306 Test 2

Front 1

What is the prefered injection site for a 1 year old child?

Back 1

ventrogluteal

Front 2

morphine

Back 2

respritory depression and decreased urinary output

Front 3

intradermal

Back 3

TB Test

Front 4

Sub Q

Back 4

insulin

Front 5

factors to consider when choosing routes of med admin.
ex. client is nauseated, vomiting for several hrs., & needs antiemetic med. the nurserecognizes...

Back 5

a parenteral route is the route of choice

Front 6

Order:6mg morphine sulfate ever 3-4 hrs prn for a client's post-op pain. the unit does of the med dispenser has 15 mg in 1 ml. how much sol. should be given

Back 6

dose ordered/dose on hand * amt on hand
6mg/15mg * 1ml = 2/5 ml

Front 7

the nurse is teaching the client how to prepare 10U of regular insulin and 5U of NPH insulin for injection. the nurse instructs the patient to

Back 7

inject into both vials withdraw the regular insulin first

Front 8

the client has an order for 30U of U-500 insulin. the nurse is using a U-100 syringe and will draw up and admin...

Back 8

5 times as strong as U-100 insulin. 30 units of U-500 insulin/6

Front 9

prescriber

Back 9

must be a documented Dx, condition, or indication for each med ordered

Front 10

Pharmacist

Back 10

responsible for filling prescriptions acurately and for being sure the are valid

Front 11

the 6 rights

Back 11

med
dose
client
route
time
and documentation

Front 12

10:00, 2:00, and 6:00

Back 12

TID (3 times a day)

Front 13

If you have blood when you aspirate you

Back 13

throw away the needle in the sharps container & start over

Front 14

which documentation method would the phrase "Client is wheezing and experiencing some dyspnea on exertion

Back 14

P for PIE

Front 15

how much time does it take for regular insulin to take effect

Back 15

2-4 hours

Front 16

where to inject heparin?

Back 16

abdomen

Front 17

calculate a medication order from 80mg/tsp to the correct amount of ml

Back 17

5ml

Front 18

interpret an order that reads ii gtts OD

Back 18

2 drops to the right eye

Front 19

where patient teaching is documented

Back 19

discharge summary form

Front 20

how to correct a documentation error

Back 20

draw a straight line through error and initial it

Front 21

Can an LPN take a telephone order from a physician?

Back 21

no

Front 22

53-year-old client is seen at the clinic for a yearly physical exam, that evaluating the client's weight, the nurse also considers the age and height

Back 22

comparing data with normal health patterns

Front 23

how would I calculate an insulin order of 30U of U500 and convert that to a dosage in a U100 syringe

Back 23

6U

Front 24

the long-term goal would be for a tailor who is admitted for eye surgery

Back 24

returning to sewing

Front 25

during an admission history you have a client that has trouble breathing at night. In obtaining data for a problem-oriented database, the nurse should first question the client about

Back 25

The onset and duration of his present breathing problem

Front 26

how to recognize a nurses statement that reflects the scientific method

Back 26

"The client doesn't look the same today. I think something is wrong"

Front 27

aspects of critical thinking

Back 27

religion
language
intuition

Front 28

levels of critical thinking

Back 28

basic
complex
commitment

Front 29

components of critical thinking

Back 29

knowledge base
experience
competence
attitudes
standards

Front 30

nursing process

Back 30

assessment
diagnosis
planning
implementation
evaluation

Front 31

assessment steps

Back 31

approach
collection and verification of data
analysis of data
documentation

Front 32

types of data

Back 32

objective data
subjective data

Front 33

objective data

Back 33

what you and see and measure

Front 34

subjective data

Back 34

what the patient says

Front 35

nursing is about

Back 35

thinking

Front 36

cognitive

Back 36

what you know

Front 37

psychomotor

Back 37

what you do

Front 38

effective

Back 38

what you feel

Front 39

5 types of nurses

Back 39

1.novice
2.advaced beginner
3.competent
4.proficient
5.expert

Front 40

reflection

Back 40

when you think about something you gain insight

Front 41

language

Back 41

communication is essential

Front 42

intuition

Back 42

innersensing-art of nursing- takes skill and knowledge
can;t havbe with out science

Front 43

basic

Back 43

you so specifically
becomes second nature

Front 44

complex

Back 44

analyze, be creative
make decisions about what you want by weighing optins

Front 45

commitment

Back 45

choose action and accept accountability for it

Front 46

purpose of the scientific method

Back 46

to fin whats real and what is truth

Front 47

problem solving

Back 47

use information to develop a solution

Front 48

diagnostic reasoning and inference

Back 48

determine health status from patient symptoms

Front 49

clinical decision making

Back 49

drawing a conclusion based on pieces of evidence

Front 50

attitudes

Back 50

must convey confidence
think independently and interdependently
be humble

Front 51

skills

Back 51

interpretation
analysis
evaluation
inference
explanation
self-regulation

Front 52

Source Records

Back 52

patients chart is organized so that each discipline has a section

Front 53

current

Back 53

timely immediate documentation

Front 54

utilization review

Back 54

people that look at medical record and check to see if it meets the standards

Front 55

Charting by exception

Back 55

used to eliminate redundancy, ensure concise documentation of routine care, emphasize abnormal findings, and identify trends in care

Front 56

Acuity recrd

Back 56

provides a method of determining the hours of care and staff required

Front 57

Nursing Documentation must be: ACFCTSO

Back 57

Accurate, Concise, Factual, Complete, Timely, Specific, Organized

Front 58

critical pathways

Back 58

tool used in managed care that incorporates the treatment interventions from all disciplines.

Front 59

unit dose

Back 59

current system, uses portable carts containing 24 hour supply of patients medications

Front 60

what affects circulation?

Back 60

hypertension in diabetes

Front 61

1 reason for toxic effects (accumulation of a med beyond therapeutic index):

Back 61

hydration level

Front 62

medication formed determines

Back 62

route of administration and there are 20 diff. forms

Front 63

meds have 3 classifications

Back 63

1. systemic 2. organ 3. symptom

Front 64

drug names

Back 64

1. generic -- official name 2. chemical 3. trade -- pharmaceutical co has a patent of the name

Front 65

gather data

Back 65

subjective=what the patient says; what can't be measured objective=measurable

Front 66

care plan

Back 66

to-do list

Front 67

nursing diagnosis

Back 67

to tell you why you need to do the things in your care plan

Front 68

Neuman

Back 68

systems model: we are a system of parts, all parts important, if one part goes wrong, the whole system is affected; primary, secondary, tertiary care

Front 69

benner

Back 69

personal experience; 5 nursing competencies

Front 70

watson

Back 70

connecting patient caring

Front 71

Leinninger's sunrise model

Back 71

culturally congruent care

Front 72

common method of selecting priorities

Back 72

Maslow's Hierarchy of basic human needs is a:

Front 73

components of critical thinking

Back 73

1. specific knowledge base 2. experience 3. competencies 4. attitudes 5. standards

Front 74

assessment

Back 74

systematic data collection, validation, and interpretation

Front 75

purpose of a nursing process

Back 75

to provide individualized, holistic, safe, quality, effective, and efficient care to clients

Front 76

process

Back 76

a series of steps or acts that leads to accomplishment of some goal or purpose

Front 77

nursing process

Back 77

a systematic and scientifically based process used by nurses to identify and make decisions about client needs

Front 78

five types of nurse levels

Back 78

. novice 2. advanced beginner 3. competent 4. proficient 5. expert

Front 79

skills that are necessary of a nurse

Back 79

1. interpretation 2. analysis 3. evaluation 4. inference 5. explanation 6. self regulation

Front 80

self regulation

Back 80

reflecting on experiences and how to improve

Front 81

explanation

Back 81

presenting arguments

Front 82

inference

Back 82

considering alternatives

Front 83

evaluation

Back 83

assessing results

Front 84

analysis

Back 84

critiquing

Front 85

interpretation

Back 85

assess

Front 86

three parts of a diagnosis

Back 86

1. nanda 2. related to 3. as evidenced by

Front 87

drawing a conclusion based on pieces of evidence

Back 87

clinical decision making

Front 88

determine health status from patient's symptoms

Back 88

diagnostic reasoning and inference

Front 89

using info to develop a solution

Back 89

problem solving

Front 90

scientifin method

Back 90

to find out what's real and what's truth

Front 91

when a client-centered goal has not been met in a projected time frame, the most appropriate action would be to:

Back 91

repeat the entire sequence of the nursing process to discover needed changes

Front 92

the primary source of data for elevation is the:

Back 92

client

Front 93

medications used to wash out a body cavity delivered with a stream of solution

Back 93

Irrigation

Front 94

tetrogenetic effect

Back 94

adverse affect on fetus

Front 95

computer controlled

Back 95

automated medicine dispensing systems used primarily for narcotics

Front 96

unit dose

Back 96

current system, uses portable carts containing 24 hour supply of patients medications

Front 97

stock supply

Back 97

historical, medications are available in large multidose containers

Front 98

single orders

Back 98

only once

Front 99

standing orders

Back 99

til dr. changes it or has stop order

Front 100

nurse

Back 100

responsible for knowing what medications are prescribed, their therapeutic and nontherapeutic effects, and the associated nursing implications

Front 101

presaline

Back 101

antihypertensive

Front 102

Pharmacodynamics

Back 102

the drug's action on body

Front 103

Pharmacokinetics

Back 103

the body's action on drugs -absorption -distribution -metabolism -excretion

Front 104

proprietary patent (good for how long?)

Back 104

7 days

Front 105

synergistic effect

Back 105

two meds combines better than 1

Front 106

what would a patient who's toxic on morphine look like?

Back 106

respiratory depression and decreased urinary output 0.675

Front 107

how is insulin administered?

Back 107

subQ

Front 108

subQ

Back 108

15 degrees

Front 109

client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic medication. the nurse recognizes that which is accurate?

Back 109

parenteral route is the route of choice -parenteral=intradermal, subQ, intramuscular, intravenous

Front 110

given mass dissolved in a known volume

Back 110

solution

Front 111

preprinted, established guidelines that are used to care for patients with similar health problems

Back 111

standardized care plan

Front 112

provides a method of determining the hours of care and staff required

Back 112

Acuity recrd

Front 113

provides current orders, treatments, and diagnostic testing that are ongoing

Back 113

Client care summary or KARDEX

Front 114

allow quick and easy assessment of patient status

Back 114

Flow Sheets and graphic record

Front 115

tool used in managed care that incorporates the treatment interventions from all disciplines

Back 115

critical pathways

Front 116

the case manager advises nursing staff on specific nursing care issues, coordinates the referral to services provided by other disciplines, and ensures client education is completed

Back 116

Case Management

Front 117

used to eliminate redundancy, ensure concise documentation of routine care, emphasize abnormal findings, and identify trends in care

Back 117

Charting by exception

Front 118

patients chart is organized so that each discipline has a section

Back 118

Source Records

Front 119

logical order

Back 119

organized

Front 120

timely immediate documentation

Back 120

Current

Front 121

thorough communication

Back 121

complete

Front 122

exact, precise, concise, spelling, and abbreviations

Back 122

Accurate

Front 123

objective and subjective data are:

Back 123

Factual

Front 124

an effective way to learn the nature of an illness and the patients response is to read the medical record

Back 124

Education

Front 125

how is the patient's needs and progress communicated?

Back 125

through progress notes and nurse's notes

Front 126

a confidential, permanent legal documentation of information relevant to a patients health care

Back 126

Medical Record

Front 127

Nursing Documentation must be: ACFCTSO

Back 127

Accurate, Concise, Factual, Complete, Timely, Specific, Organized

Front 128

people that look at medical record and check to see if it meets the standards

Back 128

utilization review

Front 129

non governmental or legal agency/professional organization that gives recognition to an institution

Back 129

Accredidation

Front 130

Permanent document of all information relevant to health care

Back 130

Record

Front 131

anything written/printed that can be used as record or proof for authorization

Back 131

Documentation