Assessment/VS
Best patient position for assessing lung sounds
What is sitting on chair or edge of bed
State 4 routes of medication administration
What are IM, IV, Oral, transdermal, rectal, per eyes, per ears, SubQ
Pain is (subjective/objective)
Subjective
Documentation timing should be this
Timely (immediate if possible)
Setting SMART goals is done in this portion of the nursing process
What is planning
A patient with wheezing lung sounds may be suffering from this disease process
What is asthma
Insulin is administered by this route
What is SubQ
This is used to give a number for severity of pain
What is the pain scale
U, D/C, QOD represent what type of medical abbreviations
What are banned/prohibited
Asking patient open-ended and direct questions are important in what portion (s) of the nursing process?
If the LPN finds a significant but not eminently life-threatening abnormal VS, this is their first priority
What is further assessment/information gathering
6 rights of administration are:
What are right patient, drug, route, time, dose, documentation
Ice, position change, massage are all this type of pain intervention
What are non-pharmacologic
When documenting patient comments, best practice is to use this type of statement
What are quotes/quotations
Checking on a patient 30 minutes after pain medication is part of this portion of the nursing process
What is evaluation
Reflexes are rated on a 1-4 scale. Normal reflexes are rated as this
What is 2+, and equal bilaterally
A complete medication order includes:
What is patient name, medication name, dose, route, timing, (provider signature)
This side-effect of opioid pain medication can be life threatening
What is respiratory suppression
This type of question is recommended for encouraging patients to share pertinent information
What is open-ended
Teaching the patient to use the incentive spirometer is part of this portion of the nursing process
Implementation/Intervention
A bedridden patient complains of mild difficulty breathing. The nurses first priority is this
What is raise the head of the bed
The slowest effect of medications is seen with this route of administration
What is oral
Symptoms of pain in a non-verbal patient include (name 2)
Restlessness, moaning, increased oxygen requirement, changes in VS
Name at least two important body language communication skills for civil and effective communication
What are eye contact, getting on patient's eye level, touch, facing patient, focusing on patient while speaking
The parts of the nursing process are: (list all 5)
Assessment, diagnose, plan, implement, evaluate