Exam 5 NUR 215 Latest Update -

Exam 5 NUR 215 Latest Update - 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)

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