Exam (elaborations)
NUR 437 Midterm Questions With Complete Solutions
- Course
- NUR 437
- Institution
- Chamberlain College Of Nursing
NUR 437 Midterm Questions With Complete Solutions
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NUR 437 Midterm Questions With Complete Solutions5 rights to delegation Correct Answer 1. Right task - falls
within the delegates job description
2. Right circumstance - health condition of the patient must be
stable
3. Right person - the person who is delegated the job must have
the skills and knowledge to perform it
4. Right direction/communication - specific and clear
5. Right supervision/evaluation - nurse must be ready to
intervene at any given time
Admin of blood products Correct Answer -obtain consent
-type and cross match
-obtain from blood bank
-needs to be double verified with a nurse
-blood band verify
-250 mL of 0.9% normal saline
-Y blood tubing, saline first them Blood
-admin within 30 min and transfuse within 4 hours
Afib Correct Answer -results in loss of effective atrial
contraction
-BIG risk for clots
-IRREGULAR rhythm
-treatment: anticoagulants (watch INR/PTT), beta blockers,
amioderone, digoxin, cardizem, electro cardioversion NOT dfib
application of conflict resolution techniques Correct Answer -
breathe and remain clam, centered, curious and supportive
-focus on one topic at a time
, -try to learn as much as possible (tell me more)
-do not interrupt
-listen, acknowledge understanding, ask for clarification
-non-verbal communication and body language
-advocate for a different perspective if appropriate
-build a solution to the issue
-tank the person for sharing
CAM tool Correct Answer -Confusion Assessment Method
-for ALOC
-finish assessment then call provider
CIWA Correct Answer -alcohol withdrawal
-score less then 10 does not need extra meds for withdrawal
-score greater than 15 usually indicated risk for severe
withdrawal
Clinical judgement model Correct Answer Noticing
Interpreting
Responding
Reflecting
Coumadin (Warfarin) Correct Answer MOA:
-inactivates clots by blocking synthesis of vitamin K (future
clots; works slowly)
Indications:
-A-fib (long term), DVT prevention, MI prevention, PE
prevention
Assessment:
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