- Document the observation and report it later.
- Verbally reprimand the nursing assistant in front of the patient.
- Immediately intervene and educate the nursing assistant on the importance of wearing gloves for infection control.
- Ignore it, as it's a minor lapse.
Author: ETEA MCQS.COM
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- Deliver continuous nutrition to the patient.
- Decompress the stomach and remove secretions/gas.
- Administer medications directly into the stomach.
- Provide oxygen therapy to the patient.
- Assessment
- Diagnosis
- Implementation
- Evaluation
- Hairy area of the skin
- Area with cuts or abrasions
- Clean, dry, hairless area of the skin
- Area with excessive sweating
- Share their password with trusted colleagues.
- Leave the computer logged in when stepping away.
- Log off the computer or lock the screen when stepping away from the workstation.
- Discuss patient information openly in the hallway.
- Lower gastrointestinal bleed
- Upper gastrointestinal bleed
- Hemorrhoids
- Constipation
- Slow down the transfusion.
- Stop the transfusion immediately, keep the IV line open with normal saline, and notify the physician and blood bank.
- Administer an antihistamine.
- Reassure the patient and continue monitoring.
- Diastolic pressure
- Pulse pressure
- Mean arterial pressure
- Systolic pressure
- Assessment
- Diagnosis
- Planning
- Evaluation
- Down and back
- Up and back
- Straight back
- Down and forward
- Measure lung capacity
- Improve lung expansion and prevent pneumonia
- Deliver oxygen
- Assess respiratory rate
- Subjective data
- Objective data
- Indirect data
- Emotional data
- Place the patient in soft restraints.
- Keep the room dimly lit and quiet.
- Reorient the patient frequently, maintain consistency in care providers, and ensure a calm environment.
- Administer sedatives on a scheduled basis.
- Ignore cultural beliefs and follow standard medical protocols.
- Educate the patient on the superiority of Western medicine.
- Incorporate cultural beliefs into the plan of care when safe and appropriate, respecting patient values.
- Refer the patient to a traditional healer.
- The patient's response to the medication.
- The nurse's personal opinion of the patient's pain.
- The cost of the medication.
- The name of the pharmacy.
- Encourage the patient to eat quickly.
- Offer large bites of food.
- Elevate the head of the bed to at least 45 degrees and offer small bites, allowing time for chewing and swallowing.
- Provide only liquids.
- Using silence
- Arguing
- Probing
- Changing the subject
- 15 degrees
- 30?45 degrees
- 60 degrees
- 90 degrees
- Objective data
- Subjective data
- Secondary data
- Historical data
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