Nursing Process
What does ADPIE stand for?
Assessment, Diagnosis, Planning, Implementation, and Evaluation
When do you do your 3 med checks?
Before getting the medication, at the time of dispensing/gathering the medication, and at the bedside before giving it to the patient
Name some things you can do prior to restraint use
Diversion, distraction, camouflaging lines, allow for rest, toileting, pain management, involve family
Infant and elderly skin is thicker than adults, true or false?
False
What does bright red blood in the stool indicate?
Hemorrhoids or lower GI bleeding
The patient reports to the nurse that they feel burning during urination. What type of data is that?
Subjective data
What are the 6 rights of med admin?
Right patient, medication, dose, route, time, & reason
What is the most common reason for injury and death related to falls in older adults?
proliferation phase
If you had hypoactive bowel sounds, how many would you hear per minute?
5 or less
What does SMART stands for in terms of goals?
Specific, Measurable, Attainable, Realistic, and Time-Relevant
What is the concentration of a drug in the blood serum that produces the desired effect without causing toxicity?
Therapeutic range
What does RACE stand for?
Rescue, Activate, Confine, Evacuate
Healing by which intention is when we leave a wound open for a time to allow granulation tissue to form and then is closed?
Tertiary Intention
How long must you listen to bowel sounds to label them "absent"?
3-5 minutes
In this nursing diagnoses: Impaired physical mobility r/t stroke AEB right sided weakness, what does "stroke" represent?
Etiology/pathophysiology behind the problem
What angle do you give subcutaneous injections at?
45-90 depending on amount of subq tissue
What organization publishes an annual list of National Patient Safety goals based on sentinel events that have been reported?
The Joint Commission
Characterized by full thickness skin loss, not involving the underlying fascia
Stage 3 pressure injury
How does a soapsuds, or castille soap, enema work?
distends colon and irritates mucosal walls to increase peristalsis
What type of reflection happens in the here and now of the activity and is also known as “thinking on your feet”?
Reflection in action
What are the four categories of pharmacokinetics?
absorption, distribution, metabolism, excretion
Triaging
Wound with high levels of microorganisms but no signs of infection?
Colonized
How will the stools present if a colostomy is present in the descending colon?
Soft to hard formed stools