5 rights of delegation: - CORRECT ANSWER: - right task
- tight circumstances, such as setting and resources
- right person
- right direction and communication
- right supervision and evaluation
6 rights of medication administration - CORRECT ANSWER: 1. right person
2. right drug
3. right dose
4. right route
5. right time
6. right documentation
Advanced Directives include - CORRECT ANSWER: - living will: legal doc expressing
clients wishes regarding medical treatment if unable to make them.
- POA: doc. in which clients designate a health care proxy to make health care
decisions for them if they are unable to do so. May be any competent adult client
chooses
- DNR: do not perform CPR if client is DNR, but still treat symptoms.
Aspiration Precautions - CORRECT ANSWER: *- sit patient up when feeding or drinking
at least 30'
, - chin tuck to promote swallowing
- provide small bites and sips
- be sure all food and liquid are cleared from mouth
- check diet order (NO STRAWS)
- no distractions while feeding( lots of family/conversation/TV)
-remain upright for 30 min after as well
Factors to consider when delegating tasks - CORRECT ANSWER: - education, training,
experience
- knowledge and skill to perform task
- level of critical thinking task requires
- ability to communicate with others as it pertains to the task
- demonstration of competence
- the facility's policies and procedures
- licensing legislation (states nurse practice acts)
fluid compartments - CORRECT ANSWER: Intracellular fluid (ICF): approx. 65% of
body's water inside cells
Extracellular fluid (ECF): approx 35% of body's water outside cells
water flows freely between 2 compartments
how many mL output per hour? - CORRECT ANSWER: 30ml at least per hour
hypervolemia - CORRECT ANSWER: fluid overload
excess fluid outside cells ( can lead to confusion)
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