Practical Nursing II | Questions and 100%Verified Answers | Already
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a patient tells the nurse that he is very nervous, nauseous, and "feels hot." what type of
assessment data is this?
subjective
when listening to a patient's breath sounds, the nurse is unsure of a sound that is
heard. what action should the nurse take next?
validate the data by asking another nurse to listen to the breath sounds
the nurse is conduction a class on priority setting for a group of new graduate nurses.
which is an example of a first-level priority problem?
individual with shortness of breath and respiratory distress.
What is verbal communication?
Spoken and written words
What is nonverbal communication?
All communication that is not spoken or
written. Facial expressions, gestures, eye
contact, etc.
Name the styles of communication and describe them. (4)
Assertive: expressing point of view in a way that us clear and direct, while still
respecting others. Aggressive: interacting by being overpowering or forceful, more
about you than your patient.
Therapeutic: conveying acceptance, using closed or open-ended questions. Restating,
paraphrasing, clarifying, focusing, reflecting, observance, offer info, patient teaching,
humor, etc.
Nontherapeutic: blocks the development and learning between you
and patient. What is the difference between open-ended and closed
questions?
,Closed: yes/no
Open: more than a single answer
What are some alternatives to communication?
Lip read, sign language, use of paper and pen, word/picture cards, magnetic board with
letters, blinking, computer associated communication, picture board, clock face.
What organization promotes
safety? Joint commission
Who is responsible to obtain informed consent? What is the nurse's role?
Doctor or surgeon NEVER the nurse, the doctor has to explain procedure and answer
any questions. Be a witness.
What are the 3 routes of drug administration?
Enteral: oral, rectal, NG tube (directly to GI)
Parenteral: SubQ, IM, IV (passes GI)
Percutaneous: through skin, mucous membranes, patch, ointment,
sublingual What is ADME?
Absorption: depends on route oral, IV, sublingual
Distribution: transported to different parts of the body, to lymph system (heart, kidneys,
liver, brain), or blood.
Metabolism: where body breaks it down and inactivates drug LIVER
Excretion: elimination of drug; GI and urine, breast milk, evaporation through skin,
exhaled through lungs, saliva.
What is half-life?
Amount of time required to 50% elimination from
body. What is onset?
When the drug starts
working What is peak?
When drug reaches highest
concentration What is duration?
How long the drug lasts (half-
life) What is drug level?
,Amount of drug present.
What does sensory perception involve?
Stimuli to your 5 senses (vision, hearing, taste, smell,
and touch) LIst risk factors related to safety with vision.
Increased falls
Antihistamine meds (Benadryl causes
blurred vision) Antihypertensives can also
cause blurred vision.
Cataracts
Glaucoma
Age related macular
degeneration. Lifestyles
Occupation
Failure to wear
PPE.
What is
Cataracts?
Most common in aging eye
Misty/Cloudy vision.
Causes: diabetes, trauma, aging, cortisone
medications, Can diagnose by exam and remove
them ONE at a time.
What is Glaucoma?
Increased intraocular pressure.
If not treated can lead to optic nerve damage causing loss of eyesight, there is
treatment but no cure. Opaque in color, see a HALO around lights, peripheral vision
loss (tunnel vision).
What is the adverse effect for Timolol? What is it used to
treat? SHORTNESS OF BREATH
treats high pressure in the eye and decreases amount of fluid
in the eye. What does Valatan (Latanoprost) do?
Lowers pressure inside of eye by increasing amount of fluid that drains from eye.
Usually treatment of choice.
What is Pilocarpine?
Used alone or with other meds to treat glaucoma. Lowers high pressure inside of eye.
Helps prevent blindness, vision loss, nerve damage. Causes pupils to shrink and lower
amount of fluid within eye.
, What is Mannitol?
IV or Opthalmic. Diuretic used to reduce swelling and pressure inside the eye or
around brain. What is Parkinson's disease?