Complete Accurate Actual Questions With Verified
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Nursing Interventions for Delirium - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-establish client's baseline LOC by interviewing family;
monitor VS and perform neuro checks; monitor for acute onset and
fluctuating LOC; maintain comfort measures; monitor ability to function
in the immediate environment; determine physiologic reason delirium
is occurring
Nursing interventions for fluid volume deficit - {✔✔CORRECT
VERIFIED ANSWERS✔✔}monitor VS, skin turgor (for older adults,
check skin over sternum or forehead), and lab data; maintain strict I&O;
daily weights; initiate fall precautions
Nursing interventions for fluid volume excess - {✔✔CORRECT
VERIFIED ANSWERS✔✔}monitor respiratory rate, symmetry, and
effort; monitor lung sounds, edema, ascites (excess fluid in the
peritoneal cavity), and VS; maintain strict I&O; daily weights
,Risk factors for hypokalaemia - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-body fluid loss
(vomiting, diarrhea); kidney disease; dietary deficiency; excessive
diaphoresis; medications (corticosteroids, diuretics, abuse of laxatives);
alkalosis
Risk factors for hyperkalaemia - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-kidney failure; adrenal insufficiency; acidosis;
excessive potassium intake; medications (potassium-sparing diuretics
and ace inhibitors)
Acceptable ways to ID patient - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-patient's name, DOB, assigned ID number, telephone
number, or other person-specific identifier
Hot water heater setting for infant safety - {✔✔CORRECT VERIFIED
ANSWERS✔✔}120.2F (49C) or lower
Bath water temp for infants - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-97.9F (36.6C) to 99F (37.2C)
,Where to test bath water - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-inner wrist
Time to feed newborns - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
every 2-3 hours
Stool during breastfeeding - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-loose, pale, and/or yellow
Number of wet and poopy diapers per day - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-68 wet and 3-4 poopy
Cord care - {✔✔CORRECT VERIFIED ANSWERS✔✔}-keep cord dry;
keep the top of the
diaper folded underneath it; cord falls off around 10-14 days after birth;
give sponge baths and avoid submerging newborn until cord falls off
Circumcision education - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
change diaper at least every 4 hours and clean with warm water;
following clamp procedures, apply petroleum jelly each diaper changes
fro at least 24 hours after to keep diaper from adhering to penis; apply
diaper loosely; don't give tub bath; warm water should be trickled;
avoid premoistened towelettes;
, Never put these in a newborn's crib - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-pillows, large floppy toys, or loose plastic sheets;
they can suffocate
Preventing food poisoning - {✔✔CORRECT VERIFIED
ANSWERS✔✔}-hand hygiene;
ensure meat and fish are cooked to the correct temp; check expiration
dates; refrigerate perishable items
Precautions for Vancomycin-Resistant Enteroccoccus (VRE) -
{✔✔CORRECT VERIFIED ANSWERS✔✔}-standard/contact
precautions; hand hygiene and gloves; gown if in contact with
contaminated materials
Common suffix for SSRIs - {✔✔CORRECT VERIFIED ANSWERS✔✔}-
-pram; -ine
Common suffix for antibiotic - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--floxacin; -mycin
Common suffix for thrombolytics - {✔✔CORRECT VERIFIED
ANSWERS✔✔}--ase Common side effect with ACE inhibitors -
{✔✔CORRECT VERIFIED ANSWERS✔✔}persistent, non-productive
cough; angioedema