Management Nursing Final

Life threatening problems

Safety & requires nursing intervention

Non urgent activities that relieve symptoms, promote healing and prevent complications

Activities addressing a patient's discharge

What are the First Priorities?
(10)

What are the Second Priorities?
(11)

What are the Third Priorities?
(6)

What are the Fourth Priorities?
(3)

The CCU notifies you a patient on telemetry went form NSR to A-Fib. 

The morning labs indicate a patient with a heparin infusion has a PTT of 80.

The patient with a small bowel obstruciton continuies to have N/V unrelieved by medication given one hour ago

A newly-diagnosed diabetic patient, discharhed this AM, is having difficulty drawing up insulin.

A patient who recently suffered a stroke needs assistance eating lunch.

An obese patient with right hemiparesis needs to get up in a wheelchair

Elderly famale patient with chronic brain syndrome is crying out for help and attempting to get up.

A patient reports pain and swelling at an IV site.  The IV site is to be discontinued after this infusion.

A 72yo post-MI patient is going home after lunch.  He lives alone in an upstairs apartment.

The postop cholecystectomy patient is having chest pain with dyspnea and diaphoresis.

The patient with an O2 sat of 91% on 3L/NC needs I.S. teaching.

Which of Mr. X's needs should the nurse address first?

A. Nausea
B. Anxiety
C. Shortness of breath
D. Ampicillin
E. IV out

Which of Mr. X's needs should the nurse address second?

A. IV out
B. Nausea
C. AmpicillinE. Anxiety
D. Shortness of breath

Which of Mrs. Y's needs is a first-priority need?

A. Blood sugar >400mg/dl
B. Nausea
C. RR of 24
D. HR of 110

Enjoys getting up early and going to bed mid-evening; experiences greatest energy levels in the early part of the day

Likes to sleep until mid-morning and feels most energetic in the mid-afternoon or evening

Likes to do one thing at a time; deadlines and adherence to well-thought out plans are important; finds interruptions to be irritating; personal space is significant.

Can do many things at once and is easily distracted; tolerates interruptions easily and can change plans readily; deadlines are goals but not absolute

Approaches time with logic and orderliness; structures time in minutes and hours; schedules activities in time segments and carries them out in an ordered sequence; likes to know the rules and play by them; usually meet their own goals; may elect to work at the expense of fun, play, and other creative and relaxing activities

Resists rules and schedules; prefers looking at a project as a whole and completing it in their own way and time frame; are creative and flexible thinkers; may not meet needed completion times

Which new patient should the nurse see first?

1. Diagnosis of alchohol abuse with impending DTs
2. Newly casted fractured fibula reporting pain
3. Scheduled for AM nephrectomy.
4. Appendicitis with temp. 101.2

After receiving report, which activity has top priority?

1. Assessing a newly admitted pneumonia patient
2. Giving morphine to a fresh post-op patient
3. Preparing to give A.M. medications
4. Reviewing patients’ Plans of Care

Which action by the nurse will best decrease workplace interruptions?

1. Closing the patient’s door when entering room
2. Documenting in a secluded area
3. Waiting until after the physician rounds to complete assessments
4. Telling patients the unit is short staffed

Maslow's Hierarchy of Needs

The need to succeed, need to belong and need to control are what theory?

Which theory uses the factors of intrinsic & extrinsic?