Comfort
Which of the following is acceptable for a patient on a low residue diet?
Bran cereal
Baked Fish
Raw Pineapple
Pistachios
Baked Fish
Placing a restraint without an order is considered what?
False imprisonment
What should oral potassium be given with?
At least 4oz of juice or other liquid to prevent gastric upset and unpleasant taste.
When should insulin Aspart be given to a patient with Type I diabetes mellitus.
Hint: rapid acting insulin
When meal arrives
An individual diagnosed with Celiac disease should avoid which type of flour?
Wheat
Signs a patient is having a hard time swallowing?
Change in voice tone or quality of voice after swallowing
Abnormal mouth movements
Slow speech
Delayed swallowing
A nurse is teaching about low sodium diets and how they are used to help treat hypertension. What statement that can be helpful?
I need to read the label
Deli meats are high in sodium
Season foods with herbs, lemon, or spices
A resident is returning from the hospital to the assisted living facility. What information should be collected from the hospital prior to the return of the resident?
Client authorization, visit summary, last provider note, new medications, report from nurse caring for patient.
A patient is near end of life, respirations are 8 breaths per minute, not eating of drinking, semi-conscious state and is moaning. Family ask nurse to give pain medications. Should the nurse give the pain medication?
Yes
Rationale: Respirations are unlikely to drop less than 8 bpm due to the pain. Medication may increase respiration.
Who is responsible for maintaining HIPAA?
Self, facility, co-workers
Identify the abnormal vital signs of an adult.
Pulse 65 bpm
Respiratory 25/minute
Systolic blood pressure 120 mm Hg
Temperature 35 degrees Celsius
Diagnostic blood pressure 98 mm Hg
Pain 10/10
Respiratory rate
Temperature 35 (95 F)
Pain
In an emergency situation how should a nurse triage patients for priority in care
A-B-C
Airway-Breathing-Circulation
A patient informs you that 12 of their church members will be visiting to pray with him. The patient is in a semi-private room. What arrangement can be made to avoid disturbing the roommate?
Arrange for the patient to visit with his visitors in the chapel or conference room.
A resident is at risk for social isolation. What interventions can the nurse implement to help the resident?
Move to a room with a roommate with similar interest
Encourage family visits
When writing a care plan for a patient with end stage renal disease (ESRD). What should the nurse include in the plan of care?
Weigh daily
Fluid restrictions
Monitor intake and output
Monitor potassium levels
Should the LPN care for a patient who is 28 years old 4 hours post-partum, passing large clots and soaking a sanitary napkin every hour? Who should?
No, RN must care for pt. to adequately assess.
A client is concerned that her over-bearing, younger sister will have the final decision making authority of her end-of-life care. Which act ensures the client's right to direct their own care decisions?
Patient Self-Determination Act
During handoff report, a nurse discovers he/she has to care for a patient positive with HIV. Nurses refuses to care for patient. What is this nurse guilty of?
Principle of Justice
Which lab should be reported immediately?
Hematocrit of 37.1 (female)
Albumin of 3.9
Creatinine of 0.9
Potassium of 2.8
Potassium of 2.8
Can cause what if not treated quickly?
Which lab result should be reported to the provider for a preoperative patient?
Potassium-3.9
Sodium 136
Creatinine 2.6
Blood glucose 206
WBC 15,000
Creatinine
Blood glucose
WBC