgery? R/T pain control.
What is the use of PCA?
Compassionate care?
What nurses continue to give to patients?
Cranial nerve III assessment technique.
What is shining a light into the eye to assess pupil response?
Group having the lowest risk for MRSA infection?
What is who are food service workers?
Who is contacted for coordination between multiple health care disciplines?
What is who is the case manager?
The medical record, in any format, is the most reliable source of information in legal action. What common form of documentation other than computer charting is used?
What is paper charting?
This type of approach uses guided imagery, therapeutic touch, and relaxation techniques.
What is holistic approach?
Pt died in ER suddenly, what is the BEST action for the nurse to provide family connections with others?
Application of restraints.
Frequent and watery stools, foul smelling, after IV abx.