Five rights of delegation
Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks
Nursing process
Client education
Tasks that require nursing judgement (care of unstable patients)
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Comprehensive NCLEX-RN ATI review
Five rights of delegation - answer Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks - answer Nursing process
Client education
Tasks that require nursing judgement (care of unstable patients)
Autonomy - answer The right to make ones own decisions
Beneficence - answer The obligation to good for others
Confidentiality - answer The obligation to observe the privacy of another and maintain
strict confidence
Fidelity - answer The obligation to be faithful to agreements and responsibilities, to keep
promises
Justice - answer The obligation to be fair to all people
Nonmaleficence - answer The obligation to do no harm to others
Paternalism - answer Assuming the right to make decisions for another
Veracity - answer The obligation to tell the truth
Nurses role of informed consent - answer Ensure the provider gave the necessary
information
Ensure the client understands the procedure
,Comprehensive NCLEX-RN ATI review
Patient must be competent to sign informed consent
Witness the clients signature
Notify the provider if clarification is needed
Malpractice - answer The failure of a person with professional training to act in a
reasonable an prudent manner within the identified scope of practice
Negligence - answer The omission to do something that a reasonable person would do
or something that a reasonable person would not do
Emergency class 1 (red tag) - answer Immediate threat to life
Do not delay care
Urgent class 2 (yellow tag) - answer Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag) - answer Minor injuries that do not require immediate
attention
Delay of 2-4 hours
Expectant class 4 (black tag) - answer Expected/allowed to die
Prepare for morgue
TPN - answer Monitor serum glucose ever 4-6 hours
Change dressing every 48 - 72 hours
Change IV tubing and fluid every 24 hours
If solution is temporarily unavailable, administer 10% dextrose in water to prevent
hypoglycemia
Calcium channel blockers - answer Suffix: dipine
Causes: arterial dilation and decreased BP
For: angina and HTN, verapamil and diltazem can be used for a-fib, a-flutter, svt
Precautions: digoxin and beta blockers
Contraindication: heart failure, heart block, of bradycardia
Side effects: reflex tachycardia, peripheral edema, and toxicity
Monitor: BP and HR
Do not drink grapefruit juice
Do not crush/chew
IV administration 2-3 minutes
ACE inhibitor - answer Suffix: pril
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Captopril should be taken 1hr before meals
ARBS - answer Suffix: tan
For: hypertension, heart failure, MI, and diabetic nephropathy
Monitor potassium, BP, angioedema
Beta 2 adrenergic agonists - answer For: Respiratory
Albuterol - short acting (inhaled) for acute bronchospasm, onset 5-15 min
Formoterol - long acting/long-term control (inhaled), onset 1-3 min, duration 10hr
Salmeterol - long acting/long-term control (inhaled), onset 10-20 min, duration 12hr
Terbutaline - long acting/long-term control (oral)
Precautions: increased heart rate, tremors, beta blockers will decrease effect, MAOIs
will increase effect
Antilipemic - answer Suffix: statin
For: reduction of formation of cholesterol precursors
Drug interactions: digoxin, warfarin, thyroid hormones, thiazide diuretics, phenobarbital,
NASIDs, tetracycline, beta blockers, gemfibrozil, glipizide, glyburide, oral
contraceptices, and phenytoin
Do not administer with grapefruit juice
Glucocorticoids - answer Suffix: one, ide & ate
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