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What should the nurse do if she hears someone breaching HIPAA?
Let them know about HIPAA and encourage them to speak in private.
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What Should a nurse do if she over hears another nurse violating HIPAA?
notify the supervisor of the breach and fill out an incident report.
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Describe Kegel Exercises and what they are used for?
they improve sphincter muscles. strengthen weakened pelvic muscles.
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Describe the different types of suctioning and when to do it as well as what must the nurse aware of when suctioning?
chest tubes, NG, postoperative woundcare
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Describe oral care of the unconscious client and what safety precaution should the nurse do to prevent aspiration
no water, use toothettes, have them be sidelying with a kidney basin underneath their chin.
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How would the nurse measure the NG tube for proper length for a client?
From the nasal opening to around the ear to the stomach.
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What is the lithotomy position used for? list all exams?
Abdominal, Pelvic, and Papsmear
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Describe the different stages of grieving?
Denial, Anger, Bargaining, Depression, Acceptance
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What is the first thing a nurse should do in regards to medication administration?
Check the patient.
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How would a nurse assess peripheral circulation?
peripheral pulses
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What assessments would you perform on a client that is in restraints and how often?
- assess restraint every 30 minutes.
- release retraint every 2-4 hours provide range of motion.
- reassess continued need for restraint q8hr.
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What precautions need to be taken when working with a client who has c-diff?
Transmission base and contact
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What is a vagal reaction? What can it cause it?
- 1. vein collapse during venipuncture
- 2. pallor
- 3. sweating faintness, dizziness and nausea
- 4. low blood pressure
- cause: anxity and pain
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What type of diet should a patient with diarrhea be placed on and why?
Bland foods that are easily absorbed, food with potassium and sodium
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What orders would you anticipate being ordered for a client about to have surgery?
NPO prior, post: npo, clear liquid, full liquid, soft diet as tolerated.
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What does a clear liquid consist of?
water, tea, coffee, clear broths, ginger ale or other carbonated beverages, strained and clear juices and plain gelatin objective relieve thirst, prevent dehydration
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What is meant by a full liquid diet?
only liquids or foods that turn to liquid at body temperature. EXAMPLE: ice cream
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What is a soft diet?
easily chewed and digested. ordered for client with dysphagia, low residue (low fiber) with very few client uncooked foods. pureed. liquid may be added and blended to a semi solid consistency.
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What does RICE stand for in soft tissue or muscle injury?
Rest, Ice, Compression
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