Legal Responsibilities: Caring for a Client Who Has a Terminal Illness (RN QSEN - Patient-centered Care, RM FUND 9.0
Ch 4, Active Learning Template -
... [Show More] Basic Concept) Correct ans - clients with terminal illness should know all their available options
make sure to inform a patient about hospice - what services they provide and what is offered to you
respect the clients wishes keep them out of pain/misery
Managing Client Care: Delegating to an LPN (RM Leadership 7.0 Chp. 1, Active Learning Template - Basic Concept, RN
QSEN - Teamwork and Collaboration) Correct ans - LPN can insert nasogastric tubes
LPN cannot assess or educate, they can reinforce education though AP can collect specimen so if AP is available, dont delegate to an LPN
Managing Client Care: Evaluating Time Management Skills (RN QSEN - Teamwork and Collaboration, RM Leadership
7.0 Chp. 1, Active Learning Template - Basic Concept) Correct ans - Use clinical standard to evaluate
Maintain notes over a period of time provides a comprehensive view of nurses abilitles
It is not responsibility of other staff to evaluate nurses profieicny
Professional Responsibilities: Documentation of Care (RN QSEN - Teamwork and Collaboration, RM Leadership 7.0 Chp.
3, Active Learning Template - Basic Concept) Correct ans - all care must be documented
nurses should take short notes while doing an assessment
add more detailed notes and charting after completing assessment to prevent interruption of assessment
Managing Client Care: Prioritizing Postoperative Client Care (RM Leadership
7.0 Chp. 1, Active Learning Template -
Basic Concept, RN QSEN - Safety) Correct ans - follow ABC follow surgery
make sure airway is clear and patient is able to breathe off of anestheesia promote ambulation and anticoags to prevent blood clots
monitor the surgery site to watch for infection
Managing Client Care: Implementing Change (RM Leadership 7.0 Chp. 1, Active Learning Template - Basic Concept) Correct ans - phases of making change:
1st stage: unfreezing - Inform others about current issues 2nd stage: moving - implementing change
3rd: refreezing - solidoifying change into a daily thing
Coordinating Client Care: Support for Client Who Has a New Colostomy (RM Leadership 7.0 Chp. 2, RN QSEN -
Teamwork and Collaboration, Active Learning Template - Basic Concept) Correct ans - teach about colostomy care - teach family/caregivers if necessary
talk about self esteem issues
often patients have a hard time accepting this change
Mobility and Immobility: Use of Hand Rolls (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 40) Correct ans - Help to maintain functional position
prevents hands from losing all funtion and mobility
Mobility and Immobility: Verifying Prescription for Cold Therapy (Active Learning Template - Basic Concept, RM FUND
9.0 Ch 40) Correct ans - make sure cold therapy is necessary and not contraindicated
cold therapy should not be used in patients with diabetes due to neuropathy and increased risk for injury
Facility Protocols: Developing an Emergency Preparedness Plan (Active Learning Template - Basic Concept, RM
Leadership 7.0 Chp. 5, RN QSEN - Safety) Correct ans - first action notify the incident commadner to initiate the command hierarchy patient and staff safety is the most important
Medical and Surgical Asepsis: Handling Biohazardous Materials (RN QSEN - Safety , RM FUND 9.0 Ch 10, Active
Learning Template - Basic Concept) Correct ans - medical asepsis: clean technique
surgical asepsis: sterile technique
blood should be cleaned with a bleach solution
if body fluids get on a reusable machine, place item in sealed biohazard bag and send it to appropriate place to be cleaned
Nursing Care and Discharge Teaching: Newborn Home Safety Instructions (RM MN RN 10.0 Chp 26, Active Learning
Template - Basic Concept, RN QSEN - Safety) Correct ans - Set water heater to no more than 120*F or 49*C
Safe sleep - sleep on back, no extra blankets/pillows in crib, tight fitting sheets
Crib slats should be no more than 2.25 inches apart Place child in rear facing seat until 2 yrs old
Client Safety: Guidelines for the Use of Mechanical Restraints (Active Learning Template - Basic Concept, RN QSEN -
Safety , RM FUND 9.0 Ch 12) Correct ans - Assess client every 15-30 minutes
Someone must be with patient at all times
Check for new prescription q 4ht for > 18, q2 for 9-17 yo, and q1 for < 9 y.o.
Food Safety: Food Safety During Pregnancy (RN QSEN - Patient-centered Care, RM Nutrition 6.0 Chp. 5, Active
Learning Template - Basic Concept) Correct ans - mothers during pregnancy because they are feeding two bodies
they need enoguh nutrients to allow for a healthy baby to grow mothers should maintain a healthy diet while pregnant, with increased protein intake and other nutrients
moms should take folic acid while pregnany to promote neural tube closure in infants
Newborn Assessment: Priority Action Following Birth (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp
23) Correct ans - first thing first - dry the abbay
the baby is at highest risk for hypothermia due to change in environment and cold
after drying, assess and assign apgar score
Normal Physiological Changes During Pregnancy: Client Teaching About Constipation (Active Learning Template -
System Disorder, RN QSEN - Patient-centered Care, RM MN RN 10.0 Chp 3) Correct ans - constipation is a normal complication tht comes with pregnancy
Enlarged uterus compresses intestines and causes compressions
estrogen and progesterone decrease during pregnancy causing constipation
Prenatal Care: Assessing for Fetal Heart Tones (Active Learning Template - Nursing Skill, RM MN RN 10.0 Chp 4) Correct ans - fetus in left occipital anterior position - where do you hear heart sounds: left lower quadrant
listen to the heart of the fetus based on where the fetus is positioined in the womb
Continuity of Care: Recognizing the Need for Referral to the Program of All- Inclusive [Show Less]