Tulloch

5 components of FHR monitoring? - 1. Baseline rate 2. Baseline variability 3. Accelerations 4. Deceleration 5. Changes/trends over time Corrective measures= 02, change maternal position, and increase IV fluids A nulliparous client is in the second stage of labor and the fetal head has been delivered but the provider is having difficulty delivering the shoulders. The provider asks the nurse to provide assistance with the shoulder dystocia. What nursing interventions would the nurse expe...

What types of questions or statements are therapeutic? Therapeutic- Focus on improving the health of the client. Statement: “Tell me more about or I see” What type of questions do we ask starting the interview to learn patients concern? Open-ended questions, Focusing, encourage elaboration When discussing sensitive topics such as sexual habits, which type of therapeutic questions help reinforce a nonjudgement approach by the nurse? Open-ended FALSE: Redirecting the conversation (chang...

An adolescent pt has a fractured tibia and a new cast, what is the most important assessment to perform? Neurovascular assessment A dementia pt is frequently incontinent, what would the priority action be? Toilet pt every 2 hours Expected age for s/s of autism to show? Toddler stage How do you administer timolol drops for a pt with glaucoma? Drop medication in conjunctiva sac How do you administer two different eye drops to a pt with open angle glaucoma? Administer medications 5 minute...

A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding? - "The pathway shows an estimate of the number of days the client will be hospitalized." A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? - Providing influenza immunizations to employees at a local preschool A community he...

3 phases of post postpartum - Taking in Taking hold Letting go A bilirubin level of what would cause the nurse to obtain a serum level - level greater than 12 A lack of folic acid can lead to what ? - neural tube defects A mother brings a baby to the doctors office and the baby appears Jaundice, what will the Nurse ask the mother about - About breast feeding and is the baby making stool A mother has a 3rd degree laceration what interventions will the nurse put in place - Fiber, sits bat...

Arbitration - binding conflict resolution process. facts heard by individual who makes final decision. power to have final decision Authentic leadership - congruent leadership. a match between the activities, actions and deeds of the leader and the leader's values, principles and beliefs. what you see is what you get. link between what they say and what they do Authentic relationships - nurses cultivate sense of well-being that promotes the ability to do the same for their patients Autho...

A nurse receives a shift report and is preparing to care for clients assigned on a medical-surgical unit. Which client should the nurse plan to assess first? A) The client who needs assistance with activities of daily living B) The client who needs help ambulating to the bathroom C) The client with a pain rating of 3/10 D) The client experiencing shortness of breath D A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the room, the nurse ensures t...

1/2 NS or NS - The RN recognizes the DKA and HHS patient is profoundly dehydrated. She begins Intravenous Fluid Resusciation with what fluid? 100 units per mL - Your patient asks, "What does U100 mean after the Humalog, on this vial?" How should the RN respond? 1330, due to peak and duration of this medication - The RN administers Novalin-R insulin at 0800 right before the patient begins eating breakfast. At what time is the patient most at risk for being hypoglycemic? 0900, 1030, 1230, ...

A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk? A. Electrical cords are placed along the walls B. Scatter rugs are present in the kitchen C. Handrails are present in the bathroom D. Uses a microwave for cooking - B. Scatter rugs are present in the kitchen A home health nurse is teaching an older adult client who just had cataract surgery. Whi...

*Infiltrative* oncologic emergency - Occurs when cancer infiltrates major organs or from cancer treatment. Cardiac tamponade, and carotid artery rupture *Metabolic* oncologic emergency - Caused by production of ectopic hormones directly from the tumor or metabolic problems caused by the cancer/treatment. Can include: Hypercalcemia, tumor lysis syndrome,septic shock, disseminated intravascular coagulation, SIADH *Obstructive* oncologic emergency - Caused by tumor obstruction of an organ or...