Show:
ADPIE
Ethics/Legal
Patient Ed./Documentation
Safety
Immobility
100
List the 5 steps of the nursing process.
What is assessment, diagnosis/analysis, planning, implementation, and evaluation. pg 29
100
Describe what a code of ethics is.
What is guide for the expectations and standards of a profession. pg 11
100
This "ends" the documentation.
What is your name and credentials. pg 21
100
_____ are a high risk for falls because of possibility of decreased strength, impaired mobility, and decreased sensory perception.
What is older adults. pg 57
100
Goal for cardiovascular system pertaining to immobility.
What is maintain cardiac function, increase activity tolerance, and prevent thrombus formation. pg 221
200
Describe the difference between a primary and secondary source
What is primary - from the patient secondary - from another source other than the patient. pg 29
200
Describe the difference between beneficence and nonmaleficence.
What is beneficence are actions that promote good for others; nonmaleficience is the commitment to do no harm pg 11
200
Give an example of when an incident report would be completed.
What is med errors, falls, needlesticks, etc. pg 22
200
What is the first step in preventing a fall.
What is fall-risk assessment. pg 57
200
How often should stockings be removed?
What is at least every 8 hours. pg 224
300
Nurses must establish _____ so that they can select interventions to promote, maintain or restore health.
What is priorities pg 30
300
This licensing body is in charge of the rules and regulations for nursing.
What is state board of nursing. pg 15
300
What are the 3 domains of learning.
What is cognitive, affective, and psychomotor. pg 87.
300
What 5 components must be present on the prescription for restraints.
What is reason for restraint, type of restraint, location, duration, and behavior that warrant the restraint. pg 58
300
Describe 3 nursing interventions to prevent integumentary problems.
What is ID those at risk, position with corrective devices, turn q1-2h, educate on repositioning q15min, limit sitting in chair to 1h, monitor nutrition, skin and perineal care. pg 220
400
Scenario: By the second post-op day, a patient is still in significant pain. What should the nurse do first? 1. reassess to determine reasons 2. wait to see if resolved in next 24hr as he is post-op 3. change plan of care 4. teach patient about plan of care
What is reassess 1. first step is assessment. pg 29
400
Describe what the nurse's role in informed consent is.
What is witnessing that the patient signed the form and that he/she did so voluntarily. pg 17
400
Describe 3 barriers to learning.
What is fear/anxiety/depression, physical discomfort, environmental distractions, sensory deficits, psychomotor deficits. pg 88.
400
What are 3 interventions that the nurse must perform when caring for a patient in restraints.
What is assess skin integrity, offer food/fluid, hygiene/elimination, VS, ROM to extremities. pg 59
400
Scenario: A nurse answers a call bell for a patient who is sitting in the chair and asks to go back to bed. What action is the priority. 1. get walker from beside patient and help ambulate 2. call for assistance to transfer the patient 3. use gait belt 4. determine patient's ability to help with transfer
What is determine patient's ability to help with transfer. assessment. pg 73.
500
A charge nurse is reviewing the nursing process with a group of nurses. Give 2 examples of objective data.
What is respiratory rate of 22, 3/10 pain, skin is pink. pg 31
500
Scenario: A nurse observes a CNA reprimanding a patient for spilling urine out of the urinal. The CNA says that she will put a diaper on the patient if he does this again. What tort is the CNA committing?
What is assault. no physical threat occurred, but patient could become fearful. pg 19 & 20
500
Scenario: A nurse is preparing to teach a patient about incontinence. What action should the nurse perform first when meeting the patient? 1. encourage patient participation 2. select age appropriate materials 3. identify goals that are patient centered 4. determine what the patient already knows
What is determine what the patient already knows. assess first. pg 89
500
Describe 5 nursing interventions to prevent a fall.
What is 1. patient educated on call light and in reach 2. respond to call lights in timely manner 3. fall-risk bracelets 4. regular toileting and rounding 5. adequate lighting 6. orientation to setting 7. make sure belongings are in reach 8. bed in lowest position and locked 9. side rails as ordered 10. nonskid footwear 11. use of a gait belt 12. floor clean and free of barriers 13. assistive devices nearby 14. lock wheels 15. electronic safety monitoring devices pg 58
500
Scenario: A nurse is caring for a patient who is receiving enteral feeding through a g-tube because of significant dysphagia. What bed position should this patient be in. 1. supine 2. semi-fowlers 3. semi-prone 4. trendelenburg
What is semi-fowlers. pg 72.