ASSESSMENT and...
A client reports they feel like they are going to "throw up" is an example of what kind of assessment data?
What is subjective data?
A part of NC's General Statutes and the foundation of nursing regulation.
What is the Nurse Practice Acts?
2 part diagnosis for Nursing.
What is an "AT RISK" for diagnosis?
What nursing diagnosis regarding fluid imbalance may a client be experiencing if they have elevated BUN, Low Blood Pressure, Dry Mucous Membranes and poor skin turgor with tenting of skin?
What is fluid volume deficit?
Providing scheduled toileting, keeping pathways free of clutter to the bathroom, keeping side rails up but not more than 3, are all examples of ensuring
What is client safety?
The data that is gathered to develop the full plan of care is known as what type of assessment?
What is a comprehensive assessment?
The more complex client needs and assignments should be delegated to?
What is the RN.
3 Part to a Nursing Diagnosis?
What is an actual nursing diagnosis?
A nurse puts a blood pressure cuff on a client to test for Trousseaus, if it is positive what electrolyte imbalance may she find?
What is hypocalcemia?
Identify patients correctly, improve staff communication, Use medicines safely, Use alarms safely, Prevent Infection are all part of
What is Hospital National Patient Safety Goals?
A client reports they have a headache. This is what kind of data?
What is subjective data.
Completing the initial assessment of the client's physical and mental health.
Developing the initial plan of care for the client.
What is the role of the RN per the NPA?
The type of goals to set during the nursing process.
What is S.M.A.R.T goals?
A CHF client has frequent episodes of fluid overload. What diet is important to teach this client?
What is fluid restriction and Low Sodium diet?
To keep a client safe and free of injury after they have become more confused with delirium from their illness on top of alzheimers as their base line mental status, the best approach and communication would be to remain
Include date, time, the order itself followed by documentation of the method the order was received, repeating the order and spelling any unfamiliar terms, clarifying any spoken numbers are all best practice for taking....?
What is telephone orders?
The rules and laws for each state?
What is the NPA?
Maslow's Needs Assessment and ABC's are ways to
What is prioritizing client needs/problems/nursing diagnosis?
In Respiratory Acidosis, the ph would be_________ and the Co2 would be_________________?
What is ph lower than 7.35 and What is Co2 out of normal range of 35-45?
The doctor has ordered 10 mg of metoprolol IV push. On hand is 25 mg/ml. How many ml would the nurse administer?
What is 0.4 ml/dose
The chief purpose is to offer a problem solving approach to systematically research clinical evidence directed toward a specific client problem.
What is evidenced-based practice (EBP)?
15 contact hours of continuing education related to the nurse's practice and 640 hours of active practice within the previous two year licensure period.
What is the least required by NCBON to renew license?
The need to provide sterile endotracheal suction may be identified if my patient exhibits
What is low o2 sats, elevated heart rate, increased resp rate, labored or gurgling breathing, crackles or rhochi in lung sounds?
Loss of gastric fluid via nasogastric suction or vomiting causes what acid-base imbalance?
What is metabolic alkalosis? Loss of gastric fluid via ng, vomiting etc results in the loss of hydrochloric acid. Metabolic alkalosis is defined as a deficit or loss of hydrogen ions or excess of base. So if they loose too much acid it leaves them with more base than acid resulting in metabolic alkalosis.
Open and frequent communication among team members, including patient and family in decision making and discussing any identified needs of the client such as not able to afford medications are part of
What is interdisciplinary collaboration? team collaboration.