Week 3 and Week 4 post conference

Question 1

The five right to delegation

Answer 1

-Right circumstance

-Right task

-Right person

-Right direction and communication

-Right supervision and evaluation

Question 2

Signs and Symptoms: Hypoglycemia

Answer 2

-Hunger
-Fatigue
-Shaking
-Sweating
-Pale skin
-Headache
-Dizziness

-Confusion
-Slurred Speech
-Blurred vision
-Fainting
-Seizures
-Coma

Question 3

Hypoglycemia Treatmant

Answer 3

-

Question 4

Wound Assessment

Answer 4

-Measure
-Exudate
-Appearance of wound
-Smell
-Underminning/Tunneling
-Rate Pain
-Erythema / Edges
-Staging

Question 5

Labs

Answer 5

-H&H - Reports blood in stool, pale, weaker

-WBC - Infection

-Glucose & HgbA!C - DM, poor wound healing, poor diet

-Occult stool

-Xray or RLE r/o osteomyelitis

-CXR - r/o PNA

Question 6

How will you prepare a room for admission (fall precaution)

Answer 6

-Move closer to nurses station

-Initiate fall precautions-bed alrams. Signage on door

-Give report to tech

-Clean room with bed

-Flow meter

Question 7

Risk for aspiration

Answer 7

• Altered LOC (alcohol, drugs, liver failure, CVA, anesthesia
• Decreased cough or gag reflex
• Esophageal disorders (GERD, Strictures, Vomiting)
• Disruption of Glottic Closure (ET tube, NG tube, endoscopy/bronchoscopy)
• Neuro/Muscular DO (Multiple Sclerosis, Parkinson’s, Myasthenia Gravis,
  Seizures, Strone
• Dry Mouth

Question 8

Things to assess for NG tube

Answer 8

1. is the tubing in place?
2. Is there solution running through it?
3. Is I connected to a pump?
4. In the patient uncomfortable?
5. Is the patient tolerating feedings?
6. How many feedings are they getting a
   day?

Purpose of tube? Is it for feeding or decompression? Consider
having a picture of NG tube like this one and a small bore
feeding tube. Perform abdomen assessment, assessment of
nares, placement, securement, drainage, equipment. Suction
or feeding pump. Labels on feeding? Less than 24 hours?
Consider showing pictures of the suction head that is on the
wall with suction canister. How do you know if you can use the
NG tube? What are nursing interventions related to the tube?
Consider saying feeding or free water instead of solution.

Question 9

Nursing Plan of Care Consist Of

Answer 9

Report

Subjective

Objective

History

Labs

Other

Nursing Problem

Cluster Cues

Goal

2 outcomes

Independent - Dependent - Collaborative