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-patients reaction -date, time, location -corrective action taken -individuals who witnessed or were involved -additional events surrounding the incident. - correct answer components of an incident report RN: obtain baseline cholesterol levels Teach: increase fiber intake - correct answer Rn care and teaching points for cholesterol absorption inhibitors (Ex:E) 1. avoid crowds 2. strict HH 3. no fresh fruit, flowers, standing water, soft chz - correct answer neutropenic precautions involves... 1. do not schedule as last case of the day 2. avoid powdered gloves (polyurethane and mylar are free of latex) - correct answer latex allergy concerns in the OR atmosphere carpet can contain latex, erasers (polyurethane and mylar are latex free) - correct answer pt teaching on things to avoid for latex allergies F: SURGICAL ASEPTIC technique involves keeping arms ABOVE the elbows (germs being washed fall downward w/ gravity and water and don't recontaminate cleaned areas on arms) - correct answer T/F: surgical aseptic technique involves rinsing hands, arms while keeping them LOWER than the elbows T - correct answer T/F: nutritional status is an example of an internal stressor T - correct answer T/F: assessing prior coping mechanisms will encourage a client to begin to learn self-care Rinne test - correct answer hearing test that evaluates the transmission of sounds through bone (compares bone conduction against air conduction) BY placing the tuning fork in front of the ear canal Weber's test - correct answer hearing test that involves placing a tuning fork on top of client's head must get order from provider WITHIN ONE HOUR (one order is good for 4 hours of use, then needs renewal) - correct answer emergency guidelines for restraints 1. least restrictive measures used first 2. 2 fingers must fit in b/w material - correct answer principles of restraint use 1. precipitating behavior 2. measures used prior to use 3. type of restraint & location 4. behavior while on restraint plus reaction when removed 5. condition of body parts effected by use 6. type/freq of "checks" - correct answer types of things to chart when restraints are used designate a health care proxy - correct answer a durable POA functions to.... t - correct answer t/f: living wills detail treatment wishes T - correct answer t/f: you need a prescription for a DNR -prophylactic asthma management - correct answer cromolyn is for... -take 15 mins before exercising -use albuterol 1st if doing combo therapy - correct answer cromolyn pt teaching droplet - correct answer type of precaution used with rubella ,airborne - correct answer type of precaution used with measles .4-1.3 - correct answer Li maintenance levels 11.5-16kg - correct answer if someone has normal BMI what's the recommended wt gain during prego? vertigo, ^ HR, syncope, sweating, pallor, palpitations - correct answer s/s of dumping syndrome (rapid emptying of stomach contents into small intestines) rec: PB and toast avoid: high sugary foods, dairy, salty foods - correct answer food rec's for dumping syndrome & foods to avoid T - correct answer T/F: abg samples are time sensitive and stored on ice metabolic alkalosis - correct answer what kinds of acid base imbal can result from vomiting? expressed consent - correct answer type of consent obtained when an RN "witnesses a client signing a consent form after ensuring the client has received AND understands necessary info" allow them to play with equipment b/c they want a sense of accomplishment - correct answer Example of developmentally appropriate care for the school aged child yes, it does not lower CNS - correct answer can Buspar be used with ETOH? insomnia, ^ temp, ^ HR, anorexia - correct answer s/s of acute alcohol delirium ^ BG for mom so as a result baby is at risk for low BG - correct answer concerns with betamethasone 1. physiological homeostasis 2. safety 3. love 4. self-esteem 5. self-actualization - correct answer maslow's hierarchy of needs from MOST important to least ASA, NSAIDs lower the anti-htn effects - correct answer Meds that interact with Catopril (an ACE-I) high carb foods :) - correct answer food category to promote for pt's experiencing nausea stridor - correct answer major s/s to look for with acute epiglottitis INCREASE RISK - correct answer pt's with hypokalemia are at an _____ risk for digoxin toxicity t - correct answer t/f: soybeans are an example of a complete protein borderline PD - correct answer which type of mental health condition has unstable interpersonal relationships antisocial PD - correct answer which type of PD has reckless disregard for self and others narcissistic - correct answer which type of PD has grandiose sense of self-importance -admin HYPOTONIC solutions -admin diuretics -implement sz precautions - correct answer RN management for hypernatremia -admin HYPERTONIC solutions -^ intake of foods with Na -implement sz precautions - correct answer RN management for hyponatremia -monitor for restlessness, irritability, weakness, oliguria -admin IV dextrose, IV insulin - correct answer RN management for hyperkalemia -monitor for restlessness, irritability, weakness -observe for shallow, ineffective respirations, dec BS - correct answer RN management for hypokalemia -monitor for facial flushing, soft tissue calcifications -admin loop diuretics - correct answer RN management for hypermagnesemia -increase oral or IV magnesium -D/C any loop diuretics - correct answer RN management for hypomagnesemia -monitor for bone pain, constipation -admin NS - correct answer RN management for hypercalcemia -encourage fiber, green leafy veg -admin oral supplements and IV calcium - correct answer RN management for hypocalcemia T - correct answer T/F: age, education level, method of educating are factors that enhance learning -^ K -FVE -necrotic bowel -air emboli -pneumothorax -sepsis - correct answer complications of TPN -abdominal assess't -measure wt -monitor albumin, VS, I&0 -check if solution is cracking -use aseptic technique for administration, dressing changes, tubing changes - correct answer RN care for pts on TPN amyl nitrate - correct answer antidote for cyanide toxicity HA, dizzy, SOB, bitter almond odor on breath - correct answer s/s of cyanide toxicity position limb in dependent position - correct answer RN care for preventing infxn's in BKA pts have pt lay prone for 20-30 mins a few times per day - correct answer RN care for preventing contractions in BKA pts T - correct answer T/F: you should clean the peristomal skin with warm water during ostomy changes Q 96h - correct answer how often is primary IV infusion tubing changed? 1-4 - correct answer ph of stomach acid COUNT TOTAL IN DRAWER PRIOR TO YOU REMOVING YOUR NEEDED AMOUNT - correct answer opioid counting tips for administration hold dropper 1-2 cm above conjunctival sac - correct answer ophthalmic medication administration guidelines RN: monitor BUN and Cr Teach: take ASA 30 mins before each dose - correct answer RN care and teaching points for nicotinic acids (Ex: Niacin) 1. assess readiness to learn 2. determine preferred learning style 3. determine learning needs 4. determine areas of concern 5. implement developmentally appropriate techniques 6. assess physical and cognitive abilities 7. determine resources available - correct answer 7 tips for providing quality education Teach to ^ fiber intake - correct answer RN teaching points for bile acid sequestrants (Ex: Colestipol) RN: administer 1h before bile sequestrants Teach: notify provider if muscle aches and pains occur, avoid ETOH - correct answer RN care and teaching points for cholesterol absorption inhibitors (Ex: Ezemtimibe) RN: obtain baseline cholesterol levels Teach: notify provider if muscle aches, pains, nausea, GI dist, jaundice occur, avoid ETOH - correct answer RN care and teaching points for statins (Ex: Rosuvastain) RN: monitor for sym's of biliary dz Teach: report muscle aches and pains - correct answer RN care and teaching for Fibrates (Ex: Gemfibrozil) bile acid sequestrant - correct answer med category that prevents the reabsorption of bile in the gut IOT lower LDL -avoid salt substitutes -drink 2-3L/day - correct answer RN teaching for pts taking K-sparing diuretics (Ex: Spironolactone) -orthostatic V/S -wt -edema assess't -admin early AM -cardiac monitoring (K losing and K sparking diuretics get this) - correct answer RN care for pts on Loop diuretics (Ex: Lasix for rapid tx of FVE) -avocados -strawberries -green leafy veg -bananas - correct answer Foods high in K -report wt loss & lightheadedness, weakness, GI distress -^ K containing foods -rise slowly - correct answer Pt teaching for pts on Loop diuretics Thiazide diuretics - correct answer Diuretic category that is the 1st choice for managing htn -baseline vitals -daily wts -edema assess't -monitor K - correct an
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