Admission & Transfer
Nursing responsibility when a patient request to leave AMA
What is ensuring pt is aware of the potential risk of leaving AMA
Safe bed and wheel position for a new admission
What is making sure bed is in low position and wheels are locked.
What is the best position for a patient experiencing dyspnea?
What is Orthopneic (patient sits on the edge of the bed leaning forward with their rams resting on the table)
Complication nurse should watch for on lab work with gastric suctioning.
What are electrolyte imbalances.
Nursing intervention for patient reporting frequent irritation around stoma of a new Ileostomy
What is ensuring correct fitting of pouching system (to avoid seepage)
Common distress reaction new admission may be experiencing causing patient requesting to speak to family frequently and does not want to stay in room.
What is Separation anxiety.
Position used when examining the rectal area or for surgical procedures involving the perineum.
What is the lithotomy position
Exercises to maintain muscle tone and prevent muscle atrophy
What are range of motion exercises.
Most accurate way to confirm NG tube.
What is a portable Xray to confirm tube placement.
Educating a patient regarding formation of stool consistency on a new colostomy.
What is educating the patient stool will be watery at first and may become formed over time.
What is LPN role in the admission process.
What is collecting information and Vital signs.
(Does not perform physical assessment, administer first dose or provide education on treatment)
Position of wheelchair when transferring the patient from the bed to the W/C
What is making sure the w/c is locked and at a 45 degree angle to the bed.
Essential documentation for the nurse to include in the transfer of the patient to another unit.
What is patients medical history and any recent diagnostic results.
Nursing intervention to keep NG tube patent
What is flushing the NG tube before and after feeding.
Nursing intervention for a urinary Cathether that is not draining.
What is checking for kinks in the catheter tubing.
Nursing intervention of a new admission who is disorientated.
What is reorientating the patient to facility and staff members.
What is keeping the load close to the body and bending at the knees.
What are 6 complications of immobility
What is-*Orthostatic hypotension
*Deep vein thrombosis
*Pressure ulcers
*Insomnia
*Urinary incontinence
* Muscle atrophy
(not dehydration or hyperglycemia)
Educating the patient the purpose of gastric suction with the NG tube.
What is helping relief nausea and vomiting, help remove air and fluids from the stomach and reduce the risk of aspiration during recovery. (gastric suction does not deliver nutrition to the stomach)
Nursing intervention when caring for the patient with an indwelling urinary catheter to prevent infection.
What is cleaning catheter insertion site daily with mild soap and warm water.
Nurse discussing general information about patient with another health care worker in the hallway of the hospital setting.
What is violation of HIPPA in a public area.
What is the primary goal of discharge planning
What is preparing the patient for transition from the healthcare setting.
What position describes the patient lying on their back with the face up.
What is supine position
Nursing intervention when preparing to remove NG tube.
What is asking the patient to take a deep breath and hold it at the moment of removal. (This action closes the glottis, which helps prevent the accidental inhalation of fluids into the lungs)
What is a priority assessment of the skin for a patient who is becoming increasingly immobile.
What is monitoring the patients skin integrity for signs of breakdown.