NUR 215 Exam 5 Questions and Answers Already Passed 2 diagnoses for fluid balance/electrolytes: ✔✔- fluid excess - fluid deficit 5 rights of delegation: ✔✔- right task - tight circumstances, such as setting and resources - right person - right direction and communication - right supervision and evaluation 6 rights of medication administration ✔✔1. right person 2. right drug 3. right dose 4. right route 5. right time 6. right documentation Advanced Directives include ✔✔- living will: legal doc expressing clients wishes regarding medical treatment if unable to make them. - POA: doc. in which clients designate a health care proxy to make health care decisions for them if they a re unable to do so. May be any competent adult client chooses - DNR: do not perform CPR if client is DNR, but still treat symptoms. Aspiration Precautions ✔✔*- sit patient up when feeding or drinking at least 30' - chin tuck to promote swallowing - provid e small bites and sips - be sure all food and liquid are cleared from mouth - check diet order (NO STRAWS) - no distractions while feeding( lots of family/conversation/TV) -remain upright for 30 min after as well CANNOT delegate: ✔✔- Nursing Process (ADPIE) - client education Factors to consider when delegating tasks ✔✔- education, training, experience
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NUR 215 Exam 5 Questions and Answers Already Passed
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NUR 215 Exam 5 Questions and Answers Already Passed 2 diagnoses for fluid balance/electrolytes: - fluid excess - fluid deficit 5 rights of delegation: - right task - tight circumstances, such as setting and resources - right person - right direction and communication - right supervision and evaluation 6 rights of medication administration 1. right person 2. right drug 3. right dose 4. right route 5. right time 6. right documentation Advanced Directives include - living will: legal doc expressing clients wishes regarding medical treatment if unable to make them. - POA: doc. in which clients designate a health care proxy to make health care decisions for them if they are unable to do so. May be any competent adult client chooses - DNR: do not perform CPR if client is DNR, but still treat symptoms. Aspiration Precautions *- sit patient up when feeding or drinking at least 30' - chin tuck to promote swallowing - provide small bites and sips - be sure all food and liquid are cleared from mouth - check diet order (NO STRAWS) - no distractions while feeding( lots of family/conversation/TV) -remain upright for 30 min after as well CANNOT delegate: - Nursing Process (ADPIE) - client education Factors to consider when delegating tasks - education, training, experience - knowledge and skill to perform task - level of critical thinking task requires - ability to communicate with others as it pertains to the task - demonstration of competence - the facility's policies and procedures - licensing legislation (states nurse practice acts) fluid compartments Intracellular fluid (ICF):
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