Nur 111 stuvia - Study guides, Class notes & Summaries

Pre-interactive phase of a nurse-patient relationship - Answer Begins before the nurse's first contact w/the patient. The nurse's role is self-exploration and gathering data about the patient. Introductory or orientation phase of a nurse-patient relationship - Answer When the nurse & client first meet. The nurse seeks to find out why the client sought help. The tasks during this phase are to establish trust, understanding, acceptance, open communication and formulate a contract with the pat...

Electrolyte balance and imbalances - Answer ▪ Sodium Major cation in ECF Hyponatremia - serum level below 136 mEq/L Interventions Priority is monitoring the pt. response to therapy to prevent hypernatremia and fluid overload Drug therapy Nutrition therapy ▪ Increasing oral Na intake and restricting oral fluid intake Hypernatremia Serum Na level over 145 mEq/L Medication error - Answer Any preventable event that may cause or lead to inappropriate medication use or pt. harm wh...

Which statement by a patient receiving digoxin (Lanoxin) 0.25 mg every day indicates that the nurse needs to provide further teaching? A. "I should not take antacids with this medication." B. "I will not take the digoxin if my pulse is less than 60 beats per minutes." C. "I should call the doctor if I have nausea, vomiting or weakness." D. "If I forget to take my digoxin, I should take 2 pills the next day." - Answer D. "If I forget to take my digoxin, I should take 2 pills the ne...

Access to healthcare - Answer An individual's ability to obtain appropriate health care services is described as either potential (supply) or actual (demand); described degree of fit between client and health system Diagnostic related grouping (DRG) - Answer DRG is a patient classification system used by hospitals to bill and be paid by third party payers. The payment is based on the average cost for the patient's DRG. Patients are assigned to a DRG based upon the patient's diagnosis, gend...

Informed consent must include: - Answer Adequate disclosure by surgeon Patient understanding before preoperative sedatives Voluntarily given consent What is considered obese? - Answer 20% or more above ideal weight OR a BMI of 30 or more Pressure Ulcer Development - Answer Stage I --> reddened, unblanchable reddened area, "at risk" Stage II --> partial thickness, pink-red wound bed Stage III --> full thickness, adipose tissue Stage IV --> full thickness, exposed bone, te...