4. Pt. with risk for injury r/t decreases vision priority
Orient to placement of furniture
5. Intervention for respiratory function of the immobilized client
encourage deep breathing and coughing
6. Prolonged bed rest
Leads to skin breakdown
7. How long to apply cold applications
30 minutes at a time
8. Mobility changes throughout lifespan
Are r/t growth and development
9. Nursing goal for a patient with Risk For Injury?
,Will be free of injury
10. What helps with prevention of falls in the older patient?
Exercise
11. Most risk to safety for 20-40 year olds?
Automobile Crashes
12. Possible risk with osteoporosis?
Atrophy
13. Important to assess when pt is under surgical anesthesia?
Airway
14. What increases chance of allergy to IVP (intravenous
pyelogram)?
An allergy to shellfish
15. Common post-op device used?
Incentive spirometer
16. Recovering from surgery
Monitor MD if output is <30mL per hour
17. Why would a senile dementia patient be incontinent of
urine?
Loss of sphincter control, mental inability of voluntary control
, 18. What is the priority nursing action in a patient with
urinary retention who has an indwelling catheter?
Provide catheter care every shift
19. What supplement should a nurse be concerned about
when doing a pre-surgical assessment?
Vitamin E - can increase risk for bleeding.
20. What is the nurse providing when she remains at the
bedside of a patient who is voluntarily being taken off a
ventilator?
Autonomy
21. Concerning NSAID's, what should a nurse ask during a
pre-op assessment?
When did you last take NSAID's
22. What item would benefit a patient with functional
incontinence?
Easy pull-down pants
23. A Nurse forgot to administer a scheduled medication and
resulted in decreased patient status
Unintentional failure to perform a procedure.
24. Purpose of palliative care
To relieve pain and provided support
25. What would a bowel obstruction assessment reveal?
No bowel sounds with intermittent splashing
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