1) Describe the methods to avoid complications of enteral feedings? correct answers -verify tube
placement
-place in high Fowlers position
-keep elevated for 1hr
2) Explain the importance of a balance between energy intake and energy requirements correct
answers if you burn more nitrogen then what your taking in then your burns muscle
leg in cast shrink
3) Explain the physiology of normal regulation of blood pressure, pulse, oxygen saturation, and
respirations correct answers Blood pressure
-<120/<80
Pulse
-60 to 100 beats/min
Oxygen Saturation
-95% - 100%
Respirations
-12 to 20 breaths/min
4) Appropriately delegate measurement of vital signs to nursing assistive personnel correct
answers Make sure the NAP knows to
- report abnormalities to the nurse with ordered frequency
-obtain temp for select patient with ordered frequency
6) Describe guidelines for selecting individualizing pain interventions correct answers ABCDE
of pain
A: ask about pain regularly
, B: believe the patient and family in their report of pain
C: Choose pain control options appropriate for the patient family and setting
D: deliver interventions in a timely logical and coordinated fashion
E: empower patients and their families
7) Discuss nursing implications for administering analgesics correct answers Nonopioids
-acetaminophen and nonsteriodal intiinflammatory
Opioids
-
Adjuvants
-variety of medications that enhance analgesics
-Know patients previous response to analgesics
-Select proper medications when more than one is ordered
-Know accurate Dosage
-Assess tight time and interval for administration
8) Discuss physiological changes associated with fever correct answers Changes in regulation
-neural and vascular control
-heat production
-heat loss
-skin in timp regulation
-behavioral control
9) Describe applications for use of nonpharmacological pain interventions correct answers -
lessen pain
-change perception of pain