Unit 1
A patient on this type of medication should be educated to use an electric razor and avoid activities with a high risk for injury.
What are anticoagulants?
Increasing dietary fiber, drinking adequate fluids, and staying physically active are simple daily actions that help prevent this common bowel issue.
What is constipation?
Signs such as low blood pressure, rapid heart rate, dry mucous membranes, and decreased urine output may indicate this fluid and electrolyte related condition.
What is hypovolemia?
Vaccinations to prevent illness, screenings to detect disease early, and rehabilitation programs for chronic conditions are all examples of different approaches in this type of nursing practice.
What are levels of health promotion (primary, secondary, tertiary)?
A yellow wrist band, Morse scale, and orthostatic hypotension are ways to identify a client is at risk for this significant event.
What is a fall?
Before giving medications, a nurse must confirm the correct patient, drug, dose, route, and time. These safety checks are known by this phrase, considered the foundation of safe medication administration.
What are the 5 rights of medication administration?
When IV fluid leaks into the surrounding tissue, it can cause swelling and coolness at the site. If the fluid is a vesicant and damages the tissue, it’s called this more serious complication.
What is infiltration and extravasation?
A client who has just learned of a terminal diagnosis refuses to talk to anyone and expresses anger toward the healthcare team. According to Kübler-Ross, the client is experiencing this stage of grief.
What is Anger?
A student nurse assesses a patient and notes Korotkoff sounds start at 186 and stop at 90. The student nurse knows what factors contribute to this cardiac related condition.
What are age, weight, medications, stress/emotional state, acute pain? What is Hypertension/Hypertensive Crisis?
Factors such as fever, stress, growth, and increased muscle mass can all raise this measurement of the body’s energy use at rest. Answer with the name of the measurement and the formula for women.
What is Basal Metabolic Rate and BMR = (10 × weight in kg) + (6.25 × height in cm) - (5 × age in years) - 161?
An ECG measures a type of activity in the heart with this wave represents atrial contraction, the PR interval shows the delay of the electrical impulse through the AV node, the QRS complex indicates ventricular contraction, and the ST segment reflects the period when the ventricles are recovering.
What is Electrical activity and the P wave?
A nurse intentionally tells a patient the truth about a new medication despite the patient’s anxiety, demonstrating this ethical principle. However, if the nurse were to administer that medication without the patient’s consent, it could be considered this legal offense.
What are veracity and battery?
A new nurse demonstrates misunderstanding this nursing concept when she asks a PCT to administer medications to a patient.
What is Delegation?
To help a client with low oxygen levels, nurses encourage deep breathing exercises using this device, which helps expand the lungs and prevent complications like pneumonia. Proper use includes sitting upright, sealing lips around the mouthpiece, inhaling slowly, and holding the breath before exhaling.
What is an incentive spirometer?
This lab measures a client’s average blood glucose over the past 2–3 months. If it’s elevated, nurses should also monitor these labs for abnormalities associated with diabetes.
What are Hemoglobin A1c, Complete Metabolic Panel, and blood glucose levels?
A client who has not been sleeping well reports the following sleep disorder symptoms: difficulty concentrating, irritability, and frequent yawning. During a polysomnogram, the patient is observed in this stage of sleep when vivid dreams occur and brain activity is similar to being awake, rapid eye movements and increased heart rate.
What is sleep deprivation and REM sleep?
A patient develops a full thickness wound to the coccyx. Upon assessment the nurse can tell it is Stage III because of these characteristics.
What are full thickness loss of skin, visible adipose tissue with or without granulation tissue, no underlying fascia involved, possibly rolled wound edges (epibole), and some slough (thick, stringy, either yellow or cream colored)?
A client with high cholesterol is advised start this type of diet that limits saturated fats and increases fruits, vegetables, and whole grains.
What is a heart-healthy diet?
A first-level nursing student learns that swelling in the legs, weight gain, and fluid buildup in the abdomen are common signs of this condition, which occurs when the right side of the heart cannot pump blood effectively.
What is right-sided heart failure?
A nurse notices a client is motivated, asks questions, and actively participates in learning about their new diabetes management plan. The nurse knows this action is the first step in planning education and focuses on teaching the client using written materials, teach back demonstrations, and therapeutic communication which demonstrates understanding of these learning domains.
What is assessing the client’s readiness to learn, and the cognitive, psychomotor, and affective domains of learning?