Evidence-Based Practice
Between the hallux and second toe
What is where to check for peroneal nerve function
Who is included in the patient's family
Who the patient defines as family
Your patient failed a bedside swallow evaluation. Which interprofessional team members will you collaborate with to obtain a barium swallow evaluation?
Who are the physician and the speech-language pathologist? (or speech therapist)
The nurse omits the third check at the bedside creating this
What is a medication error
This medication class for hypertension or bph can cause the first dose effect
What is an Alpha blocker (like doxazosin)
What 2 interventions are most effective in VTE prevention?
What are early ambulation and chemical prophylaxis (enoxaparin, heparin)
Your 78-year-old patient is complaining of dry mouth, trouble swallowing, indigestion, and a decreased appetite.
What are age-related changes in the GI tract?
You collaborate with the physician to change your patient's sulfa RX to one for ampicillin for their UTI due to this note on their chart (hint:not an allergy)
What is G6PD deficiency
At lunchtime, you assist your patient to a chair, have suction available, and remain at bedside.
What are aspiration precautions?
Acute sleep disorder, poor sleep hygiene, and more common in women.
What is insomnia?
Communication strategies to build rapport with patients and the technique used to reflect back patient's feelings and concerns.
What is active listening (asking open-ended questions, clarifying) and using empathy (acknowledging feelings, being non-judgmental)?
The nurse supports this in a patient by calling a care provider to change an order the patient does not want, or clarifying a patient's position
What is autonomy
You collaborate with a registered dietitian for a personalized meal plan for your diabetic patient. You consider these two important factors when selecting foods for a diabetic diet.
What are the carbohydrates and glycemic index (the impact on blood glucose levels)?
Older adults often lack this leading to an increase in fall risk
What is balance
Waist circumference, high blood pressure, insulin resistance, low HDL, high triglycerides.
What are the five components of metabolic syndrome?
This type of medication for hypertension has been proven to be not as successful in many patients who are black or African-American
What are ACE inhibitors
Reduce light and noise levels, and provide eye masks and comfort measures.
What is creating an environment that promotes sleep?
You collaborate with the CNA to prevent this of Virchow's triad in your orthopedic patient (name the area and the intervention)
What is venous status (ambulation. sequentials)
Your patient is one-day post-up following a cholecystectomy. You notice the patient is reluctant to breathe deeply. In addition to the incentive spirometer, what are two patient education strategies that you can recommend to prevent atelectasis?
What are deep breathing/coughing and early mobilization?
A common sign of an infection such as a UTI or pneumonia in an older adult is often
What is confusion
(note falls may also increase)
Elevating the head of the bed 30-45 degrees, hand hygiene, and oral care to prevent aspiration.
What are interventions for preventing hospital-acquired pneumonia?
Your discharge plan for your 84 year old female who wants to go home after surgery to be with her dogs should include discharge to?
What is her home
A key piece of what you will delegate to your CNA to perform for your post-op patient includes these 2 key factors
What are:
1) Patient is stable
2) The CNA is trained to do this task
Your patient has a blood sugar of 185 and will be administered Humalog 2 units. When should insulin be administered and what is the onset of this insulin?
What is 15 minutes before meals and 15 minutes after injection?
Increased restlessness, confusion, decreased respirations, bradycardia, and cyanosis.
What are late symptoms of hypoxia?