Sinclairrisk

A nurse is discussing restorative health care with a newly licensed nurse. Which examples should the nurse include in the teaching ? - Home health care, rehabilitation facilities, skilled nursing facilities. A nurse is explaining the various types of healthcare coverage clients might have to a group of nursing students. Which health care financing mechanisms are federally funded? - Medicare and Medicaid A nurse manager is developing strategies to care for the increasing number of clients w...

A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student that which is the priority when working as a professional nurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. Providing client-focused care -ANS: B All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospital care, accordin...

A 77-year-old woman is brought to the emergency department by her family after she has had diarrhea for 3 days. The family tells the nurse that she has not been eating or drinking well, but that she has been taking her diuretics for congestive heart failure (CHF). Her laboratory results include a potassium level of 3.0 mEq/L. What does the nurse include in the patient's medication teaching? Select all that apply. 1 Diuretics increase fluid retention. 2 Laxatives can lead to fluid imbalance. ...

A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see? A. Hospitalized children with acute and chronic illnesses B. Hospitalized adults with acute and chronic illnesses C. Older adults in a nursing home D. Working adults in a corporate setting - B. Hospitalized adults with acute and chronic illnesses Rationale The scope of medical-surgical nursing, someti...

What is the purpose of a debrief? - Process improvement A fall is considered significant in the pediatric pt if the fall is from _____ times his/her height - Three times How many breaths/minute do you deliver through the bag-mask device? - 10-12/ min or 1 every 5-6 sec An O2 sat of __% or higher is associated with effective ventilation - 94% Explain the difference between deceleration forces and acceleration forces? - Deceleration forces include injuries that are caused by a sudden s...

Splenic injury-narrowing PP - On going blood loss Difficult intubation elderly - Cervical arthritis Mandate report - 6 yr old loop bruising Obese hypo-ventilation - Increase airway resistance Decrease chest wall compliance Increase intra-abd pressure Facial Fx - CSF Tamponade - Muffled heart tones JVD Hypo-tension Tamponade Tx - Peri-cardio-centesis Hr 146 RR increased BP decreased Moan to pain - Decomp shock Early sign of Increased ICP - N/V Disaster management...

Components of SBAR and its purpose - S: Situation - B: Background - A: Assessment - R: Recommendation - Purpose- to provide framework for communication amount members of the healthcare team - p. 7 - Components of DESC and its purpose - D: Describe the specific situation or behavior - E: Express your concerns or how the situation makes you feel - S: Suggest alternatives and seek agreement - Purpose- used in conflict management; paraphrasing the other pe...

What is kinetic energy (KE)? - KE equals 1/2 the mass (M) multiplied by the velocity squared. What is the Mnemonic for the Initial Assessment? - A = Airway with simultaneous cervical spine protection B = Breathing C = Circulation D = Disability (neurologic status) E = Expose/Environmental controls (remove clothing and keep the patient warm) What is the Mnemonic for the Secondary Assessment? - F = Full set of VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and gastric t...

Biomechanics - Is the general study of forces & their effects Kinematics - Is the study of energy transfer as it applies to ID'ing actual or potential injuries Mechanism of Injury (MOI) - Is how external forces are transferred to the body, resulting in injury Newton's 1st Law of Motion - A body @ rest, stays @ rest unless acted on by an outside force Newton's Second Law - The acceleration of a body is parallel & directly proportional to the net force acting on the body, is in the ...

What are different tools to assess pain? - 1-10 scale, face scale When is a patient's pain level tolerable? - When they say it is How soon after giving a pain medication should you reassess a patient's pain level? - IV - 30min or less, PO - 30min-1hr What are standard precautions used for? - Every patient What is droplet precautions used for? - Flu, RSV, Pertussis, R/O Meningitis A patient with pneumonia pneumonia is on which type of precaution? - Standard - however is the patie...