Study guides, Class notes & Summaries

Patient-Centered Care correct answers Advocate for the patient and family in the provision of compassionate and coordinated care to support the health, safety, and well-being of patients and families Nursing Judgement correct answers Provide a rationale for judgements used in the provision of safe, quality care and for decisions that promote the health of patients within a family context Evidence Based Practice correct answers Implement evidence-based practice in the provision of individua...

The nurse provides postop instructions for an adult patient after cataract surgery. Which written statement, if provided by the nurse, would be the most appropriate? a. "to avoid contamination of the eye use aseptic tech. when applying eye drops." b."conjunctivitis may result if the eye is contaminated with wet or dirty eye patches." c. "to prevent infection in the eye, wash your hands before changing the eye patch or using eye drops." d. "coughing and bending over can cause increased...

Bedside report correct answers Standardized, streamlined shift report system at the bedside; helps ensure the safe handoff of care between nurses by involving the patient and family Change-of-shift report correct answers Communication method used by nurses who are completing care for a pt to transmit pt info to nurses who are about to assume responsibility for continuing care Charting by exception (CBE) correct answers Shorthand method for documenting pt data that are based on well-defined...

Fluid and electrolyte balance correct answers Necessary for life Homeostasis Nursing role: Prevention Treat fluid/electrolyte disturbances We need a good fluid balance in our lives and a good balance of electrolytes If you have too much fluid you look: swelling, edema, crackles, plural effusion If you have not enough fluid: decreased skin turgor, dry lips, decreased urine output, low BP Fluid in the body correct answers Approximately 60% of typical adult is fluid Varies with a...

Assessment correct answers First step of the nursing process. Activities required in the first step are data collection, validation, sorting, and documentation. The purpose is to gather information for health problem identification. Yes, but it is the nurses responsibility to assign and validate data collected and complete physical assessment correct answers Can I delegate an assessment? subjective data and objective data correct answers Types of data subjective data correct answers Inf...

d. "When it is cold outside in the winter, I will use a nonvented furnace." correct answers A home health nurse is performing a home assessment for safety. Which comment by the patient will cause the nurse to follow up? a. "Every December is the time to change batteries on the carbon monoxide detector." b. "I will schedule an appointment with a chimney inspector next week." c. "If I feel dizzy when using the heater, I need to have it inspected." d. "When it is cold outside in t...

Fluid Volume DEFICIT correct answers Tenting (thigh or belly) Orthostastic vitals BP (low) HR (high) Pulse (weak & thready) Sunken fontanels/eyes Sodium (high) H & H (high) Urine output (low) Tearing (low) 1.035 urine sp. gravity (high) Dry mucous membranes Fluid volume EXCESS correct answers Edema Pulse (bounding/strong) Shiny/taut skin BP (high) HR (high) Lung sounds (crackling) SOB/Dyspnea/Orthopnea 1.003 sp. gravity (low) H & H (low) Na (low) JVD When caring for an...

1.) Gown 2.) Mask 3.) Goggles / face shield 4.) Gloves correct answers Donning PPE order: 1.) Gloves 2.) Goggles / face shield 3.) Gown 4.) Mask correct answers Doffing PPE: *P*ull pin *A*im nozzle *S*queeze handle *S*weep towards base of fire correct answers What is the correct sequence for using a fire extinguisher? RACE: *R*escue and remove clients in immediate danger *A*ctivate alarm *C*ontain fire *E*xtinguish fire correct answers What do you do if a fire occ...

The nurse is caring for a client with pneumonia who requires administration of medications. When does the nurse document administration in the medication administration record (MAR)? correct answers after completion of administration of each drug explanation: The nurse documents administration after giving medications each time. The nurse never documents administration of medications ahead of delivery, nor does the nurse document during the actual delivery time. Nurses do not wait until the e...