Tulloch

What types of questions or statements are therapeutic? Therapeutic- Focus on improving the health of the client. Statement: “Tell me more about or I see” What type of questions do we ask starting the interview to learn patients concern? Open-ended questions, Focusing, encourage elaboration When discussing sensitive topics such as sexual habits, which type of therapeutic questions help reinforce a nonjudgement approach by the nurse? Open-ended FALSE: Redirecting the conversation (chang...

An adolescent pt has a fractured tibia and a new cast, what is the most important assessment to perform? Neurovascular assessment A dementia pt is frequently incontinent, what would the priority action be? Toilet pt every 2 hours Expected age for s/s of autism to show? Toddler stage How do you administer timolol drops for a pt with glaucoma? Drop medication in conjunctiva sac How do you administer two different eye drops to a pt with open angle glaucoma? Administer medications 5 minute...

A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding? - "The pathway shows an estimate of the number of days the client will be hospitalized." A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? - Providing influenza immunizations to employees at a local preschool A community he...

3 phases of post postpartum - Taking in Taking hold Letting go A bilirubin level of what would cause the nurse to obtain a serum level - level greater than 12 A lack of folic acid can lead to what ? - neural tube defects A mother brings a baby to the doctors office and the baby appears Jaundice, what will the Nurse ask the mother about - About breast feeding and is the baby making stool A mother has a 3rd degree laceration what interventions will the nurse put in place - Fiber, sits bat...

Arbitration - binding conflict resolution process. facts heard by individual who makes final decision. power to have final decision Authentic leadership - congruent leadership. a match between the activities, actions and deeds of the leader and the leader's values, principles and beliefs. what you see is what you get. link between what they say and what they do Authentic relationships - nurses cultivate sense of well-being that promotes the ability to do the same for their patients Autho...

A nurse receives a shift report and is preparing to care for clients assigned on a medical-surgical unit. Which client should the nurse plan to assess first? A) The client who needs assistance with activities of daily living B) The client who needs help ambulating to the bathroom C) The client with a pain rating of 3/10 D) The client experiencing shortness of breath D A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the room, the nurse ensures t...

1/2 NS or NS - The RN recognizes the DKA and HHS patient is profoundly dehydrated. She begins Intravenous Fluid Resusciation with what fluid? 100 units per mL - Your patient asks, "What does U100 mean after the Humalog, on this vial?" How should the RN respond? 1330, due to peak and duration of this medication - The RN administers Novalin-R insulin at 0800 right before the patient begins eating breakfast. At what time is the patient most at risk for being hypoglycemic? 0900, 1030, 1230, ...

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? A. Electrical cords are placed along the walls B. Scatter rugs are present in the kitchen C. Handrails are present in the bathroom D. Uses a microwave for cooking - B. Scatter rugs are present in the kitchen A home health nurse is teaching an older adult client who just had cataract surgery. Whi...

*Infiltrative* oncologic emergency - Occurs when cancer infiltrates major organs or from cancer treatment. Cardiac tamponade, and carotid artery rupture *Metabolic* oncologic emergency - Caused by production of ectopic hormones directly from the tumor or metabolic problems caused by the cancer/treatment. Can include: Hypercalcemia, tumor lysis syndrome,septic shock, disseminated intravascular coagulation, SIADH *Obstructive* oncologic emergency - Caused by tumor obstruction of an organ or...

Age of onset of MS - 20-40, more common in women antidote if tensilon test is given and results in a cholingic crisis? - atropine - cholinergic antagonist (should be readily available when tensilon test is performed) Are you always on dialysis with an AKI and a CKD? - AKI - no, can get better CKD - yes At what temperature is peritoneal dialysis given? - Must be warmed to body temperature At which GFR level does dialysis begin? - 15 Can myelin sheath regenerate? what is this called? - yes ...

A confused patient recently began an antidiuretic, what actions should the nurse take? - Offer water frequently, monitor mucous membranes. A patient is being treated with chemotherapy for breast cancer. The patient's meal tray was just delivered. What foods would the nurse remove from the tray? 1.Roast beef with gravy 2.Salad with ranch dressing 3.Steamed vegetables 4.Chocolate cake - Salad with ranch dressing A patient is being treated with chemotherapy for breast cancer. What lab test...

1. lying on side with top hip and knee flexed. Top leg is behind the body. - oblique position a contaminated object that transmits an infection? - fomite a licensed nurse (RN or LPN/LVN) is paired with an unlicensed assistive personnel (UAP). The team is then assigned to a group of clients. - team nursing A patient with tuberculosis is admitted to the hospital. Which precautions must the nurse institute when caring for this patient? - Airborne transmission a red-blue collection of blood un...

24 month old baby should.... - walk up stairs 7 warning signs of cancer - Change in bowel or bladder habits. A sore that does not heal Unusual bleeding or discharge. Thickening or lump in the breast, testicles, or elsewhere. Indigestion or difficulty swallowing. Obvious change in the size, color, shape, or thickness of a wart, mole, or mouth sore. Nagging cough or hoarseness. A wound that would heal be primary intention - surgical incision Accessing a PICC line, you need what type of ne...

Health assessment requires the nurse to identify: a. Physical assessment findings only b. Normal from abnormal assessment findings c. Basic anatomy and physiology d. Diagnostic values b. Normal from abnormal assessment findings You are interviewing a patient in a community health clinic. He shares with you that he has made some bad choices in life. You completely support and accept the patient no matter what he says or does. This is known as: a. Empathy b. Genuineness c. Unconditional...

A 10 year old female with a fractured arm is complaining of pruritus with morphine. How would you assess her pain? What changes would you make to her pain regimen? - To assess her pain just ask, a 10 year old can verbalize pain and a numerical score can be used Trying another opiate would be an appropriate change to her pain regimen A 4 year old has recently returned from having an abscess drained has a JP drain in place. The nurse is asking for pain medication. How would you assess the p...

1. A nurse, who is assessing a client's neurologic system and stereognosis, should ask the client to close their eyes and identify which of the following items? A. A word the nurse whispers 30 cm from the ear. B. A number the nurse draws on a communication board. C. The vibration of a tuning fork the nurse places on the foot. D. A familiar object the nurse places in the hand. - D. A familiar object the nurse places in the hand 10. A nurse is preparing to measure a client's level of edema...

24 hour diet recall - Check packages/labels for calories and fat Accountability, responsibility and advocacy - It is the nurses responsibility to provide care that is established by standards of the profession Being accountable means that the nurse is answerable for the outcomes of actions taken To advocate for someone means to speak for that person when the person is unable to speak for themselves Areas of potential liabilty for nurses - failure to monitor and assess failure to ensure sa...

5 rights of delegation - 1. Right task 2. Right circumstance 3. Right person 4. Right direction/communication 5. Right supervision/evaluation 60 second assessment on the patient would include? - Airway, Breathing, and Circulation. Tubes and Lines - Tubes or IV? - Solution at the correct rate -Complications? Respiratory Equipment: - Is pt utilizing oxygen? Do we need to continue to monitor? Patient safety survey: - What are your safety concerns with this patient - Do you need to re...

A nurse is caring for a patient who was in a motor vehicle accident that resulted in cervical trauma to C4. Which assessment is the priority? a.Pulse b.Respirations c.Temperature d.Blood pressure - resp A 2-year-old child is brought into the emergency department after ingesting a medication that causes respiratory depression. For which acid-base imbalance will the nurse most closely monitor this child? - Respiratory acidosis A chemotherapy patient has gained 5 pounds in 2 days. Which as...

2 critical parts of the health care field are - teamwork and collaboration 2 types of touch - -task oriented touch -caring touch 6 competencies of QSEN - 1. Patient-centered care 2. Teamwork and collaboration 3. Evidence-based practice 4. Quality improvement 5. Safety 6. Informatics A profession has a - duty to the public good Active listening is - specific communication technique in which one fully concentrates on what the other is saying in a conscious effort to fully understand...