Tulloch

A Public swimming pool owner who did not repair a slide that then caused a child's injury could be guilty of what? - -Negligence A sub lethal drug over dose or a Wrist slash is example of what type of suicide - -Parasuicidal behaviors Abuse during Pregnancy can cause what?` - -low birth weight - premature - developmental issues How do people respond to stress - - in the same physical manner regardless of the stressor How do you care for a patient with Mental Issues & develop a trustin...

Alcohol withdrawal - Feel is 6-9 hrs after last drink Will have course tremors, irritability, anxiety Another name for Narcan and what it does? - Naloxone. Reverses effects of opiods. Characteristics of Anorexia Nervosa pt - Hyperactive Introverted Rapid speech, walk, talk Perfectionist Denies hunger Cluster A personality disorders - paranoid, schizoid, schizotypal Cluster B personality disorders - antisocial, borderline, narcissistic Cluster C personality disorders - avoidant, depende...

(3 SATA) What characteristics will you be looking for in a patient that you suspect has substance abuse disorder - 1. neglect of self care 2. impaired family functioning 3. increased use of the substance despite negative consequences. (3 SATA)You are assessing the coping patterns of a new patient. What data would you expect to find? - 1. Current stressors 2. Use of drugs or alcohol 3. Recent weight loss (3 SATA)You have a patient with mental and emotional difficulties is sensitive to s...

(Acute stress effect:) Stress is a set of what responses? - Behavioral, Physiological, Emotional A public swimming pool owner did not repair a slide that then caused a child's injury could be guilty of what? - Negligence and Malpractice Acceptance - Communicate a favorable reception. One does not have to approve of another's behavior Acting in the best interest of the patient - Advocacy Agitation, frustration, and anxiety are all signs of what? - Aggression An adolescent patient being s...

According to Kramer, nurses in the shock phase should ask themselves what? a. "How can I fit in with other staff?" b. "Why can't I perform as everyone expects?" c. "What changes can I make to make me feel good about the choice to become a nurse?" d. "How can I get the rest of the staff to change?" ANS: C During the shock or rejection phase, novice nurses must ask themselves what they must do to become the type of nurse envisioned and to make a contribution. According to situatio...

Aldactone - Potassium sparing diuretic Tx for edema, hypertension & heart failure Anemia s/s - SOB Dyspnea Fatigue Pale skin & mucous membrane Decreased RBC Decreased Hct Decreased Hgb AV fistula precautions - Vitals on the opposite side Bariatric surgery patients will need what? - B12 for the rest of their life Bladder training - Routine toileting schedule Kegels BP meds - Digoxin (Lanoxin) Misoprostol (Cytotec) BUN lab value - 10-20 mg/dL CAD education -

About to start IV on patient, reviewing patient's chart, looking for risk factors that can cause hematoma - Too large of a cath, fragile skin Benefits for using IV pump for patient - Patient can move around easily, give multiple meds at once (using multi-channels), alarms when finished Can LPN's give multivitamins? - Yes, we can- second bag or more Caring for elderly patient with hx of CHF, hip replacement. What would be true about some of the risks associated with her due to complicatio...

6 medication rights - 1. Medication 2. Dose 3. Documentation 4. Route 5. Patient 6. Time Different iv pumps - 1. Ambulatory pumps 2. Multi chanel pumps 3. Syringe pumps 4. Elastrometric pump Fat soluable vitamins - A D E K Four elements needed to prove malpractice. - 1. DUTY 2. BREACH DUTY 3. INJURY 4. CAUSATION (to cause harm)

A newly admitted 50 y/o has severe bacterial pneumonia, has a pulse ox is 88%, and has had a mastectomy on her right side one year ago. What orders or interventions will the LPN in Ohio expect to carry out? - - monitor continuous pulse ox readings - hang an IVPB antibiotic that works with several kinds of bacteria until the culture and sensitivity results come back - apply oxygen and give a nebulizer treatment as ordered A nurse found a grade 3 infiltration IV at the beginning of her shi...

Which statement made by the patient about their peripheral nerve catheter care would indicate a need for further teaching? "If my pain level increases I should just squeeze the 'ball' of pain medicine" A LPN is explaining to a student nurse who may direct his care as an LPN and gave the student a list. The LPN will include which of the following on his list? Select all that apply. A RN who was recently hired and passed her NCLEX one week ago. An orthopedic surgeon. An obstetrical nurs...

(SATA) Maintaining patient safety - Washing hands, applying cath stabilization device to prevent pistoning, fanning the (SATA) One of your peers is reviewing IV law and make 2 incorrect statements - LPN can stick upper arm only if they cannot stick the lower bag, can hang 2nd bag of anti-infective (SATA) What is your responsibility in IV therapy infusion - Observing for possible complications, applying biopatch per facility policy, stopping the infusion when adverse effects happen. (SATA) ...

________ let go of the hub of the catheter until it is secured with the TSM? - Never 1 kg - 1000 ml 1 lb - 500 ml A 20 gauge needle is _____ in diameter than an 18 gauge? - smaller A blue catheter size? - 22 A gray catheter size? - 16 A green catheter size? - 18 Acute hemolytic transfusion reaction - is very serious and is due to the patient getting the wrong blood type. WE DO NOT WANT THE PATIENT TO GET ONE MORE DROP OF THIS BLOOD. After the hub is secured with TSM apply tape over the ...

1 L of lactated ringer's to infuse at 70 ML/HR drop factor 20 GTT/ML what will drops per minute be - 70×20 = 1400÷60 = 23GTT/MIN 1000 ML D5w over 8 hours drop factor 15 GTT/ML what will you set the pump - 1000÷8 = 125 ML/HR 1000 ml NS infused over 11 hrs. Drop factor 15 gtt/ml. Figure drops per minute - 1000/11×1 hr/60 mins x 15/1= 23GTT/minute 1000 ml NS w/ 1000 mg ampicillin infuse over 40 mins. Drop factor 15 gtt/ml. What us drops per minute - 1000x15/40=38gtt/min 120 mL of NS wi...

Can an LPN administer D2W per a central line? - No - not in specified list of solutions allowed to give Can an LPN change needless connector on a central line? - No Can an LPN change tubing on a central line if solution is TPN? - No - TPN not in scope of practice, may change tubing if solution in scope of practice Can an LPN initiate chemotherapy treatment to a 65 year old patient? - No - LPN cannot initiate chemotherapy or antineoplastic agents Can an LPN initiate IVPB of antibiotic on a ...

a newly admitted 60 year old has sever bacterial pneumonia, a pulse ox of 85%, and right side mastectomy 1 year prior. What orders/interventions with eh LPN carry out? - - Monitor pulse of continuously - hang IVPB with broad spectrum antibiotic until culture and sensitivity tests come back - Apply O2/ nebulizer treatment as ordered A nurse has difficulty withdrawing blood from a central tunneled catheter but is able to infuse fluids through the line. The nurse should anticipate that this ...

6 rights - rt, pt, rt time, rt med, rt documentation, rt route, rt dose According to the OBN.... - An LPN collects data and contributes to the care plan Advantages/Disadvantages of Albumin - free of danger of transmitting hepatitis, may cause pulmonary edema, improves cardiac output, raises serum protein levels, acts as a transport protein Advantages/Disadvantages of Dextrose - can cause vein irritation, spares body protein, always check compatibility of medication before hanging it with de...

A member of the hospital maintenance staff is mopping when patients begin to complain about watery eyes and irritated throats. Once the worker's mop bucket is identified as the source of irritation, a nurse should - identify the chemicals and consult the material data sheets (MSDSs) A nurse educator is teaching a group of new graduate nurses about how to correctly apply restraints. The nurse educator recognizes that further instruction is warranted when a new graduate nurse states - "I sh...

A 16-year-old client has been injured in an accident and is receiving home care due to fractures and multiple trauma-related injuries. The client states, "I don't know why I survived and not my best friend." It is most important for the home care nurse to encourage the client to: a) communicate these feelings to family and friends. b) allow a religious leader in the client's life to visit. c) be certain that the client's educational needs are being met. d) increase the client's activ...

(NST) non-stress test - identifies if there is a fetal compromise in moms who have complications like diabetes or hypertension Antidote for magnesium sulfate - calcium gluconate at what time during pregnancy would patient education focus on physiological changes, fetal development, sex during pregnancy, and nutrition - first trimester average weight gain during pregnancy - 25-35 lbs BOW (bag of waters) - the membrane enclosing a fetus cephalopelvic disproportion (CPD) - condition preventi...

The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as - tallman lettering Aspects of safety culture that contribute to a culture of safety in a health care organization include - communication Homeostasis - a tendency of the body to maintain internal stability A 49-year-old patient has multiple risk factors for coronary artery disease. A modifiable risk factor that the patient...