Exam 5 NUR 215 Latest Update 2024-2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+
- diagnoses for fluid balance/electrolytes: - CORRECT ANSWER: - fluid excess
- fluid deficit
- rights of delegation: - CORRECT ANSWER: - right task
- tight circumstances, such as setting and resources
- right person
- right direction and communication
- right supervision and evaluation
6 rights of medication administration - CORRECT ANSWER: 1. right person
- right drug
- right dose
- right route
- right time
- right documentation
Advanced Directives include - CORRECT ANSWER: - living will: legal doc expressing clients wishes regarding medical treatment if unable to make them.
- POA: doc. in which clients designate a health care proxy to make health care
decisions for them if they are unable to do so. May be any competent adult client chooses
- DNR: do not perform CPR if client is DNR, but still treat symptoms.
Aspiration Precautions - CORRECT ANSWER: *- sit patient up when feeding or drinking at least 30' 1 / 2
- chin tuck to promote swallowing
- provide small bites and sips
- be sure all food and liquid are cleared from mouth
- check diet order (NO STRAWS)
- no distractions while feeding( lots of family/conversation/TV)
-remain upright for 30 min after as well
CANNOT delegate: - CORRECT ANSWER: - Nursing Process (ADPIE)
- client education
Factors to consider when delegating tasks - CORRECT ANSWER: - education, training, experience
- knowledge and skill to perform task
- level of critical thinking task requires
- ability to communicate with others as it pertains to the task
- demonstration of competence
- the facility's policies and procedures
- licensing legislation (states nurse practice acts)
fluid compartments - CORRECT ANSWER: Intracellular fluid (ICF): approx. 65% of body's water inside cells
Extracellular fluid (ECF): approx 35% of body's water outside cells
water flows freely between 2 compartments
how many mL output per hour? - CORRECT ANSWER: 30ml at least per hour
hypervolemia - CORRECT ANSWER: fluid overload
excess fluid outside cells ( can lead to confusion)
- / 2