Lab Values
Potassium
3.5-5.5 mEq/L
In what direction will blood pH level be in metabolic alkalosis?
Increasing
Soups that are strained, ice cream, pudding are included in which diet?
Full-liquid diet
failing to perform an act that a nurse is expected to do. This can be an act of omission or commission
What is negligence
Can an UAP record certain information from an IV infusion?
Yes
Sodium
135-145
The physician prescribed 75mg of PO Lasix daily. The pharmacy sends 25mg/ml bottles. How many mL will you administer?
3 mL
Patient teaching for promoting sleep-hygiene habits
avoid vigorous exercise with 2 hrs. of bedtime, bedroom is for sleep/sexual activity, limit caffeine to mornings, discontinue use of electronic devices 30 minutes before going to bed
term used to describe "do no harm" or avoid causing harm
What is Non-maleficence
The UAP, who is also studying to be a paramedic, starts an IV in the emergency department
What is improper delegation/wrong task?
Excessive diaphoresis, vomiting, diarrhea, fasting are causes of what fluid and electrolyte imbalance?
Hyponatremia
Measles, Tuberculosis, and Varicella require which type of precaution and PPE?
Airborne, gown, gloves, N95 mask (fitted properly)
At what stage will your sleep start to decline?
Middle Adulthood
Never mention this in the nursing notes
What is an incident report?
Who is accountable for delegated tasks?
When a registered nurse delegates tasks to others, responsibility is transferred but accountability for patient care is not transferred. The RN is still responsible
Stupor/coma, anorexia, lethargy, nausea, and increased blood pressure are signs of what fluid and electrolyte imbalance?
What is hypocalcemia?
You are checking a prescription with a registered nurse for Sammy who weights 13kg. She is prescribed 25mg/kg/dose of Benzylpencillin Intravenously. 3 times a day. Each 500 mg vial is reconstituted to 4mL. How much should be drawn up for each dose?
2.6 mL
Foods low in potassium
green beans, cabbage, blueberries, peppers
What is the legal document that provides guidelines about scope of practice-delegating and supervising for RN's and LPN's?
The state Nurse practice act.
Client is receiving 2 bags of Red Blood Cells due to loss of limb because of diabetes. Can vitals be delegated?
yes
Which lab value or disorder is seen in elderly taking diuretics that can also lead to digitalis toxicity and cardiac arrest?
Hypokalemia/ Potassium less than 3.5mEq/L
Administration for eye drops
If there is dried section use a moisten sterile gauze and wipe from inner to outer canthus to prevent bacterial from entering the eye
Have the client tilt their head back slightly
Pull lower eye lid down gently to expose the conjunctival sac
Hold the dropper 1 - 2 cm above the conjunctiva sac & drop medication directly into the sac
Close eye lid & apply gentle pressure on the nasolacrimal duct for 30 - 60 seconds
Name 3 complications of Parenteral Nutrition
Infection, air embolism, hypervolemia, hyper or hypoglycemia
Which pare of the medical record can be used as evidence in court?
The entire medical record
As the registered nurse, which tasks cannot be delegated to the LPN?
Performing an assessment on a new admission
Post-op assessment
Starting blood products
Discharge education