Postions
Name a position that increases the risk for a sacral pressure ulcer
High Fowler's position increases the risk of pressure sores, particularly on the sacrum, because the elevated position creates increased pressure and shearing forces on the skin and tissues of the sacral region
How do you ensure pt privacy and security when using the electronic medical record?
Do not share passwords, log off after use, do not look at pts that are not under your care
What is the nursing process in your own words.
The framework or systematic, five-step method used by nurses to provide patient-centered care.
What is the correct way to instill opthalmic medication?
In the conjunctival sac
Infiltration, Phlebitis, Extravasation, Infection
Place the pt in this position when performing a pelvic exam.
Dorsal lithotomy
What do you document to record pt needs are met?
Document factual information about the type of care and pts response to the care provided. Make sure to include the time and your signature.
What does ADPIE stand for?
Assessment, diagnosis, Plan, Intervention, Evaluation
Name 3 different routes of med administration.
Intradermal, subcutaneous, intramuscular, intravenous, percutaneous, oral.
What technique is used when giving a SQ vs an IM injection?
SQ is at a 45 degree angle in the SQ tissue , IM is at a 90 degree angle in the muscle.
Place the patient in this position when the blood pressure is dangerously low
Modified trendelenburg
Explain how a nurse will correct a documentation error in a paper chart?
Cross out the error and write your initials above the error.
Explain the difference between a risk for nursing diagnosis and an actual nursing diagnosis.
The risk for nsg diagnosis has not occurred yet. The nurse will prevent the problem from occurring. The actual diagnosis is a current actual problem.
When should a nurse read a intradermal Tuberculin skin test?
24-48 hours
What is the difference between an ampule and a vial?
The vial has a plastic stopper where a needle is inserted for aspiration of the medication, the ampule is a glass vial .
Turn the pt q2 hours in this position to decrease the risk for pressure sores
lateral 30 degrees
What type of documentation is needed by the nurse after administration of medications?
Name an intervention the nurse will implement to prevent a fall in a pt with unsteady gait.
Educate the pt to use the call light for assistance, use assistive devices for ambulation, walk on the weak side of a pt using a gait belt. Implement fall precautions
A nurse needs to waste a narcotic medication. What steps are involved in this process?
The narcotic medication must be witnessed by 2 licensed personnel. The narcotic count is logged and confirmed. At the end of the shift the narcotic count is completed before anyone can leave their shift.
Describe nursing interventions when administering an enteric coated medication
Do not crush, make sure to give with the appropriate amount of fluid, ask for a different form of medication if being given through a tube
Place the pt in this position when administering an enema
L side sims
When a patient has come in contact with a poisonous substance whom should the nurse document was contacted?
Poison control center
The patient is at risk for a DVT but is resistant to walk due to fear of pain. What type of communication should the nurse use to help the pt convey there feelings? Provide an example of how you would respond.
Open-ended questions convey interest and do not require a specific response.
Explain the difference between the percutaneous and parental routes of med administration?
The percutaneous route is absorbed through the skin and the parental route bypasses the GI tract.
How do you instill eardrops in a child vs an adult.
Child is down and back, adult is up and back