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Exam (elaborations)

Exam 5 NUR 215 Latest Update Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

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  • NUR 215
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  • NUR 215

Exam 5 NUR 215 Latest Update Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+

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  • August 5, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 215
  • NUR 215
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Tutordiligent
Exam 5 NUR 215 Latest Update 2024-2025 Actual
Exam Questions and 100% Verified Correct
Answers Guaranteed A+

2 diagnoses for fluid balance/electrolytes: - CORRECT ANSWER: - fluid excess
- fluid deficit


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


CANNOT delegate: - CORRECT ANSWER: - Nursing Process (ADPIE)
- client education


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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