IT'S ALL ABOUT THE CLIENT
Give an example of an effective intervention to slow breathing and increase oxygenation.
What are the next two steps when a nurse determines a client is not breathing and has no pulse.
pursed-lip exhaling.
Call for help and start chest compressions
How should a vest (Posey) restraint be secured?
Secured with a quick release tie.
Give examples of high protein foods that are inexpensive.
Give examples of foods that are high in potassium.
Give examples of clear liquids.
Give an example of a high iron food.
Peas and Beans.
Oranges, Bananas, and Potatoes.
Apple Juice, Teas
Liver
Which action would decrease the risk of an infection when providing wound care?
Use of aseptic technique.
What is most important to remember when a nurse delegates portions of duties to an aid.
The registered nurse has primary responsibility for the client's care
How would a nurse effectively communicate with a client who has difficulty seeing?
How would a nurse explain a procedure to a 2-yr old?
Orient the client tot he sounds in the environment.
Use dolls and stories to demonstrate what the child should expect.
Beefy Red with moderate edema and small amount of bleeding.
What is an alarming respiratory rate for a lung cancer client taking oxycodone be to address immediately?
Respiratory rate of 6 to 8 breaths/min
What is the appropriate needle length for a subcutaneous injection to an adult client?
What is the appropriate needle length for an intramuscular injection to an adult client?
3/8 to 5/8 inches.
1-1 1/2 inches.
What would you do if you suspect another nurse is utilizing a client's drugs and is self-abusing?
Report the information to the nursing supervisor.
Identify the following IV solution. 0.9% sodium chloride
Identify the following IV solution. Lactated Ringer's
Isotonic
Isotonic
What would a nurse suspect from a client that stopped taking antibiotics a few days and now has a fever, nausea, and vomiting?
How would a nurse explain to a client with COPD the purpose of a continuous pulse oximeter?
It measures the oxygen saturation in your blood at any given time
What PPE is need when assessing a client with Shingles?
Gown and gloves.
Give an example of a Privacy Violation.
Give examples of Slander.
Releasing information regarding a client.
That nurse is incompetent. That nurse does drugs. An aid sharing misinformation about a client with another client.
How does orthostatic hypotension occur?
Moving a client too quickly from a sitting to a standing position.
Which type of learning represents a client administered injection as the nurse observes the administration technique?
Psychomotor
What is the best way to assess a pulse after identifying an irregular radial pulse?
Take the apical pulse for 1 full minute.
How would you administer 1gram tablet of medication to a client that needs 500 mg?
1/2 tablet
Which document would inform you if the discontinuation of a feeding tube is permitted?
Advanced Directives.
Before a client is to collect a midstream urine sample, the client should cleanse the perineum how before urinating?
What is anuria?
In which position would the nurse place a client when administering a cleansing soap suds enema to an adult.
What should a client with post-operative colostomy complains about a bag inflating with air?
From front to back.
Unable to produce urine.
Sim's
Open the colostomy bag and manually deflate the inflated air.
Give an example of objective data that a nurse would see if a client has an ear infection?
Describe how you would instruct an unlicensed assistive personnel to perform mouth care for an unconscious client.
Purulent drainage.
Turn client head to the side. Use small volumes of fluid to rinse the mouth. Place emesis basin under the client's mouth. Place in Semi-Fowler's position.
Explain Bradycardia beats per minute.
Explain Tachycardia beats per minute.
Explain Normal Heart Rate beats per minute.
Hypokalemia is a dangerous condition because it increases the risk for?
Give an example of a normal range for Hgb, Hct., WBC
Heart beats fewer than 60 times per minute.
Heart beats over 100 beats per minute.
Heart beats 60-100 beats per minute.
Cardiac Irregularity
Hgb.13.3, Hct.39.8, WBC 7,500
What should a nurse continuously monitor for a client receiving morphine sulfate?
How would you have a client quantify the level of pain he/she is in?
Decreased level of consciousness
What is the level of intensity of your pain on a scale of 0-10, 10 being the worst.
Give examples of Planning, Assessment, and Nursing Diagnosis in the Nursing Process?
Turn Client every two hours.
Reports pain on the pain scale and is tearful.
An impaired skin integrity with purulent drainage.