Nur 111 final exam 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...

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...