NU185 Comp review & Quick Questions
Which task is appropriate to delegate to a UAP? - ✔✔Check pre-prandial blood glucose
level of a diabetic
Can obtain VS, measure I&Os, daily weights, assist bathroom, anything below waste
level is not good.
Advanced directives goes into effect when? - ✔✔anytime the patient is unable to make
a decision on their own, may change at anytime,
a living will allows patient - ✔✔to pick and choose which medical treatments they desire
to have done as well as withheld.
Which type of referrals is appropriate for the nurse to suggest to the team - ✔✔Speech
therapy (swallow test)
OT (feeding self)
-Wound care (possible pressure ulcer)
-Social worker (homeless, unemployed with CHF need help with bills and
transportation)
When should the interdisciplinary team meet? - ✔✔Interdisciplinary team should meet
when multiple hospitalizations happen with chronic illness
Dietary recommendations
Potassium: - ✔✔banana,
green leafy veggies, apricots,
broccoli
Dietary recommendations Iron: - ✔✔fish,
spinach,
tofu,
liver,
legumes
Dietary recommendations Sodium: - ✔✔canned foods,
cold cuts,
ham,
frozen dinners,
salted nuts
, Dietary recommendations Calcium: - ✔✔broccoli, kale, yogurt (highest),
cheese (second highest),
fortified cereals
Imbalanced nutrition: less than body requirements related to: - ✔✔provide nutritionally
dense supplements (jevity, ensure, etc) high in protein in between meals
Right to refuse care: - ✔✔Cultural beliefs
Voluntary admissions
Competent adults not being held
Emancipated minors
SBAR
Situation - ✔✔concise statement of the problem
SBAR
Background - ✔✔pertinent and brief information related to the situation
SBAR
Assessment - ✔✔analysis and considerations of options- what you found/think
SBAR
Recommendation - ✔✔action requested/recommended- what you want
Ex: the patient is 2-day s/p lobectomy and using oxygen at 8 liter per simple face mask,
can we try a Venturi mask?
Postoperative priority of care
Hypovolemia: - ✔✔vital signs trending from normal to abnormal (hypotension,
tachycardia, tachypnea
Spinal shock will see decrease in _____ and increase in ____ GO TELL SOMEONE -
✔✔pulse and BP
Postoperative priority of care Infection: - ✔✔hyperthermia (fever)
Postoperative priority of care Pain: - ✔✔sudden increase in pain, uncontrolled pain
Caring for mother who does not wish to breast feed: - ✔✔wear compression device
L&D nurse could manage - ✔✔postoperative abdominal surgery patient
Disaster preparedness
Safety: - ✔✔is the scene safe, a hurt rescuer cannot rescue
Which task is appropriate to delegate to a UAP? - ✔✔Check pre-prandial blood glucose
level of a diabetic
Can obtain VS, measure I&Os, daily weights, assist bathroom, anything below waste
level is not good.
Advanced directives goes into effect when? - ✔✔anytime the patient is unable to make
a decision on their own, may change at anytime,
a living will allows patient - ✔✔to pick and choose which medical treatments they desire
to have done as well as withheld.
Which type of referrals is appropriate for the nurse to suggest to the team - ✔✔Speech
therapy (swallow test)
OT (feeding self)
-Wound care (possible pressure ulcer)
-Social worker (homeless, unemployed with CHF need help with bills and
transportation)
When should the interdisciplinary team meet? - ✔✔Interdisciplinary team should meet
when multiple hospitalizations happen with chronic illness
Dietary recommendations
Potassium: - ✔✔banana,
green leafy veggies, apricots,
broccoli
Dietary recommendations Iron: - ✔✔fish,
spinach,
tofu,
liver,
legumes
Dietary recommendations Sodium: - ✔✔canned foods,
cold cuts,
ham,
frozen dinners,
salted nuts
, Dietary recommendations Calcium: - ✔✔broccoli, kale, yogurt (highest),
cheese (second highest),
fortified cereals
Imbalanced nutrition: less than body requirements related to: - ✔✔provide nutritionally
dense supplements (jevity, ensure, etc) high in protein in between meals
Right to refuse care: - ✔✔Cultural beliefs
Voluntary admissions
Competent adults not being held
Emancipated minors
SBAR
Situation - ✔✔concise statement of the problem
SBAR
Background - ✔✔pertinent and brief information related to the situation
SBAR
Assessment - ✔✔analysis and considerations of options- what you found/think
SBAR
Recommendation - ✔✔action requested/recommended- what you want
Ex: the patient is 2-day s/p lobectomy and using oxygen at 8 liter per simple face mask,
can we try a Venturi mask?
Postoperative priority of care
Hypovolemia: - ✔✔vital signs trending from normal to abnormal (hypotension,
tachycardia, tachypnea
Spinal shock will see decrease in _____ and increase in ____ GO TELL SOMEONE -
✔✔pulse and BP
Postoperative priority of care Infection: - ✔✔hyperthermia (fever)
Postoperative priority of care Pain: - ✔✔sudden increase in pain, uncontrolled pain
Caring for mother who does not wish to breast feed: - ✔✔wear compression device
L&D nurse could manage - ✔✔postoperative abdominal surgery patient
Disaster preparedness
Safety: - ✔✔is the scene safe, a hurt rescuer cannot rescue
