Tippingperotta

Do not delegate - What you can EAT E-evaluate A-assess T-teach Addison's & Cushings - Addison's = down down down up down Cushings= up up up down up hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia, hypo/hyperglycemia Better peripheral perfusion? - EleVate Veins, DAngle Arteries APGAR - Appearance (all pink, pink and blue, blue (pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong ...

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." "I am concerned about my child's future participation in tea...

Epiglotittis - Signs/Symptoms - inflamed throat - reddened tonsils - edematous epiglottis Interventions - IV antibiotics - droplet precautions Parameters to Monitor - temperature - breath sounds Hepatitis A - - Jaundice - RUQ pain - Dark yellow urine - Elevated liver enzymes - Fecal-oral transmission Hepatitis B - - Jaundice - RUQ pain - Dark yellow urine - Elevated liver enzymes - Bloodborne transmission - Antiviral medications Hepatitis C - - Jaundice - RUQ pain - ...

What can be delegated to Assistive personnel (AP)? - - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client w...

What can be delegated to Assistive personnel (AP)? - - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client w...

An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve the conflict? - Ask the AP to discuss the issue in a private area A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room? - Oral Suction Equipment...

A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective? - hemoglobin 14.9 g/dL a nurse working in an emergency department is triaging four clients. which of the following clients should the nurse recommend for treatment first? - a middle adult client who has unstable vital signs a nurse is caring for a client who has fluid volume overload. which of the following tasks sho...

TEST A nurse is observing an AP take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure? A. The AP points the probe posteriorly. B. The AP positions the client facing her. C. The AP pulls the pinna up and back. D. The AP inserts the probe with a straightforward motion. - C. The AP pulls the pinna up and back. TEST A charge nurse is monitoring a group of assistive personn...

A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6 hr. Available is famotidine oral suspenision 40 mg/5 mL. How many mL should the nurse administer per dose? - 20 mL A nurse is collecting data from a client who has an iron deficiency anemia. Which of the following findings should the nurse expect? - Difficulty concentrating *In clients who have iron deficiency anemia, body cells do not receive the required oxygen because there is less hemoglobin for bin...

Pacreatitis - -- Upper left quadrant pain (abdominal pain) Priority Finding: *Absent bowel sounds* (indicative of paralytic ileus. *Expected findings:* (H) amylase + (H) Lipase Liver enzymes elevated Glucose may be elevated - (L) insulin N/V, jaundice, (H) WBC Hepatitis A - Contaminated Food Lab values (Per ATI) - *BUN*: 10-20 *Cr*: 0.6-1.2 *Creatinine Clearance*: 80-139 *Na*: 135-145 *K*: 3.5-5 *Ca*: 9-11 *Cl*: 98-106 *Mg*: 1.3-2.1 *Albumin*: 3.5-5 (slow changes in protein...