Ive got SKILLZ
This is the needle length for an IM injection to the ventrogluteal site of 3mL for a patient that is 90 pounds and 5'2
1 inch needle
This is the priority action the PN takes when the patient begins to fall while ambulating in the hallway
Catch the patient, try to lower them to the floor safely
This part of the nursing process is utilized when a pt declines a bath (due to religious reasons) and the PN request the pt explain why he is declining d/t religious reasons
A- Assessment (clarification)
This is the process of assessing a patient's LOC via this focused neuro assessment
GCS- Glasgow Coma Scale
This is the position for patients receiving NGT feedings
Semi-Fowlers (or fowlers)
This can be instilled into pts external auditory canal overnight prior to irrigation to soften dry cerumen
Mineral oil
This is the primary purpose of performing hand hygiene before and after patient care
To prevent the spread of infection
This is the part of the nursing process when the PN diligently repositions the pt q2hrs to prevent pressure ulcers/skin breakdown
Implementation (intervention)
When the PN assesses the patient with 8mm depth of edema and documents this as (this)
4+ pitting edema
The PN checks for this on the chart and/or patient interview prior to the patient receiving contrast dye
Allergy to contrast dye and/or shellfish
The PN does this type of needle selection before performing a subq injection to a pt what weighs 350 pounds
Selects longer needle and 90 degree angle
This is a nursing intervention the PN can do independently for a patient that has tender gums that bleed
Provide soft toothbrush, avoid alcohol-based mouth wash
This part of the nursing process happens when the PN auscultates a pts lung sounds and notes short, popping sounds that are discontinuous on inspiration
Assessment- crackles
These are the s/s of hypoglycemia the PN monitors the patient for
Shakiness, sweating, confusion, irritability, dizziness (cold and clammy)
This is the BEST indicator of fluid status in a patient
Daily weight
The PN performs this vital intervention when a pt on O2 requires suction to clear airway
Provide o2 during rest periods between suctioning to maximize pt oxygenation
The PN would recommend this to the elderly pt who is c/o vaginal bleeding with vaginal tears
Water based lubricant
This communication technique is useful for the PN when the pt begins to repeat the conversation they are having to himself
Focusing
These are the key components of a comprehensive pain assessment
Location, intensity, duration, and characteristics
This is the best position and first action the PN takes when a pt that is 2 days post-op abd surgery and walking in hallway reports "I felt something in my incision let go"
Assist pt to a supine position
The PN takes these considerations when the patients curtain is on fire
RACE
PASS
The PN implements these VTE's to prevent clots in the post-op patient
SCDs, TED hose (compression stocking), medications (heparin/lovenox) if ordered, early ambulation is ordered, dorsal flex and plantar flex for circulation, pillow positioning to allow for venous return, avoid homans sign assessment
This is how a nurse can find their scope of practice and state regulations
Locate their state NPA and BON website
This is the assessment the PN will perform after noting an irregular radial pulse
Apical-radial pulse assessment with another nurse
This is the food the PN recommends to the pt that is vegetarian and wants the highest food source of non-animal protein
Soybeans