The Nursing Process
The newly licensed nurse administered the pain medication to the client.
Implementation
Do No Harm
Nonmaleficence
This is a hypertensive crisis
180+ OR 120+
Two things RNs cannot delegate.
the nursing process, client education
The purpose of therapeutic communication.
helps the client to be able to express their thoughts and feelings openly.
Methods used to collect data during step 1 of the nursing process.
Lab values, vital signs, interview with patient or patients family, physical examination
Fidelity
Keep promises
This is the normal temperature range for adults.
96.8 to 100.4 F
TRUE OR FALSE...An RN can delegate an AP to administer a nebulizer treatment to a client who has pneumonia.
False
TRUE OR FALSE: Therapeutic communication should occur spontaneously.
Therapeutic communication should be planned.
By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, the nurse should....
Reassess the client to determine the reasons for inadequate pain relief
Veracity
Tell the truth
This is a normal heartrate range for adults.
60 to 100 bpm
A certain staff member of the nursing team can reapply a condom catheter for a client who has urinary incontinence and perform postmortem care for a client who has died. This person is a .......
UAP
The clarifying technique restating uses the clients....
exact words
The newly licensed nurse checks the client 40 min after administering the pain medication to determine the effectiveness of the medication in relieving the client’s pain. This is a step of the nursing process.
Evaluation
A nurse is caring for a client who decides not to have surgery despite significant blockages of the coronary arteries. This is an example of an ethical principle.
Autonomy
This is how you pull the ear in order to take a tympanic temperature.
Pinna is pulled up and back
A certain staff member of the health care team can assess a pressure injury on a client who is on bed rest. This person is....
an RN
The clarifying technique reflecting directs....
focus back to the client for them to examine their feelings
The newly licensed determines the client is due to receive the pain medication and prepares to administer a dose to the client. This is a step of the nursing process.
Planning
A nurse offers pain medication to a client who is postoperative prior to ambulation. This is an example of an ethical principle.
Beneficence
A commonly forgotten vital sign used to measure a patients discomfort level.
Pain scale
The RN can delegate administering enteral feedings to....
the PN
A client is receiving care in a burn unit. This is an example of what level of healthcare.
Tertiary
“I will review the past medical history in the client’s medical record to obtain more information about the client.” This is an example of a step in the nursing process.
Assessment/data collection
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation and procurement involve. When the nurse explains that all clients waiting for a kidney transplant have to meet the same qualifications, the newly licensed nurses should understand that this aspect is an example of an ethical principle.
Justice
In order to get an accurate respiration rate, the UAP should observe.....
one full respiratory cycle BEFORE counting the client’s respiratory rate
TRUE OR FALSE: The RN can delegate specimen collection to a UAP.
True
A client is going home on hospice. This is an example of what level of healthcare.
Continuing.
“I will determine the most important client problems that we should address.”
Planning
A nurse questions a medication prescription as too extreme in light of the client’s advanced age and unstable status. The nurse understands that this action is an example of an ethical principle.
Nonmaleficence
Never bilaterally palpate these arteries at the same time.
carotid
The 5 rights of delegation are....
Right task, Right circumstance, Right person, Right direction and communication, Right supervision and evaluation
Going to get a pap smear is an example of what level of healthcare.
primary