Nutrition
This equation is used to calculate BMI.
What is weight (kg)/height (m)2
Solve for practice:
Weight: 57kg
Height: 1.5m
In order to prove malpractice, negligence and these 4 things must occur.
What are duty of care, breech of duty, causation, and damages?
A patient had chosen to sign a blood product refusal form. The nurse respects the patients right to make their own decisions about their healthcare. This demonstrates which ethical principle?
What is autonomy?
These are the 5 rights of delegation.
What are right task, right circumstance, right person, right direction/communication, and right supervision monitoring.
What is the ideal body weight of a woman who is 5'6" tall?
130lbs
The nurse of a 57 year-old-male recommends the DASH diet to her patient. With this in mind, we can assume the patient struggled with which health condition(s)?
What is hypertension/CAD?
Discussion: What does the DASH diet entail?
The nurse fails to obtain consent before performing a procedure on a patient. Which type of tort results from this nursing action?
What is negligence and battery
A nurse caring for a patient keeps her commitment about not telling a patients family about the patients diagnosis. This demonstrates which ethical principle?
What is fidelity?
The registered nurse delegates a patient assessment to assistive personnel. Which of the five rights of delegation has she potentially overlooked?
Right Person- assistive personnel are not allowed to perform patient assessments and since the task to be completed was a patient assessment, she should have delegated to someone who could perform that task.
What is the BMI of a male that weight 190lbs and is 1.8meters tall?
26.65-weight in kg/ (height in meters)2
A patient is lacking magnesium in his diet. The nurse knows that she can recommend these foods to increase magnesium intake.
What are nuts, whole grains, and dried fruits?
Failure to follow prescriptions, failure to document monitoring, and failure to follow policies and guidelines are all acts of what?
What is negligence?
A nurse notifies her supervisor that they accidently administered the wrong medication to a patient. The nurse is demonstrating which professional value?
What is integrity?
A nurse received change-of-shift report on these four patients and starts rounding. Which patient does the nurse need to focus on as a priority?
1. The patient who had abdominal surgery 2 days ago who is requesting pain medication
2. A patient admitted yesterday with atrial fibrillation who now has a decreased level of consciousness
3. A patient with a wound drain who needs teaching before discharge in the early afternoon
4. A patient going to surgery for a mastectomy in 3 hours who has a question about the surgery
2. A patient admitted yesterday with atrial fibrillation who now has a decreased level of consciousness
A woman is 5 feet and 4 inches tall. Based on her ideal body weight, what is her recommended daily protein intake (round to the nearest whole number).
IBW (rule of 5's): 120lbs (54.54kg)
Protein intake: 54.54kg x 0.8=43.6=44g
This is an abnormal finding in urine or blood that indicates anaerobic metabolism and the bread down of muscle (i.e. The body is using different sources for energy).
What are ketones?
Discuss: What conditions can you find ketones present?
A nurse stops on the side of the road to help a person involved in a motor vehicle crash. The nurse knows she is protected from liability for the care she gives at the scene under which laws?
What are the Good Samaritan laws?
A nurses patient asks the nurse why they chose the nursing profession. The nurse responds by saying that she wanted to help others. The nurse is referring to which professional value?
A) Integrity
B) Social Justice
C) Altruism
D) Human Dignity
What is C) Altruism?
Which task is appropriate for a registered nurse (RN) to delegate to an AP?
1. Explaining to the patient the preoperative preparation before the surgery in the morning
2. Administering the ordered antibiotic to the patient before surgery
3. Obtaining the patient’s signature on the surgical informed consent
4. Helping the patient to the bathroom before leaving for the operating room
4. Helping the patient to the bathroom before leaving for the operating room
A males ideal body weight is 67kg. His daily calorie intake is 2,400. What is his recommended daily intake of protein, carbs, and fat?
Protein: 54g -IBW in kg x 0.8
Carbs: 330g -(kcal/day x 0.55)/ 4
Fats: 80g -(kcal/day x 0.3)/ 9
Which 3 labs should be evaluated to determine if the patient has a protein deficiency?
What is albumin, prealbumin, and transferrin?
These 4 things are the elements of informed consent.
What is disclosure, comprehension, competence, and voluntariness?
Discussion: What are each of these?
A nurse truthfully answers a patients questions about their laboratory results. This demonstrates which ethical principle?
What is veracity?
A nurse performs the following four steps in delegating a task to an AP. Place the steps in the order of appropriate delegation.
1. Do you have any questions about walking Mr. Malone?
2. Before you take him for his walk to the end of the hallway and back, please take and record his pulse rate.
3. In the next 30 minutes please assist Mr. Malone in Room 418 with his afternoon walk.
4. I will make sure that I check with you in about 40 minutes to see how the patient did.
3, 2, 4, 1
3. In the next 30 minutes please assist Mr. Malone in Room 418 with his afternoon walk.
2. Before you take him for his walk to the end of the hallway and back, please take and record his pulse rate.
4. I will make sure that I check with you in about 40 minutes to see how the patient did.
1. Do you have any questions about walking Mr. Malone?
A female patient at her ideal body weight weighing 125lbs asks for help finding her macronutrient counts. She eats 2,000 calories/day. What are her recommended macronutrients intake?
Protein: 45g
Carbs: 275g
Fats: 67g