UTMB adult 1
What are some of the tasks that the RN can delegate to the LPNs? - correct answer--Monitor
client findings as part of the RNs ongoing assessment
-Reinforcing client teaching from a standard care plan
-Performing tracheostomy care
-Suctioning
-Checking nasogastric tube patency
-Administrating enteral feedings
-Inserting a urinary catheter
-Administrating medications except IV meds
What are some of the tasks that the RN can delegate to the AP? - correct answer--Activities
of daily living
-Bathing
-Grooming
-Dressing
-Toileting
-Ambulating
-Feeding
-Positioning
-Bed Making
-Specimen collection
-Intake and Output
-Vital signs
The 5 steps that are part of the nursing process? - correct answer-1)Assessment/Data
collection 2)Analysis/data collection 3)Planning 4)Implementation 5)Evaluation
______________ involves the systematic collection of information about the client'spresent
health status to identify the client's needs and to identify additional data to collect based on
the nurse's findings. - correct answer-Assessment/Data collection
_________ requires the nurse to look at the data and:
- Recognize patterns or trends
-Compare the data with expected standards or reference ranges
- Arrive at conclusions to guide nursing care - correct answer-Analysis/Data
Documentation should focus on ____ and should be highly _____. - correct answer-facts;
descriptive
During _____ nurse must establish priorities and optimal outcomes of care that can be
readily measured and evaluated. - correct answer-Planning
The three types of planning are? - correct answer--Started on admission into the healthcare
facility
, -Ongoing planning through out the patients treatment making any needed provisions
-Discharge planning
When must effective discharge planning be initiated? - correct answer-Soon after the patient
is admitted
Through out the nursing process the nurse sets ______, determines client ______, and
selects specific _______ _______. - correct answer-priorities; outcomes; interventions
What do nurses use as a guideline to set prioritization? - correct answer-Maslow's hierarchy
of basic needs
The goal of the client outcome must be _______, ______, _______, _______, ________,
_______, and _______. - correct answer-Client centered, singular, observable, measurable,
time-limited, mutually agreed upon, and reasonable.
The 3 types of interventions - correct answer-Nurse initiated, Physician initiated,
collaborative interventions
Repositioning a client every 2 hrs to prevent skin breakdown would be what kind of
intervention? - correct answer-Nurse initiated
Blood administration procedures would be what kind of intervention - correct
answer-Physician initiated either (verbal, written, or standing)
Interventions the nurse carries out with other health care professionals - correct
answer-Collaborative
During ___ the nurse evaluates a client's response to nursing interventions and forms a
clinical judgement about the extent to which goals and outcomes have been met. - correct
answer-Evaluation
After evaluation if goals or anticipated outcomes were not met the nurse may have to ....? -
correct answer-modify the client's plan of care.
What type of goals and outcomes would make the evaluation process easier? - correct
answer-measurable
When bathing a patient a nurse should also be doing what at the same time? - correct
answer-Performing a skin assessment and wound care
What patients foot hygiene is extremely important? - correct answer-diabetes mellitus
What types of medications require you to observe the serum medication levels? - correct
answer-Those with a low therapeutic index
In general when do you want to administer oral medications? - correct answer-On an empty
stomach. (1 hr. before or 2 hr after a meal)
What are some of the tasks that the RN can delegate to the LPNs? - correct answer--Monitor
client findings as part of the RNs ongoing assessment
-Reinforcing client teaching from a standard care plan
-Performing tracheostomy care
-Suctioning
-Checking nasogastric tube patency
-Administrating enteral feedings
-Inserting a urinary catheter
-Administrating medications except IV meds
What are some of the tasks that the RN can delegate to the AP? - correct answer--Activities
of daily living
-Bathing
-Grooming
-Dressing
-Toileting
-Ambulating
-Feeding
-Positioning
-Bed Making
-Specimen collection
-Intake and Output
-Vital signs
The 5 steps that are part of the nursing process? - correct answer-1)Assessment/Data
collection 2)Analysis/data collection 3)Planning 4)Implementation 5)Evaluation
______________ involves the systematic collection of information about the client'spresent
health status to identify the client's needs and to identify additional data to collect based on
the nurse's findings. - correct answer-Assessment/Data collection
_________ requires the nurse to look at the data and:
- Recognize patterns or trends
-Compare the data with expected standards or reference ranges
- Arrive at conclusions to guide nursing care - correct answer-Analysis/Data
Documentation should focus on ____ and should be highly _____. - correct answer-facts;
descriptive
During _____ nurse must establish priorities and optimal outcomes of care that can be
readily measured and evaluated. - correct answer-Planning
The three types of planning are? - correct answer--Started on admission into the healthcare
facility
, -Ongoing planning through out the patients treatment making any needed provisions
-Discharge planning
When must effective discharge planning be initiated? - correct answer-Soon after the patient
is admitted
Through out the nursing process the nurse sets ______, determines client ______, and
selects specific _______ _______. - correct answer-priorities; outcomes; interventions
What do nurses use as a guideline to set prioritization? - correct answer-Maslow's hierarchy
of basic needs
The goal of the client outcome must be _______, ______, _______, _______, ________,
_______, and _______. - correct answer-Client centered, singular, observable, measurable,
time-limited, mutually agreed upon, and reasonable.
The 3 types of interventions - correct answer-Nurse initiated, Physician initiated,
collaborative interventions
Repositioning a client every 2 hrs to prevent skin breakdown would be what kind of
intervention? - correct answer-Nurse initiated
Blood administration procedures would be what kind of intervention - correct
answer-Physician initiated either (verbal, written, or standing)
Interventions the nurse carries out with other health care professionals - correct
answer-Collaborative
During ___ the nurse evaluates a client's response to nursing interventions and forms a
clinical judgement about the extent to which goals and outcomes have been met. - correct
answer-Evaluation
After evaluation if goals or anticipated outcomes were not met the nurse may have to ....? -
correct answer-modify the client's plan of care.
What type of goals and outcomes would make the evaluation process easier? - correct
answer-measurable
When bathing a patient a nurse should also be doing what at the same time? - correct
answer-Performing a skin assessment and wound care
What patients foot hygiene is extremely important? - correct answer-diabetes mellitus
What types of medications require you to observe the serum medication levels? - correct
answer-Those with a low therapeutic index
In general when do you want to administer oral medications? - correct answer-On an empty
stomach. (1 hr. before or 2 hr after a meal)
