Term
what is effective communication? |
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Definition
Eye contact, concise statements, feedback regarding directions |
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Term
True statement regarding delegation of duties? |
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Definition
Familiar with staff competency, job description and nurse practice act |
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Term
How to educate elderly and preschoolers? |
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Definition
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Term
What is the amount of blood pumped with each heart beat? |
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Definition
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Term
What exam pupils with flash light and both pupils constrict regardless which eye hit with light called? |
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Definition
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Term
What patient admitted with abdominal pain, other assessment nurse should complete? |
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Definition
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Term
How long to monitor patient after injury for allergies? |
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Definition
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Term
What student finding new pressure sore does 1st? |
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Definition
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Term
Had complication of blood loss after angiography what to do now? |
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Definition
Monitor site, monitor VS and report; Monitor RBC; then platelets |
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Term
What did DRGs under medicare try to do? |
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Definition
Attempt to contain cost of health care |
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Term
Why elderly patient 2 days post op develops fever, cough? |
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Definition
Impaired cough, less cilia, weak respiratory muscles, leads to lower respiratory infection |
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Term
what are the 5 rights to medication administration |
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Definition
Right pt, drug, dose, time, route |
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Term
How is oral care on unconscious pt started? |
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Definition
Raise bed, pt side lying position, suction on |
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Term
What is critical thinking? |
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Definition
Scientific method of problem solving |
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Term
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Definition
Evaluation of the nursing care for a group of patients, to meet the standard of care for a facility |
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Term
What are important characteristics of delegation? |
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Definition
Effective communication, desired results, time to be completed, Tactful feedback. |
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Term
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Definition
Edema, swelling, redness, warmth to the area |
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Term
View of Health and illness can be compared to? |
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Definition
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Term
When is next scheduled assessment done after admission assessment? |
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Definition
Assess patient first hour of shift |
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Term
What are signs nurse is using active listening? |
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Definition
Uses nonverbal, focus on face, not to indicate message heard |
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Term
What diagnostic test evaluates CAD and Cardiac valves disfunction? |
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Definition
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Term
What are the goals of Healthy People 2020? |
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Definition
Promote Healthy Behavior, increasing life span, ensure access to adequate Health care. |
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Term
How to communicate with Preschoolers? |
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Definition
Focus on child's needs and consider development using familiar words |
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Term
When is best time to teach? |
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Definition
When patient is comfortable, and receptive to learn |
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Term
Elderly has 3 enemas for a diagnostic procedure, nurse monitors which electrolytes? |
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Definition
Sodium Na and Potassium K |
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Term
Who sets standards of care and nursing practice? |
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Definition
Professional organizations such as ANA and CNA |
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Term
What stools are foul smelling and float? |
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Definition
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Term
What are independent Nursing actions? |
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Definition
Provide oral care, lotion to dry skin, teaching dressing procedure, (any action that does not require an order to be done) |
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Term
Where to document narcotics given for pain? |
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Definition
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Term
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Definition
Comprehensive process guides staff using resources to meet patient needs |
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Term
After a oil retention enema, encourage pt to hold how long? |
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Definition
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Term
What nurse should do with expired med bottle? |
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Definition
Call pharmacy for new bottle |
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Term
What is example of good body mechanics? |
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Definition
Pull pt rather than push pt in bed |
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Term
What is med giving process by NG tube? |
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Definition
flush with 15-30 mL sterile water, add medication at end flush with 15-30 mL again |
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Term
What does autocratic leader do? |
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Definition
Tightly controls team members |
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Term
Who has a fear of falling? |
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Definition
75 yr living alone recent dc from rehab after hip operation stays in bed or couch most of the time |
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Term
VS on post op pt q2hours what indicates pt in pain? |
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Definition
Pulse rate of 120 beats / min |
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Term
What LPN responsibility for plan of care? |
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Definition
collect data, nursing interventions, assist RN with evaluations |
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Term
How to correctly state outcomes? |
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Definition
Able to ambulate using walker independently in 3 days. Performs AROM UE independently q4hours |
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Term
Which standard step to complete 1st in a procedure? |
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Definition
Review agency procedure for best way to complete |
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Term
What is using the nursing process? |
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Definition
Collaborates with a health team and pt to develop plan of care in systemic way |
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Term
What is nurse consistently using critical thinking skills likely to develop? |
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Definition
Good clinical judgement based on rational careful decision making |
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Term
When monitor VS whats important to do? |
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Definition
Report and document abnormal findings |
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Term
What are common to all nursing diagnosis? |
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Definition
Human, environment and health |
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Term
What nurse should check after procedure involving artery? |
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Definition
Cardiac Catheter 2 hours ago, Pressure dressing to left groin and routine VS |
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Term
What are the factors to consider when assessing the hygiene needs of a pt? |
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Definition
Pt may not have same hygiene practice |
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Term
How are nursing interventions described? |
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Definition
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Term
What is carrying out implementation in nursing process? |
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Definition
Changes surgical dressing when soiled |
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Term
What is ultimate goal of nursing? |
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Definition
Prevention of illness, promotion of wellness and restoration of health |
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Term
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Definition
Spinal Surgery, cant bend at waist |
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Term
What is subjective 0 itch, Objective rash fading, Assessment:skin improvement, Plan: check rash qd? |
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Definition
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Term
How to work with pt ID values and expectation so best outcome with education and compromise reached? |
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Definition
Long term user of herbal remedies and practice of individual in a cultural group |
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Term
How to evaluate the effectiveness of teaching procedure before DC? |
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Definition
Pt demonstrates the procedure |
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Term
What is teaching of signs of cancer? |
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Definition
Difficulty swallowing, persistent cough, unusual increase in bowel sounds; change in mole |
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Term
inappropriate to delegate to UAP? |
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Definition
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Term
What result of elderly with low fluid and fiber, depression, mobility? |
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Definition
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Term
What are flow sheets used for? |
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Definition
Track routine assessment, treatments, and frequent care given |
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Term
What are s/s of allergic reaction? |
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Definition
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Term
What to assess before giving Coumadin? |
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Definition
bleeding stool, INR, bleeding gums |
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Term
What is a good example of a nursing goal that is measurable? |
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Definition
pt not suffer injury at any time |
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Term
what mineral decrease risk of osteoporosis? |
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Definition
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Term
What nurse instructs operative pt to do for a procedure? |
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Definition
arrive 2 hours before procedure |
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Term
CQI is activity performed where? |
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Definition
Done in every department ensuring standards are met. |
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Term
What is tertiary prevention? |
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Definition
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Term
How do students not yet licensed practice? |
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Definition
Perform under nursing supervision |
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Term
When is to use shower or tub 2x/wk standby assist? |
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Definition
Elderly frail man, hx of falls |
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Term
What to document when pt dies? |
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Definition
Who pronounced; time of death; time VS ceased |
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Term
How to remove used face mask? |
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Definition
Untie bottom ties, then top, then without touching anything dispose of |
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Term
Perform Weber test, tuning fork struck and placed where? |
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Definition
In middle of forehead or skull |
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Term
What is the process of digestion? |
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Definition
Esophagus, stomach, small intestine, ileocecal valve, large intestine, rectum |
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Term
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Definition
Follows nursing process and uses nursing diagnosis to put plan of care in NN |
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Term
What nursing intervention elderly who is cold? |
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Definition
Adjust thermostat, get blanket |
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Term
Several nursing diagnosis, nurse 1st action? |
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Definition
prioritize nursing problem according to Maslow's hierarchy of needs |
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Term
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Definition
situation, background, assessment, recommendation |
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Term
When to notify enterostomy nurse of pt? |
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Definition
Need to catheterize 1st time for ileostomy |
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Term
When important to wear gloves? |
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Definition
administer Nitroglycerin ointment |
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Term
When to check order; gag and swallow reflex? |
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Definition
A & O x4; gastroscopy pt ask for drink |
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Term
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Definition
Stages of illness convelescence |
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Term
What promotes self esteem (Maslow), independence and learning? |
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Definition
Nurse teaching pt how to give self insulin and monitor blood sugar |
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Term
what is time flexible task? |
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Definition
checking blood sugar once a day |
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Term
Who completes incident report? |
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Definition
Nurse who discovers error |
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Term
Type of food to control odor in ostomy patient? |
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Definition
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Term
How can you avoid noscominal respiratory infection post op? |
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Definition
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Term
What color post cystoscopy should urine in catheter be? |
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Definition
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Term
When to check for allergy to iodine and shellfish? |
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Definition
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Term
What does nursing care plan consist of? |
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Definition
Nursing orders for intervention to help pt meet expected goals quickest |
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Term
What is a secondary illness? |
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Definition
PVD caused by DMII (diabetes mellitus 2) |
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Term
What is comparing actual to expected nursing outcomes? |
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Definition
Checked continuously to monitor if progress made or revision needed to plan |
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Term
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Definition
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Term
What nurse does on initial interview? |
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Definition
assess language, comprehension, limit interview to 30 mins; allow to be comfortable as possible |
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Term
What is pt care partnership? |
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Definition
2003 pt bill of rights became |
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Term
What are cheyne stokes respirations? |
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Definition
Dyspnea followed by short periods of apnea |
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Term
Who verified new pt orders? |
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Definition
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Term
What is AMA intervention? |
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Definition
Listen, answer questions, offer to call supervisor or Dr. to speak to pt? |
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Term
What is reason to sign out narc control on inventory control sheet? |
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Definition
Administering schedule II drug |
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Term
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Definition
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Term
Nursing code of Ethics would include following behaviors? |
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Definition
Nurse is responsible and accountable for judgement and actions |
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Term
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Definition
Biologic system move toward stability of internal environment by continually adjusting to survive |
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Term
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Definition
Theorist based 7 behavior subsystems |
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Term
What is adjusting to benign senescence? |
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Definition
continue to work part time, travel and remain active |
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Term
How to start washing eyes on face to begin bath? |
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Definition
inner canthus to outer canthus |
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Term
What to tell CVA pt related to hygiene? |
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Definition
Encourage pt to use non affected side to assist with bath |
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Term
What is oral care for unconscious or NPO pt? |
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Definition
Mouth swabbed q 2 hours to moisten and remove secretions |
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Term
What is shift report for new surgical pt? |
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Definition
abd drsg CDI; IV-800LIB #6 run @ 125hr; UOP 800 mL; MS 15 mgs @ 8 & 1; pain @ 2/10; VSS; 0 fever |
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Term
Who is Virginia Henderson? |
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Definition
Theorist framework 14 fundamental needs |
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Term
What is Florence Nightingale known for? |
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Definition
Nursing curriculum is distinct from medical practice; known for decreasing death rate in Crimean war |
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Term
What is not part of bowel training program? |
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Definition
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Term
Administer IM injection using Dorsogluteal site, landmarks are area for injection? |
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Definition
Head of trochanter & post iliac crest |
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Term
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Definition
Full thickness skin loss, deep crater; open to fascia |
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Term
Which inhalant drug to give last? |
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Definition
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Term
Who can develop initial care plan? |
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Definition
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Term
What did early nursing education and care in the US provide? |
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Definition
provided independence for women by education and employment |
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Term
How to ID pt before med adm? |
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Definition
Check name birthday, hosp # compare to MAR |
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Term
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Definition
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Term
What is holistic approach to care for sick and promote wellness? |
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Definition
Responsible for own health; seen as whole person; unique body, mind and spirit; combine traditional relaxation for pain management |
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Term
What nurse concerned about if giving high protein bound med to elderly pt? |
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Definition
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Term
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Definition
person achieving full potential |
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Term
What does nurse do during assessment phase? |
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Definition
gather, organize, and document data in logical manner |
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Term
What a nursing diagnosis consists of? |
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Definition
Diagnosis label formulated by North American Nursing diagnosis international |
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Term
How to properly combine insulin? |
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Definition
Check MAR, inject air in the long acting, inject air into short acting, draw out short acting, draw out long acting, give site |
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Term
What advantage of POMR Charting? |
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Definition
Evaluate staff performance; easy audit charts; promote problem solving |
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Term
What 3 change during alarm stage of Hans Seyle GAS syndrome? |
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Definition
Increase in temp; decrease appetite; body triggers hormone release |
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Term
What is multidisciplinary step by step approach to pt care? |
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Definition
Clinical pathways used instead of nursing care plan |
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Term
What position liver biopsy pt should be in for 2 hours? |
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Definition
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Term
What do do before begin physical assessment? |
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Definition
Wash hands ensure privacy |
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Term
Most important characteristic of nurse leader? |
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Definition
Competency in nursing Skill |
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Term
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Definition
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