ANSWERS QUESTIONS
- Shiny/hairless lower What are examples of clinical manifestations that
extremities would be present for a patient with peripheral
- Absent/weak pedal pulses arterial insufficiency?
- Altered skin color
- SOB What are general possible AE to infusion of blood
- Stridor products?
- Nervousness
- Flank pain
- Swelling
- Fever
- Feelings of impending doom
- Hives
- DC IV What are nursing interventions involved when
- Elevate affected extremity caring for a patient with an infiltrated IV?
- Apply cold compress to
affected area
- Start IV infusion in another
extremity
"Don't delegate what you EAT": What are areas of the nursing process that ONLY the
RN can do?
- Initial patient education
- Initial patient assessment
- Initial patient teaching
,3-4.5 hours after initial What is the time frame for appropriate
symptoms of stroke administration of TPA?
Anticonvulsants - ECT's goal is For a patient scheduled to undergo ECT
to elicit a seizure, therefore anti (Electroconvulsive therapy), what medication class
seizure medications should all will need to be held prior to the procedure? Why?
be held
Disorder of pediatrics characterized by mixing of
Tetralogy of Fallot oxygenated and deoxygenated blood, allowing for
ineffective tissue perfusion
For patients receiving TPN, how often should the
q4-6hr
BG be checked?
What is the nurses initial action when a bag of TPN is
Hang an IV bag of 5% dextrose about to run out and another bag of TPN is not yet
available?
- Description of incident What does an incident report typically include?
(Subjective from patient or
objective from RN)
- Actions taken
Where should documentation of an incident report
THE PATIENT'S CHART!
NEVER be included?
- Right person What are the 5 rights of delegation?
- Right task
- Right circumstance
- Right direction
- Right supervision
NCLEX-RN ATI LIVE REVIEW
, - Care of stable clients What are appropriate tasks for the RN to delegate
- Data collection to the LPN (PN)?
- Reinforcement of teaching
done by RN
- Maintenance of IV
piggybacks & infusions initially
started by RN
RhoGAM - blood product that Related to L&D nursing, what medication are LPN's
is outside the LPN's scope of (PN's) prohibited to administer? Why?
practice
HTN - Due to angiotensin For pediatric patients diagnosed with
being the most glomerulonephritis, what are they at highest risk
vasoconstrictive chemical for?
metabolized by the renal
system
- Emancipated minor Who is legally able to give informed consent?
- Individuals 18 years or older
- Married minor
- Patient/DPOA
- Pregnant minor
WITNESSING informed What is the RN's role in informed consent?
consent & ensuring that the
patient is making an
informed/non-coerced
decision