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At 6 months of age what can the nurse expect the infants weight to be relative to its birth
weight?
Double
At what age can a nurse expect the infants weight to be triple that of its birth weight?
1 year
At what age does an infant begin to fear separation from its mother?
6-9 months
At what age range does a child begin to lose its baby teeth?
6-12 years (school age)
Performing an act that a reasonable and prudent person would not perform under similar
conditions is defined as
Negligence
Touching or harming without permission, with or without the intent to cause harm.
Battery
Detaining a competent person against his or her will, confinement, or use of restraints
without clients consent
False imprisonment
Before the administration of medication or taking of blood the following must be performed
every time
Identity must be verified through 2 different sources
If the nurse believes that a physicians prescription was made with poor judgment the nurse
should
Question the order with the physician, document it, and carry out the prescription regardless.
If the nurse is asked to perform a task for which he/she has not been prepared educationally
or does not have the necessary experience the nurse should
Inform the physician, refuse the order, and arrange to have supervisor or other nurse perform
it.
What are the 4 colors used in the triage system, in order from most urgent to least?
Red -> Yellow -> Green -> Black
What is ARDS?
unexpected, catastrophic pulmonary complication occurring in a person with no previous
pulmonary problems. High mortality rate (50%). You will see Hypoxemia and Hypercapnia.
What is hypercapnia?
Elevated CO2 levels in the body.
What is shock?
Widespread, serious reduction of tissue perfusion
What is the intervention if a patient on transfusion therapy presents with Acute Hemolytic
Reaction?
Stop the transfusion, change tubing and continue saline IV. Treat for shock if present. Monitor
hourly urine output.
What is urticaria?
Hives
What is the intervention for a patient who suffers an Anaphylactic reaction to transfusion
therapy?
Initiate CPR
What is the intervention for a patient who suffers circulatory overload reaction from
transfusion therapy?
Place the client in upright position with feet in dependent positions and administer diuretics,
oxygen, and morphine
What are the nursing interventions for a patient with Disseminated Intravascular
Coagulation?
Provide gentle oral care with mouth swabs, turn frequently to eliminate pressure points,
minimize number of BP's taken by cuff, minimize needle sticks and use smallest gauge needle
possible.
It is important to differentiate between hypovolemic and cardiogenic shock. How might the
nurse determine the existence of cardiogenic shock?
History of MI with left ventricular failure or possible cardiomyopathy, with symptoms of
pulmonary edema
List four measurable criteria that are the major expected outcomes of a shock crisis
Isotonic