Prioritization / Delegation / Staff Management / General Guessing Rules Flashcards
For prioritization, a fresh post op patient of how many hours would beat medical or other surgical patients?
12 hours
a patient would be considered unstable if they were admitted how many hours ago?
less than 24 hours
what are 4 things that are ALWAYS unstable whether they are expected or not?
- Hemorrhage
- high fevers over 105
- hypoglycemia
- pulselessness or breathlessness
list the order of organ vitality (there are 6 organs)
- brain
- lungs
- heart
- liver
- kidneys
- pancreas
what is the only thing LPNs are allowed to do with IVs?
they can only maintain & document the flow of IVs!
How must RNs delegate safety responsibilities to a sitter?
They can only do what you teach them & it must be documented
what do you do if you witness a nurse performing an illegal activity?
tell the supervisor!
what do you do if anyone is in immediate danger of physical or psychological harm?
confront them & take over immediately!
what do you do if someone’s behavior is legal & not harmful but simply inappropriate?
at a later date, talk to them
what should you never do if there is inappropriate staff behavior?
never ignore it!
where is the aortic heart valve located?
2nd intercostal space at the right sternal border
where is the pulmonic valve located?
2nd intercostal space at the left sternal border
where is the tricuspid valve located?
4th intercostal space at the left sternal border
where is the mitral valve or apical pulse located?
5th intercostal space in the midclavicular line
if you are ever unsure about a nutrition question, what should be chosen?
chicken or fish, no fried anything!
what type of food should never be chosen for a child?
casseroles
what is the best choice of food for toddlers?
finger foods! doesn’t even need to be a healthy choice
how many meals a day is acceptable for preschoolers?
one meal a day is okay, they eat when they’re hungry and not growing like they used to
If you are ever unsure of the side effect but know what the drug is used for, how do you pick your answer? pick a side effect in the same body system where that drug is working!
pick a side effect in the same body system where that drug is working
if you are asked a side effect of a drug you have never heard of, how do you pick your answer?
pick a GI side effect!
what should you never tell a child that meds are?
candy
if you are unsure on an OB question, which option should you pick if it is a choice?
assess fetal HR or anything that has to do with monitoring the fetal HR
in a med surge question, if you are unsure what to assess first, what should you pick if it is an option?
LOC
in a pediatric growth & development question, if you are unsure, what should you pick if it is an option?
normal!
