Tulloch

Compare and contrast factors that facilitate learning and those that are barriers to learning - T -tune into the patient E - edit patient information A - act on every teaching movement C - clarify often H - honor the patient as partner in the education process Barriers The nurses Makes assumptions Teaches before knowing who he/she is teaching Talks, talks, talks... Lecture Doesn't let the learner interrupt Listens in a hurry Ignores or makes light of the learner's concerns Teac...

A 43-year-old female client is prescribed thyroid replacement hormone following a thyroidectomy. Which adverse effects should the nurse instruct the client to report immediately to the healthcare provider? A. Tinnitus and dizziness. B. Tachycardia and chest pain. C. Dry skin and intolerance to cold. D. Weight gain and increased appetite. - B. Tachycardia and chest pain. A Category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to t...

APAP Dosage maximum - APAP daily maximum dose 4,000mg or 4 grams Common side effects may include hydrocodone - seizures QT prolongation (Hysingla), respiratory depression Morphine is what major drug category ? - opiate (narcotic) analgesics Norco (hydrocodone/APAP) is what major drug category ? - Antitussive opioid analgesic/ nonopioid analgesic Schedule one is not - Schedule I- street drugs-• substances with no currently accepted medical treatment use in the U.S. What are the 3 catego...

Acetaminophen-long term effects - hepatotoxicity administration procedures ID verses subQ - ... Alzheimers what meds improve cognative function - acetylcholineresterase inhibitors AChE ex: cognex, Aricept, Exelon, namenda Anorexiants - Phenylpropanolamine use for 4-12wks at a time at high risk for hemorrhagic stroke anticholinergic side effects - dries, can't see, can't pee, can't spit, can't s**t Benzodiazepines - Restoril, Ativan, Valium used as hypnotics also used in movement disord...

A goal for a client who has difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the interprofessional team? A. Registered dietician B. Certified nursing assistant C. Social worker D. Occupational therapist - D. Occupational therapist A nurse is caring for a client who asks why they chose the nursing profession. The nurse states that it was because they wanted t...

a nurse considers that communication links people with their surroundings. What should the nurse identify as the most important communication link - l b. physical c. materialistic d. environmental answer: a A nurse educator is presenting information about the nursing process to a class of nursing students. What definition of the nursing process should be included in the presentation? - a. procedures used to implement client care b. sequence of steps used to meet the client's needs c. ...

a beginning student is reading a published research article. Where in the article would the student find the abstract? - at the beginning A home care nurse discusses with a patient when visits will occur and how long they will last. In what phase of the helping relationship is this type of agreement established - orientation phase a nurse gives a speech on nutrition to a group of pregnant women, what is the speech itself known as - message a nurse in a large metropolitan city enjoys workin...

A client's activity level has decreased after hip replacement surgery. The client has been receiving opioid analgesia and has decreased fluid intake. Which type of diagnosis will the nurse choose? A. Risk B. Syndrome C. Actual D. Possible - A. Risk A nurse who is newly employed at a hospital questions a standard of patient care that does not seem to follow evidence-based practice. Which critical thinking attitude is the nurse demonstrating? A. Intellectual autonomy B. Intellectual humi...

(Predicting and) managing potential complications - Look at the big picture to prepare for potential future complications 12 lead ECG - An ECG that uses 12 leads attached to the patient's skin; these include the limb leads and chest leads, may identify a myocardial ischemia or injury. ABC's - airway, breathing, circulation Assessing systematically and comprehensively - Use a systematic method of assessment so no important information is missed Atrial Fibrillation (AFIB) - Electrical abn...

A home health care nurse is helping a patient negotiate the health care system within the community. Which word best reflects this role of the nurse? a. Leader b. Resource c. Surrogate d. Counselor - b. Resource A mother whose young daughter has died of leukemia is crying and is unable to talk about her feelings. Which is the best response by the nurse? a. Everyone will remember her because she was so cute. She was one of our favorites b. As hard as this is, it is probably for the best ...

advanced beginner - A nurse who has had some level of experience with the situation. This experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care. advocacy - acting as the last line of defense on behalf of the patient or family assessing is the same as - Noticing code of ethics - describes competent level of behavior in a professional role compassion - (n.) sympathy for another's suffering; pity competent - having...

A nurse believes an elderly patient is depressed when they say , I feel old and alone - Identifying assumptions A nurse completes a head to toe assessment followed by a focused assessment for hours later of a patient with a head injury - Assessing systematically and comprehensively A nurse is reviewing WBC, DS, assessment to determine if the patient has an infection - Gathering complete and accurate data Graduate nurse states " all old people wet the bed " which step of tanner's is this...

Assistant should consider which of the following when selecting an appropriate hairstyle for a patient? - Styles that the patient prefers Assisting a patient with hygiene, providing a pleasant environment, and communicating with respect are all ways for making a patient feel how? - Comfortable Betty is an elderly resident who rarely speaks. Why is it important to continue to talk to Betty, even if she may not respond? - It will help Betty feel comfortable and cared for. How does daily brus...

5 rights of delegation - right task right circumstance right person right direction/communication right supervision/evaluation adverse event - An injury caused by medical management rather than the underlying condition of the patient attributes of a charge nurse - team motivation good communication manage stressful situations have cooperative workers attributes of healthcare quality - safe effective timely patient centered efficient equitable

4 things you need for Transitional Care - 1. Medication reconciliation (to see what medications patient is on) 2. Discharge summary 3. Phone numbers (Dr, home health) 4. Follow-up appointment Attributes and description of integrated care coordination models - 1. Inter-organizational an interprofessional team that includes the patient 2. Communication and information Exchange 3. A proactive plan of care with goals 4. Targeted set of purposeful activities 5. Proactive follow up Can th...

Ca lab values 8.5-10 Can you delegate a UAP to do skin assessment of pt with pressure ulcer? No you as LPN should ASSESS current pressure ulcer Can you have UAP report back if they notice arear on pt coccyx that is red and bleeding? Yes they should report any changes they notice but you as LPN need to go and check it out as well Cl lab values 96-106 Common side effect of Lisinopril dry cough Creatinine 0.6-1.2 Describe Lasses-Faire leadership style Management sits back and lets work...

A family member is concerned about their loved one's pain level, but they cannot receive pain medication for a while. What actions will you do? (3 SATA) - Stay calm and speak in a soothing tone, conduct a thorough pain assessment, express empathy when speaking to the loved one Patient has answered "Yes" to all the cage questions. You suspect the patient is in denial if the patient states what? - "I don't have a problem, I can quit anytime!" Patient has been ordered wrist restraints. W...

A patients family is at the bedside. The patient is complaining of still being in pain but the medication for pain they are currently on are not due until another few hours, the family is becoming unhappy, what are our interventions? - Acknowledge family assure you doing your best do a pain assessment offer non-Pharma logical therapies reposition music backrub etc. ADPIE - Assessment, Diagnosis, planning, implementation and evaluation Aspirin falls into what 3 medication classes? - Analge...

A elderly patient is not sleeping regularly, refuses physical therapy , has a sore on there heal, not eating much, what would you do? - -Use SPICES Tool -Clinical judgment -nursing process A patient 1 day post op for a patent with a total abdominal hysterectomy, what would be a concern - -pulmonary embolism -SPO2 will drop - RR rate will increase -feeling of impeding doom A patient with wrist wrist restraints because the keep pulling out their g-tube what would you do - - need a orde...

After a change of shift, you are assigned to care for the following patient. Which patient should you assess first? A 50 year old with asthma who complains of SOB after using a bronchodilator Allowing persons to perform a specific nursing activity , skill or procedure that is outside the traditional role and basic responsibilities of the delegates current job is the definition for which term? Delegation Asprin *NSAID and blood thinner *treats pain, fever, headache and inflammation *redu...