Elimination, Fluid/Electrolytes, Pain Management, and Leadership

For a patient with a urinary retention catheter, which hourly urine output should first alert the nurse to notify HCP?

Which should the nurse do to encourage a confused patient to drink more fluid?

It is okay to IV push potassium

A nurse identifies than an older patient may have a problem with excess fluid volume. What skin characteristics support?

Which clinical manefestations indicate that the patient has fluid overload?

Which nursing-care delivery model is based on case management?

A student nurse in the clinical area is given an appropriate assignment by the instructor. Which should the student do?

Which should the nurse do to ensure efficiency when managing a daily assignment?

Interruption of conduction impulses in peripheral nerves by injection of local anesthetic solution.

A person with a psychogenic pain disorder will complain of pain that does not match his/her symptoms.

K <3.5 mEq/L: Thready, weak, irregular pulse, orthostatic hypotension, shallow respirations, anxiety, lethargy

Ca and Mg rise and fall together (Positive Trousseau's and Chvostek's Signs)

A clinical nursing council that governs clinical nursing standards and care for the organization

The patient talks with the nurse about bladder health. What is one of the most important recommendations?

Conversion of a painful stimulus into electrical energy.

Drugs used to treat other conditions that also have analgesic qualities are called adjuvants.

Unless contraindicated, postoperative surgical patients should be given alternating doses of acetaminophen and?

K >5 mEq/L: Muscle cramps, urine abnormalities, respiratory distress, low HR/BP, ECG changes, increased reflexes (DTR)

Inability to partially or completely empty the bladder. Leads to increased urine volume and bladder distention.

Which should the manager do first to overcome resistance to change?

Na <135 mEq/L: Stupor, nausea, vomiting, lethargy, tachycardia, muscle weakness, seizures, orthostatic hypotension

Sending of impulse across a sensory pain nerve fiber (nociceptor)

Autocratic leader is to an authoritarian leader as a democratic leader is to which type of leader?

Surgical opening in the ileum or colon

A supervisor communicates expectations and delegates a task. Which managment function is being implemented?

Common name for acetylsalicylic acid

What should the nurse do with irrigant on an I&O sheet when calculating fluid balance for continuous bladder irrigation?

An assessment of which of the following is most important when a nurse is caring for an adult pt experiencing vomiting?

Obligation to do and cause no harm to others

Ca >11 mg/dL: Bone pain, arrhythmias, cardiac arrest, kidney stones, muscle weakness, excessive urination

4th most common type of health-care associated infection. Risk increases in the presence of incontince and poor hygeine

A patient injured was hemorrhaging received 9 units of blood an hour ago. Which lab value is a priority?

Na >145 mEq/L: Flushed skin, Restless, Increased BP/fluid retention, Agitation, Fever, Thirst

A short acting opioid with significant cognitive effects and best used for actue pain relief.

To assess urine: intake and output, color, clarity and odor

Treat urinary retention

Dilated, engorged veins in the lining of the rectum

Mg >2.5 mg/dL: Low energy, HR, BP, RR, decreased bowel sounds, decresed deep tendon reflex (DTR)

Which is most basic for a nurse to have when working in a managment position?

Normal value for sodium (Na)

Respect for an individual's right to make their own decisions

An increase in the number of stools and the passage of liquid, unformed feces

For a patient with dependent edema, which pressure has caused the excess fluid in the interstitial compartment?

Mg <1.5 mg/dL: High HR, BP, increased DTR, shallow respirations, twitches, tetany, seizures, irritablitly/confusion

Normal value for Calcium (Ca)

the movement of solute from a higher concentration to a lower concentration

Obligation to tell the truth

Pain should be reassessed within _____ minutes of parenteral drug administration.

Shrink the prostate

It is a misconception that these signs are more reliable indicators of pain than client reports.

Less salt/more water in solution. The vessel becomes less concentrated, water enters the cell and cells swell.

Infrequent stool and/or hard, dry, small stools that are difficult to eliminate. A symptom, no a disease.

A nurse is caring for a patient who has reduced fluid intake. The nurse assesses the patient for which response?

The vagus nerve sometimes causes a sudden decline in respiratory rate

A unit manager mentors a new unit manager. Which type of power is being used by the unit manager mentor?

Which is a priority for the nurse to teach a pt who desires self-management and alternative strategies for pain?

Used for diabetic ketoacidosis, helps kidneys excrete fluids, hypernatatremia; Monitor for fluid overload

Inhibition of pain/release of inhibitory neurotransmittors (reflex from pain)

What is the toileting procedure for a patient who is wearing a vest restraint in bed?

Patient's experience of pain

A patient has increase BP and 2 lb weight gain over 2 days. What clinical manefestation can be clustered with this data?

A patient has acute gastroenteritis with watery diarrhea. Which statement by this patient would indicate they understand

Which is a right of delegation in addition to right task, right person, right communication, and right time?

Ca <9 mg/dL: Convulsions, arrhythmias, tetany, spasms/stridor, numbness in fingers, face and limbs, Chvostek's Signs

Distribution of benefits and services fairly

More salt/less water in the solution. The vessesl becomes more concentrated, water leaves the cell and cells shrink.

Used for blood loss, dehydration, fluid maintenance

Which must the nurse understand about the ratio of a patient's fluid intake and output?

A staff nurse must solve a complex problem. Which is the most effective resource?

A pt is taking HCTZ for retaining fluid. The nurse encourages the pt to ingest nutrients that contain which electrolyte?

The nurse is caring for a patient newly diagnosed with hyperparathyroidism. What findings should the nurse expect?

Relax smooth muscle

Which management function drives effective management?

Normal value for Potassium (K)

Results from unrelieved constipation. A collection of hardened feces wedged in the rectum that a person cannot expel.

treat urgency, frequency, nocturia and urgency UI

Treat urinary tract infections

Several nurses complain to the nurse manager that someone constantly takes a long lunch. What should be done by manager?

The movement of water through a semipermeable membrane from a lower concentration to a higher concentration

Following through with a promise

Which position should the nurse place the patient in while administering an enema?

Decompression, enteral feeding, compression, and lavage is the purpose of what?

Inability to control passage of feces and gas to the anus

Opiate antagonist

Normal value for magnesium (Mg)

Duty to do good to others

Same osmoality as body fluids

Temporary or permanent artificial opening in the abdominal wall

Which assessment best reflects fluid and electrolyte balance in an older adult?

Potassium imbalance can cause cardiac dysrhythmias that can be life threatening

Minimal amount of stimulus that causes pain sensation

Division of urine to external source

Accumulation of gas in the intestines causing the walls to stretch

A woman sustained a tissue injury. She describes her condition as aching, throbbing back. Which term describes her pain?

Used for cerebral edema, hyponatremia, metabolic alkalosis, hypovolemia. DO NOT use for burns.

Which is the major task of a nurse manager?