Chronic Illness
In addition to medication (insulin or similar) what 2 things need to be incorporated when teaching a newly diagnosed diabetic how to manage their chronic illness?
What is diet and exercise?
A principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?
What is advocacy?
What is the first action a nurse will take using the problem-specific approach to data collection?
What is focus on the patient's presenting complaint?
A provider writes a difficult to read prescription for 10 mg of Hydralazine. The nurse administers the medication, 100 mg of Hydralazine. Who is responsible for this error?
What is the nurse? It is a nurse's responsibility to read back written orders to the provider. If a prescription or order is difficult to read, it is the nurse's responsibility to seek clarification prior to carrying out the order.
What assessment finding would you present as abnormal when emptying a ileostomy? Foul odor, blood, liquid stool, increased output?
What is blood?
A patient with urinary incontinence is at an increased risk for what type of breakdown (especially on their sacral, buttocks, and upper thighs)
What is skin breakdown?
What type of patient is most at risk for hypothermia during the cold months?
What is the homeless population?
What is a type of testing you as the nurse would recommend for a patient with a family history of chronic illness?
What is genetic testing?
A patient's adult sister wants to view the patient's medical record. What will you need from the patient prior to allowing the sister to view the medical record?
What is permission or consent?
Who is responsible for a patient's vital signs not being entered in the chart? Who is responsible for obtaining the vital signs?
What is the Registered Nurse? Now- vitals signs are ok to be delegated, but if they were not done- it falls onto the nurse
A nurse was called away after removing a patient's medication. The nurse asks the charge nurse to administer the medication but has already thrown away the barcode packaging. What is the correct response to this request?
What is not give the medication? It would be unsafe and violate the rights of medication administration to give a medication that you did not pull from the medication drawer yourself.
What is the safest way to prevent spread of c diff?
What is hand hygiene?
A fall risk patient has had several falls while attempting to use the restroom. The nurse educates the patient to do what?
What is limit fluid intake intake prior to going to bed?
What type of restraint should be used every time a teenager is in a car?
What is a seatbelt?
“I can’t continue therapy; it’s asking too much of my family.” What is the nurse’s best action in this situation to help address the patient’s risk for nonadherence to treatment?
What is provide education to family?
Is it the nurses right to have an opinoin on what a patient's advanced directive states?
What is no? The nurse must review their only personal values when caring for patients.
An assessment finding that is something that is able to be observed by the nurse. Information that is factual and measureable?
What is objective data?
A patient refuses physical therapy. What is the first action of the nurse after the initial patient refusal?
What is assess why the patient is refusing physical therapy?
A normal stoma appears as either flush with skin, or as a small protrusion, and moist. True or false?
What is true?
A side effect of anesthesia can be urinary retention and decrease bladder contractility. What order should the nurse expect to see pre-op for the patient?
What is insert an indwelling catheter?
What is 2?
What is the number one modifiable risk factor to help prevent the development of a chronic illness?
What is smoking/nicotine?
What is the primary cause of ethical dilemmas?
What is presence of conflicting values?
Information that the patient feels or experiences.
What is subjective data?
What are the SIX rights of medication administration?
What are right patient, right medication, right route, right time, right dose, right documentation?
A large amount of electrolytes can be lost from vomiting, peeing, sweating, and?
What is pooping? Specifically- diarrhea
The inability to empty the bladder completely
What is urinary retention?
The nurse ensures safe care by following these evidence-based rules from the Joint Commission
What is National Patient Safety Goals?
What is an action that can help relieve psychological stress for a chronic illness patient who is currently admitted to the hospital?
Allowing visitors after visiting hours
Asking the patient why they want to see their family after hours
Tell the patient you are sorry, but no visitors after visiting hours?
What is allowing visitors after visiting hours?
A nurse questions a health care provider's decision to not tell about a cancer diagnosis. What ethical principle is the nurse trying to uphold for the patient?
What is autonomy?
The first step before performing a patient assessment is to....
What is wash your hands?
You accidentally administered the wrong patient medication. What is your first priority as the nurse?
Assess your patient! Yes of course you would notify the provider- but ASSESS first!
Most nutrients are absorbed in which part of the GI tract?
What is duodenum? This is the first part of the small intestine and receives the food-acid mixture from the stomach.
The normal blood test values used to assess kidney function
What is BUN and creatinine?
If the patient questions a medication, the nurse should ALWAYS do this
What is stop and verify the medication order prior to administration?