Nursing Interventions
Nursing interventions are?
Actions selected or prescribed by the nurse to achieve the desired patient outcome.
Safety Reminder Device
One of the following is not a basic rule of charting?
Mark through the error several times so it is not legible.
Before assisting a patient to ambulate to the bathroom, the nurse should first assess?
The patients ability to assist with ambulation.
A patient is admitted to the surgery center for an endoscopic procedure. The nurse has a consent form for the endoscopic procedure that the patient is required to sign if he/she wishes to have the procedure. The patient states that the surgeon has discussed the procedure and the possible risk associated with the procedure. The nurse explains the procedure to the patient, along with the pre-procedure and postprocedural care. This type of consent is an ___________ consent.
Informed
The nurse is providing information about high cholesterol levels. What is the rationale for avoiding saturated fats?
They increase blood cholesterol.
What does "RACE" stand for?
Rescue, Alarm, Confine, Extinguish
The section of the patients chart that contains observations, care given, and patients responses is?
Nurses note
Which physical areas of the body are appropriate for assessing skin turgor?
Back of the hand and sternum.
A nurse is caring for a diabetic patient whose serum glucose level is 520mg/dL prior lunch. Insulin sliding scale coverage has been ordered by the health care provider with instructions to call her for any glucose level over 400mg/dL. The nurse does not call the provider and goes to lunch. The patient develops ketoacidosis and is not stable. The nurse is liable for?
Malpractice
The nurse is educating a patient on a vegan diet. What supplement will the nurse encourage this patient to take to avoid a deficiency?
B12
Empathy means?
Understanding and sharing feelings another is experiencing.
Patients charts are audited for which reasons?
Quality of care, peer review, and quality assurance.
What are Maslows five categories of basic human needs?
Physiologic, safety and security, love and belonging, self-esteem, and self-actualization.
The home health nurse is caring for a patient with implanted pacemaker. What type of pain management would be contraindicated.
A TENS unit
The nurse explains that a patient with a heart problem should follow a decreased sodium diet. What will this diet help reduce the risk for or prevent?
Heart attacks
What does AMA mean?
Against medical advice
An incident report is a form required for?
Any event that is not consistent with routine patient care.
The phrase holistic health care system indicates that this system's focus us on the?
Comprehensive care of the patient.
The nurse is giving a backrub to a patient to relieve pain. What pain theory is the nurse using?
Gate control
The nurse cautions a patient with a pancreatic disorder that will interfere with the digestion of fats and may lead to a clotting disorder. What is the cause of these potential problems?
Inability to use vitamin K
What is an ethical principle?
Autonomy.
The nurse is assessing a patient for collection of subjective and objective date. What will this data provide the basis for making?
Patient problem
Florence Nightingale's plan focused on which concepts?
Sanitation, recordkeeping, hygiene, and nutrition
A patient has pain in the left arm secondary to coronary insufficiency. This is an example of what type of pain?
Referred Pain