delegation/prioritization Flashcards
IV medications LPN information
LPN can give ivy piggyback: secondary IV medications without assistance.
but there are many primary bags they cannot run without assistance
can LPN administer blood products, chemo meds
no absolutely not
LPN cannot administer blood products or chemo meds.
can uaps remove peripheral IV lines
yes, they can remove peripheral IV lines, for ex: if the client needs to go to the bathroom
but they cannot disconnect IV’s
risk for falls
age
alzeihmers disease, delirium, memory problems
incontinence, not being able to control one’s bladder: trying to get to the bathroom wet
recent hip surgery: decreases range of motion
risk for impaired skin integrity/pressure ulcer
Braden scale score of 18 or less, indicates risk of pressure injury
range from 6 - 23
the lower the score, the higher the risk
older age = higher risk of pressure injury
recent hip surgery = might have issues w/ mobility
non-blanchable redness (not stage 1 yet but at risk of progressing)
alzeihmers (memory problems): also at risk, clients unaware that they’re wet.
incontinence: wetness and soiling makes skin break down more easily
does lifts reduce risk for falls
yes, the use of assistive devices like canes, walkers, lifts, wheelchair, ambulation belts
is it good to put furtnitures all over the house so that the elderly can grab on so that they don’t fall?
no it is not. the house should be clear of clutter. furnitures in place to grab on is not safe, using assistive devices like lifts to get up, belt, cane, walkers, crutches are better.
electric cords should be against the wall behind the furniture, or in a safe place.
first thing to do when a pneumonia patient is in distress and has restraint to receive medicatons
vital signs b/c pneumonia can cause resp distress. check their vitals and perform appropriate interventions for the o2 stat.
Can RN assign LPN to monitor vitals during a blood transfusion and monitoring clients bowel sounds
yes most likely rn would have already taken the first set of vitals. LPN can monitor vitals and will be reporting to rn
LPN can monitor bowel sounds (but not do the initial assessment), they can listen to lung sounds, etc…
what to do first
rn gave saline instead of opiods cause the opiods med is not due yet
should rn report incident and let RN manager know first
or
should rn notify healthcare provider about the client uncontrolled pain first
1: assessing the client’s needs before any documentation
the client is in pain, that needs to be assess first.
rn manager don’t work as rn, so they would not participate in the client care in that sense, but the provider is responsible for that, as well as the charge rn
which needs to be monitor first
client needs schedule dose for aspirin after an MI (st elevation) 2 days ago
or
client receiving parenteral nutrition
client receiving parenteral nutrition b/c if u receive parenteral nutrition it means you can’t tolerate enteral feeding or po feedings or have gi disruption. and TPN put clients at risk of hyperglycemia which can cause coma or even death.
the medication can be given 1hr later and it will still be fine, its not immediate
rn should monitor for polyuria, polydipsia, headache, blurred vision
bruising behind the ears
this indicates a basilar skull fracture and needs immediate intervention, more impt than a peds client who’s vomiting even after eating. b/c if they eat that sitill good but they need antiemeics and possibly antibiotics. but the bruising behind the ear indicates intracranial injury
periorbital hematoma (raccoon eyes) are s/s
seizure precautions
what to do during an active seizure or what to make sure of
during a seizure
dim the light if needed (bright light can trigger seizure)
ensure side rails are padded
ensure oxygen and suction is at the bedside
remove things next to client that could cause injury
stay with the client
CUSHION THEIR HEAD (put a small pillow/towel/folded blankets on their head to prevent injury)
note time of seizure
remove clothing that may be restriceed, specially from the neck
make sure client is on the floor, place pillow under them
monitor airways, administer oxygen as needed (if you see sign of cyanosis or respiratory distress**
do not place anything in their mouth (no foods, no liquids, no nothing)
possible interventions for a blood clot (dvt or pulmonary embolism) true or false, may have multiple answers
compression devices
thrombolytics
both are true, ans: was wrong on this one.
thrombolytics
compression stockings: can help reduce swelling in a dvt patient, but they are better to prevent clots. they cannot dislodge a clot
people with artery disease should avoid compression stocking
is contrast contraindicated w/ kidney disease
yes
no contrast with kidney disease or high creatnine
