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Practice questions for this set
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TWO nurses must witness the math for the order and the input of the
numbers into the PCA. it is the nurse's responsibility to educate the patient
on safe and appropriate use
Choose an answer
How to promote autonomy and what are the nurse's responsibilities
1 2
client safety when placing a patient on a PCA?
3 chronic pain 4 5 rights of delegation
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Terms in this set (46)
How to promote -critical rescue
autonomy and client -action alert
safety -drug alert
, formal method of handoff communication between
two or more health care team members
SBAR reporting Situation
Background
Assessment
Recommendation/Request
process of transferring a selected nursing task or
Delegation activity to a competent UAP; the nurse is always
accountable for the task/activity delegated
guidance or direction, evaluation and follow up by
Supervision the nurse to ensure a task/activity is performed
appropriately
-right task
-right circumstance
5 rights of delegation -right person
-right communication
-right supervision
-UTI
-Stroke
-Fluid/electrolyte imbalance
-Meds (opioids, steroids, psychoactive drug, and
general anesthesia)
complications that can -Metabolic Alkalosis: vomiting (pH > 7.45 & HCO3 >
greatly affect an older 26)
client's cognition -Metabolic Acidosis: decreased urine output,
diarrhea (pH < 7.35 & HCO3 < 22)
-Respiratory Alkalosis: hyperventilation (pH > 7.45 &
CO2 < 35)
-Respiratory Acidosis: hypoventilation (pH < 7.35 &
CO2 > 45)
consider ___________ as a polypharmacy
possibility when an older
client has new onset
confusion