Tulloch

After a change of shift, you are assigned to care for the following patient. Which patient should you assess first? A 50 year old with asthma who complains of SOB after using a bronchodilator Allowing persons to perform a specific nursing activity , skill or procedure that is outside the traditional role and basic responsibilities of the delegates current job is the definition for which term? Delegation Asprin *NSAID and blood thinner *treats pain, fever, headache and inflammation *redu...

ADDITIVE EFFECT - LIKE DRUGS ARE COMBINED, ENHANCES EFFECT EXAMPLE: TYLENOL 3 ADVERSE EFFECTS OF PPI? - HEADACHES, DIARREHA, UPPER RESP INFECTION, PNEUMONIA AGONIST - DRUG STIMULATES BODY FUNCTION ALPHA 1 RECEPTORS AGONIST EFFECT - ARTERIES AND VEINS-CONSTRICT (BP INC) BLADDER NECK-CONTRACT EYES DILATION ALPHA 1 RECEPTORS ANTAGONIST EFFECT - ARTERIES AND VEINS- DILATION (BP DEC) BLADDER NECK-RELAX EYES CONSTRICTION ALPHA 2 ADRENERGIC AGONIST - VERY POTENT, DEC HR AND BP ALUMINUM ANTAC...

A patient comes into the ER staggering. When the nurses try to get VS on him, he kicks and fights He refuses to let anyone touch him and insists that all he wants is to lie down. Which blood alcohol level do you expect? - 0.20% at least 5 drinks Anorexia Nervosa - self starvation, pt states they feel fat but weight 85lbs, keep pt in room after meals, observe/accompany them directly after meals if necessary; nurse-client contract Antisocial - manipulating, exploiting, and violating the right...

antisocial personality disorder - A personality disorder in which the person (usually a man) exhibits verbal abuse. Does not care about personal rights of others boarderline personality disorder - condition marked by extreme instability in mood, identity, and impulse control Co-occuring or Dual Diagnosis - mental illness and substance abuse occurs in every 3/4 people, 75% Complicated greif (Chronic, masked, delayed) - problems with mood and self esteem dependent personality disorder - afra...

A student nurse is studying clinical judgment and is working with Tanner's Model of Clinical Judgment. How can the student nurse best describe this model? - A reflective process where the nurse notices, interprets, responds, and reflects in action care coordination can include - -many changes - Different doctors at each locations Diabetic patient who is sweating profusely and grouchy. Lunch trays are being delivered late. What actions are you going to take? Hypoglycemia - Check finger blo...

a basic assumptions of freud psychoanalytic responses is what - all human behavior can be caused and explain a client has been making sexual comments to the nurse the nurse wants to spend some time talking to the client will respecting client privacy which would be most appropriate - in a quiet space in the day 4 ft away from everyone else a client is admitted to psychiatric facility for the treatment of pycho disorder and the client is at the end door yelling there is nothing wrong with m...

Chest configuration with a 1:2 ratio of anteroposterior to transverse diameter without a sunken sternum? A.) Pigeon chest B.) Barrel chest C.) Funnel chest D.) Standard chest - D.) Standard chest Crackles (Rales) - airflow by liquid -Fine (discontinuous, high-pitched, crackling, popping) -Coarse (Discontinuous, low-pitched, gurgling) Crepitus vs Fremitus - -Crepitus (crunching feeling under the skin) -Fremitus (vibration sensation) Diff between Thoracic Breathing & Diaphragmatic or Ab...

A client with COPD is expected to have which type of chest configuration? - -barrel chest Blocked airflow is... - -characterized by adventitious sound that is high-pitched and continues on auscultation Differentiate between bradypnea and hypoventilation - -bradypnea: slow, regular rhythm -hypoventilation: slow, irregular rhythm Differentiate between tachypnea and hyperventilation - -tachypnea: fast, regular rhythm, rapid over 20 rpm, shallow -hyperventilation: fast, deep How do you asses...

Communication: Congruent relationship - Relationships among written, verbal, nonverbal, and/or metacommunication are aligned to give the same "message." Communication: During a review of a low-fat cardiac diet by the nurse, Mr. Jones has nodded his head several times in feedback. Later in the day when the nurse checks his dietary choices, it was found that he selected several foods on the menu that were the highest in fat. The type of communication that Mr. Jones exhibited was: A. Co...

(SATA) Caring for patient on Vent. What actions would you take? - 1. Me sure the patient has SCD's on. 2. Limit suction time to 30 seconds. 3. Don't put NS down NG tube (SATA)Nurse caring for patient with burns over 60 % of their body. Which - 1. Give antibiotics per physician order 2. Pain meds per physician order 3. Notify next of kin (SATA)Patient with SOB with the following labs. BUN 95, CRT 9.2 pot of 6. You should anticipate to follow out which order? - 1. Give kayexalate 2...