Electrolytes
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
A) The client who has been NPO at MN
B) The client with left side heart failure with BNP 600
c)THE CLIENT SCHEDULED FOR DIALYSIS
d)The client who has gastroenteritis and is febrile
Attitude of the nurse is important in nursing and demonstrated with _________ most importantly.
Communication
smiling
holding others accountable
being on time
What are types of medical cost?
Cost for nursing care for patients
Cost to patients, providers, payers
Cost of care to patients in ER only
Cost of receiving care without insurance
The governing board of nursing who protects the patients.
State Board
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications?
A) bleeding
B) urinary retention
C) elevated Blood Pressure
D) Discoloration of extremities
A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?
0710
0745
0815
0830
What is important to your peers is often evaluated through....
Peer evaluations
Parties held by co workers
Helping your co worker with patient care
talking to your boss about your performance
Average cost of one day in hospital?
1,100
5,200
100,000
2,600
When you have a question the first step is to ask?
What?
Why?
Where?
IS?
A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take?
Monitor sensory perception of the lower extremities
Keep the client on bedrest for 48 hours
Help the client into a fetal position to help with comfort
Assist the client into high fowlers postion if drainage is noted from the dressing.
A nurse is caring for a client who has an elevated potassium level and is on a cardiac monitor. The nurse is aware that hyperkalemia may be associated with changes to the T-wave.
elevated T wave
Depressed T wave
Tented T wave
What is Chain of Command
reporting structure
a loop of information from one peer to another
a rumor mill
a link in the workplace that goes above your boss to accomplish goals
What is Value Based CARE?
It is a type of reimbursement from the government that ties payment for services to quality outcomes, efficiency and effectiveness.
it means you get what you pay for
it means the patient gets to say how much he will pay
PICO stands for what?
A model that helps you answer a research question?
used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients
Glasco Coma Scale
Bradens
HESTER SCALE
PERRLA
A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should anticipate a shift in his electrolytes such as....
Low sodium
High blood sugar
elevated potassium
elevated calcium
Holding someone accountable means
Speaking openly about their performance to their peers.
speaking openly about the action to the person
Telling their boss
Making fun of them because they are making a mistake
A braslows bag for ER costs
2,000
5,000
9,900
15,000
AACN is the credentialling agency for nurses.
True
False
a procedure that tells if a patient has had a stroke is known as
Cat Scan
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client’s ECG?
Shorter P wave
Widening of the QRS
Reduction of the T wave aplitude
Restoration of the QRS aplitude
A nurse is preparing to administer a unit of red blood cells. The nurse’s responsibility is to compare and verify the information on the blood label with the client’s information. The nurse should use which of the following as the priority source of verification?
Chart
patient arm band
Order sheet
Medication record
A hip replacement is more expensive than a spinal fusion?
False
True
Hip 40,000
Spinal Fusion 110,000
world's largest specialty nursing organization
Association of Critical Care Nursing
2 types of strokes are
Hemorrhagic
Thrombotic