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Management

Ch 1

Management
32問 • 1年前Ch 1
  • ava studios
    • 通報

    問題一覧

  • 1

    Nurses are daily faced with the challenge regarding high client should be assessed (FIRST): F - I - R - S - T -

    find hypoxia; immunocompromised; real bleeding; safety; try infection

  • 2

    HIPPA -

    health insurance portability and accountability act

  • 3

    The “delegator” delegates tasks but NOT responsibility. Before we TELL someone to do something we know that we’re usually legally responsible for the outcomes. or T - Has the individual been taught the skill, treatment, or service? E - Just because they have been taught how to do something doesn’t mean they are competent to do it. Has their return demonstration been performed and documented? L - Does the individual have or need a license to do this task? Is it within their scope of practice? L - What lists of standards of care (agency policies) are written regarding this task?

    taught; evaluate; license; lists

  • 4

    Regarding LPNs, what can they NOT do? P - LPNs plan in collaboration with the RN. They will not do this in isolation of the RN. P - The current LPN standard is not to push IV medications. A - LPNs will participate in ongoing assessments; however, the RN is responsible for the initial assessment. A - LPNs do not make nursing diagnosis or analyze the nursing care. R - The LPN is responsible for collaborating with the RN during the evaluation process. T - While LPNs may be involved in the teaching process, they are not responsible for initiating the teaching process. This is the responsibility of the RN. The LPN may reinforce teaching.

    plan in isolation of RN / push IV medications; assess initially / analyze; review-evaluate in isolation of RN; teach initially

  • 5

    Regarding UAPs, what can they NOT do? C - The UAP should not conduct this intervention C - UAPs can make observations, but are not responsible for clinical decisions A - UAPs should never be accountable for anticipating client’s clinical changes N - UAPs should not be accountable for any invasive procedures or specialized procedures T - UAPs are not responsible for teaching

    can’t irrigate a foley; can’t make clinical decisions; anticipate clinical changes; no invasive procedures; teach

  • 6

    What tasks can be delegated to the UAP? B - (routine and uncomplicated) A - R - (obtaining urine specimen or stool for blood) T -

    baths; ambulation; routine tasks; tasks that do not require critical thinking

  • 7

    Nurses who FLOAT between units: F - (planning, evaluating nursing judgement cannot be delegated) L - O - A - T - (knowledge required)

    functions of assessment; look for expected outcomes with assignments / at client’s clinical condition; omit specialized care; acuity, accountability, and age must be considered; tasks

  • 8

    What is a strategy to achieve cost effectiveness? S - When making assignments, the selection of the appropriate nursing personal is a key component in being cost effective. If an LPN is able to provide the nursing care safely and effectively, it is not financially wise to assign the RN to the same client A - This will also assist in provide cost effective care. For example, if a department has an unlicensed nursing personal scheduled to run arterial blood gases to the lab, bud the individual is only busy during the morning; it is wise to share this staff member with another unit and share in the cost V - “An ounce of prevention is worth a pound of cure.” Infections are expensive! Wash those hands and practice universal precautions. E - Discuss the budget with the nursing staff.

    staff; avoid duplication; view infection; educate

  • 9

    What is the ABC method for evacuating clients in a disaster plan? A - The priority is to evacuate the largest volume of clients initially B - The bed ridden clients will be the next group to be evacuated from the rooms C - The last group of clients to be evacuated is the critically ill

    ambulatory; bed ridden; critical care

  • 10

    What are the 4 B’s?

    breathing; bleeding; broken bones; burns

  • 11

    Name the tenants of TRIAGE

    trauma; respiratory / cardiac; ICP; an infection, GI / glucose; elimination

  • 12

    DRIP tests the accuracy of orders. What does DRIP stand for?

    diagnostic tests; right procedure; interpretation of order; pharmacology

  • 13

    Name the 8 rights to medication administration

    right route / when; right client / who; right drug / what; right rationale / why; right dose / which; right time / when; right documentation - write; right to know or refuse

  • 14

    GLOVEs abbreviation

    gloves; lather up; orifices; very special handling; everyone may be infected; sharps

  • 15

    FEVER abbreviation or F - (97 to 100 degrees) or (36.1 to 37.8 degrees Celsius) E - These reset the hypothalamic center V - These increase secondary to heat loss (increased metabolism, shivering, sweating, evaporation, and vasodilation) E - CBC with differential, urinalysis, blood culture, and chest c-ray. Evaluate trends in Temp. before sepsis occurs R - Vutal or bacterial illness, environmental factors, tissue damage, biological agents, endocrine disorders

    Fahrenheit; endogenous pyrogens; volume needs; evaluate the source via labs; risk factors

  • 16

    MRSA M - R - S - A -

    many cultures; requires gown, gloves, goggles; social isolation; active infection

  • 17

    BETA STREP B - S - T - R - E - P -

    Beta-hemolytic streptococcus; screening; treatment; risk factors; evaluate infant; prophylaxis

  • 18

    Clostridium Difficile - BAD B - A - D -

    bacterial, hospital acquired; antibiotic associated abdominal cramps; diarrhea

  • 19

    Assignment of Rooms - RISK R - I - S - K -

    radiation; infection / isolation; safety, sex; know growth and development

  • 20

    SAFE use of equipment S - A - F - E -

    system; accident prevention; functions properly prior to using; evaluate effectiveness

  • 21

    Growth and development / health promotion throughout the life span - SPINE

    stress / safety; physical; interpersonal; nutrition; environmental

  • 22

    First 3 months - recliner; sleeps ___ hours a day

    20

  • 23

    3-6 months

    sitter with assistance; high roller

  • 24

    6-9 months

    bouncer or crawler

  • 25

    9-12 months

    crawler or cruiser

  • 26

    ABC’s

    airway; breathing; circulation

  • 27

    POISON

    promote stability; off / out; identify; support; ongoing; notify

  • 28

    Danger signs in pregnancy - ABC’s A - B - B - B - C - C - S -

    abdominal pain; blurred vision( blood pressure elevation; bleeding; chills and fever; cerebral disturbances; swelling

  • 29

    Neonate vital signs Respiratory = HR =

    40; 140

  • 30

    Toddler (age 2-4) vital signs Respiratory = HR=

    30; 120

  • 31

    Child (6-10) vital signs Respiratory = HR =

    20; 100

  • 32

    Adult vital signs Respiratory = HR =

    12-18; 60-100

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    問題一覧

  • 1

    Nurses are daily faced with the challenge regarding high client should be assessed (FIRST): F - I - R - S - T -

    find hypoxia; immunocompromised; real bleeding; safety; try infection

  • 2

    HIPPA -

    health insurance portability and accountability act

  • 3

    The “delegator” delegates tasks but NOT responsibility. Before we TELL someone to do something we know that we’re usually legally responsible for the outcomes. or T - Has the individual been taught the skill, treatment, or service? E - Just because they have been taught how to do something doesn’t mean they are competent to do it. Has their return demonstration been performed and documented? L - Does the individual have or need a license to do this task? Is it within their scope of practice? L - What lists of standards of care (agency policies) are written regarding this task?

    taught; evaluate; license; lists

  • 4

    Regarding LPNs, what can they NOT do? P - LPNs plan in collaboration with the RN. They will not do this in isolation of the RN. P - The current LPN standard is not to push IV medications. A - LPNs will participate in ongoing assessments; however, the RN is responsible for the initial assessment. A - LPNs do not make nursing diagnosis or analyze the nursing care. R - The LPN is responsible for collaborating with the RN during the evaluation process. T - While LPNs may be involved in the teaching process, they are not responsible for initiating the teaching process. This is the responsibility of the RN. The LPN may reinforce teaching.

    plan in isolation of RN / push IV medications; assess initially / analyze; review-evaluate in isolation of RN; teach initially

  • 5

    Regarding UAPs, what can they NOT do? C - The UAP should not conduct this intervention C - UAPs can make observations, but are not responsible for clinical decisions A - UAPs should never be accountable for anticipating client’s clinical changes N - UAPs should not be accountable for any invasive procedures or specialized procedures T - UAPs are not responsible for teaching

    can’t irrigate a foley; can’t make clinical decisions; anticipate clinical changes; no invasive procedures; teach

  • 6

    What tasks can be delegated to the UAP? B - (routine and uncomplicated) A - R - (obtaining urine specimen or stool for blood) T -

    baths; ambulation; routine tasks; tasks that do not require critical thinking

  • 7

    Nurses who FLOAT between units: F - (planning, evaluating nursing judgement cannot be delegated) L - O - A - T - (knowledge required)

    functions of assessment; look for expected outcomes with assignments / at client’s clinical condition; omit specialized care; acuity, accountability, and age must be considered; tasks

  • 8

    What is a strategy to achieve cost effectiveness? S - When making assignments, the selection of the appropriate nursing personal is a key component in being cost effective. If an LPN is able to provide the nursing care safely and effectively, it is not financially wise to assign the RN to the same client A - This will also assist in provide cost effective care. For example, if a department has an unlicensed nursing personal scheduled to run arterial blood gases to the lab, bud the individual is only busy during the morning; it is wise to share this staff member with another unit and share in the cost V - “An ounce of prevention is worth a pound of cure.” Infections are expensive! Wash those hands and practice universal precautions. E - Discuss the budget with the nursing staff.

    staff; avoid duplication; view infection; educate

  • 9

    What is the ABC method for evacuating clients in a disaster plan? A - The priority is to evacuate the largest volume of clients initially B - The bed ridden clients will be the next group to be evacuated from the rooms C - The last group of clients to be evacuated is the critically ill

    ambulatory; bed ridden; critical care

  • 10

    What are the 4 B’s?

    breathing; bleeding; broken bones; burns

  • 11

    Name the tenants of TRIAGE

    trauma; respiratory / cardiac; ICP; an infection, GI / glucose; elimination

  • 12

    DRIP tests the accuracy of orders. What does DRIP stand for?

    diagnostic tests; right procedure; interpretation of order; pharmacology

  • 13

    Name the 8 rights to medication administration

    right route / when; right client / who; right drug / what; right rationale / why; right dose / which; right time / when; right documentation - write; right to know or refuse

  • 14

    GLOVEs abbreviation

    gloves; lather up; orifices; very special handling; everyone may be infected; sharps

  • 15

    FEVER abbreviation or F - (97 to 100 degrees) or (36.1 to 37.8 degrees Celsius) E - These reset the hypothalamic center V - These increase secondary to heat loss (increased metabolism, shivering, sweating, evaporation, and vasodilation) E - CBC with differential, urinalysis, blood culture, and chest c-ray. Evaluate trends in Temp. before sepsis occurs R - Vutal or bacterial illness, environmental factors, tissue damage, biological agents, endocrine disorders

    Fahrenheit; endogenous pyrogens; volume needs; evaluate the source via labs; risk factors

  • 16

    MRSA M - R - S - A -

    many cultures; requires gown, gloves, goggles; social isolation; active infection

  • 17

    BETA STREP B - S - T - R - E - P -

    Beta-hemolytic streptococcus; screening; treatment; risk factors; evaluate infant; prophylaxis

  • 18

    Clostridium Difficile - BAD B - A - D -

    bacterial, hospital acquired; antibiotic associated abdominal cramps; diarrhea

  • 19

    Assignment of Rooms - RISK R - I - S - K -

    radiation; infection / isolation; safety, sex; know growth and development

  • 20

    SAFE use of equipment S - A - F - E -

    system; accident prevention; functions properly prior to using; evaluate effectiveness

  • 21

    Growth and development / health promotion throughout the life span - SPINE

    stress / safety; physical; interpersonal; nutrition; environmental

  • 22

    First 3 months - recliner; sleeps ___ hours a day

    20

  • 23

    3-6 months

    sitter with assistance; high roller

  • 24

    6-9 months

    bouncer or crawler

  • 25

    9-12 months

    crawler or cruiser

  • 26

    ABC’s

    airway; breathing; circulation

  • 27

    POISON

    promote stability; off / out; identify; support; ongoing; notify

  • 28

    Danger signs in pregnancy - ABC’s A - B - B - B - C - C - S -

    abdominal pain; blurred vision( blood pressure elevation; bleeding; chills and fever; cerebral disturbances; swelling

  • 29

    Neonate vital signs Respiratory = HR =

    40; 140

  • 30

    Toddler (age 2-4) vital signs Respiratory = HR=

    30; 120

  • 31

    Child (6-10) vital signs Respiratory = HR =

    20; 100

  • 32

    Adult vital signs Respiratory = HR =

    12-18; 60-100