Delegation
Explain what delegation means.
Transference of responsibility and authority for an activity to a competent individual while retaining accountability.
Name some positive factors affecting sleep.
Keep a regular morning and nighttime schedule, exercise in the morning, avoid homework or office work late at night, wear dark glasses (night shift)
What part of the body is most responsible for metabolic processes of digestion?
Liver
At what age should parents start brushing teeth of a child?
18 months
Explain what SBAR is.
Situation, Background, Assessment, Recommendation
You are a registered nurse working on a busy MSO floor. You have a patient, Mr. Kelp, who was admitted with COVID. He is currently unstable and requires constant monitoring and care. Would a UAP be allowed to measure vital signs and do routine tasks on this patient?
No
What age group has puberty changes affecting their body's internal clock which then affects their sleeping patterns?
Adolescents
What are the fat soluble vitamins?
A, D, E, K
What type of drugs can attribute to dry mouth?
diuretics, antihistamines, and anticholinergics
What should be done after receiving orders from a doctor?
Repeat the orders back to the doctor to make sure you have them correct
A nurse delegates a task to a CNA. Who holds accountability for this task?
A patient presents with sleep apnea. He has a large neck circumference and is obese. What type of sleep apnea does he most likely have?
Obstructive
Explain some risk factors for under nutrition in older adults.
Chewing difficulties, polypharmacy, decreased number of taste buds, cognitive impairment, xerostomia
How do adult learners differ from child learners?
They need to know why they should learn something
Gossiping, condescending behavior, name-calling, blaming, forming cliques are all what kind of bullying?
What are the 5 rights of delegation?
Right task, right circumstances, right person, right direction and communication, and right supervision
A patient has been prescribed a benzodiazepine as needed to help with sleep. What are the nursing considerations to think about for this patient?
Benzos can cause impaired coordination and dizziness- therefore this patient is a fall risk. If patient must get up in the middle of the night- use call bell/get up slowly and assist going to bathroom.
What does total parenteral nutrition mean?
intravenous nutrition to fuel body
Explain what positive reinforcement is.
Introduce a reinforcing stimulus following a positive behavior (treat, praise, encouragement)
There is a written order for your patient on the floor. It reads MS 2.0 mg IV now. What is wrong with this order?
MS should be written out. Trailing zero causes errors.
What 2 things cannot be delegated?
Assessment and patient education
An older adult patient regularly becomes agitated in the late afternoon through the night. What is happening with this patient?
Sundowning
Name some common foods that are allergens.
Milk, eggs, fish, shellfish, soy, wheat, peanut, and tree nuts
Explain what social learning theory is.
Learning through observation or instruction. Learning process focuses on imitation and modeling
Explain EHR and EMR.
EHR- electronic health record (entire chart)
EMR- electronic medical record (just this visit)