Scope of Practice
This is the first action a nurse should take when assigned a patient with a central venous access catheter but has no prior experience with it.
What is assess pt, ask for assistance and check facility policy?
To safely calculate medication doses, a nurse must always know this about the drug.
What is the concentration of the medication?
Clear yellow wound drainage indicates this type of drainage.
What is serous drainage?
One hour post-op, this GI assessment finding is expected.
What is hypoactive bowel sounds?
Low hemoglobin places a patient at risk for this mobility problem.
What is decreased mobility (tired/weak)?
Nurses provide protection, promotion, and optimization of health and abilities no matter the setting. This describes what concept?
What is the scope of nursing practice?
A patient on levodopa/carbidopa reports dyskinesia. The nurse’s best action is…
What is notify the provider (possible excessive dose)?
The presence of soft, white skin around a wound indicates this complication.
What is maceration?
The nurse should question this postoperative medication order.
What is an anticholinergic?
A patient with a hip fracture who cannot move their foot out of a downward position is developing this.
What is a contracture?
Nurses are responsible for these two key roles in the informed consent process.
What are witnessing the signature, confirm all patient questions are answered, and verifying consent before surgery, pt of age?
This patient are the expected side effects of benztropine.
What is constipation, dry mouth, dizziness, blurry vision?
New bright red wound drainage indicates this type of drainage.
What is sanguineous drainage?
The most urgent respiratory assessment in PACU after anesthesia is…
What is a low respiratory rate (</= 10)?
A patient with multiple sclerosis who struggles walking is most at risk for this complication.
What are falls?
When a patient asks a nurse to perform an intervention outside the nurse’s scope, the correct action is…
What is decline and refer the patient to the proper care provider?
If a patient is somnolent and hard to arouse, the nurse should question giving this type of medication.
What is a muscle relaxant?
When a patient’s wound eviscerates, the nurse’s first action is…
What is cover it with a sterile saline-soaked dressing?
The highest priority when caring for a Parkinson’s patient with dysphagia is…
What is assess aspiration risk before meals?
A DXA scan results showing increased risk for fracture.
What is low bone density?
Before surgery, which type of lab result would the nurse be most concerned to see?
What is prolonged PT and PTT?
This Parkinson’s medication requires monitoring for compulsive behaviors.
What is an MAO-B inhibitor?
The patient most at risk for a pressure ulcer is…
What is elderly with co-morbidities like diabetes, neuropathy, immobile, obese?
To prevent DVT after surgery, the nurse should prioritize this intervention.
What is early ambulation?
A patient with Parkinson’s disease reports difficulty initiating movement. This classic symptom is called…
What is bradykinesia?