Can a PN monitor findings?
Yes
Can a PN teach?
no, but they can reinforce teaching
What can a PN administer/insert/perform?
- trach care
- suctioning
- checking NG tube patency
- enteral feedings
- inserting urinary catheter
- medications
What can an AP help with?
- ADL’s
- bathing
- grooming
- dressing
- toileting
- ambulating
- feeding w/o swallowing precautions
- bedmaking
- specimen collection
- I&O’s
- vitals of stable patients
What should you do if you hear a nurse being inappropriate towards a patient?
report it to the charge nurse
What should the nurse ALWAYS do FIRST?
assess
What should you avoid with MAOI’s (phenelzine)?
tyramine foods
What are the complications of risperidone and olanzapine?
- DM
- weight gain
- hypercholesterolemia
- ortho hypo
- anticholinergics
- agitation, dizziness, sedation, sleep disruption
- agranulocytosis, neutropenia
- hyperprolactinemia (gynecomastia, amenorrhea)
What are the complications of methylphenidate?
- CNS stimulation
- weight loss, decreased appetite
- dysrhythmias, chest pain, high BP
- tolerance, withdrawal, toxicity
What are the complications of atomoxetine and Bupropion?
- weight loss, decreased appetite
- N/V
- SI
- hepatotoxicity
- seizures
What are the complications of TCA’s/”-mines”?
- suicide
- ortho hypo
- anticholinergic
- weight gain
- sedation
- toxicity
- seizures
- sweating
What are the complications of guanfacine and clonidine?
- sedation, drowsiness, fatigue
- hypotension, bradycardia
- weight gain
What are the complications of fluoxetine and sertraline?
- serotonin syndrome (agitation, confusion, hallucinations)
- weight changes
- withdrawal (dizziness, nausea, tremors)
- SI
- EPS
- dizziness, fatigue, insomnia, agitation
- sexual dysfunction
- dysrhythmias
How can you distract a patient who is hearing voices?
- music
- activities
- walking
- talking to a trusted person
- telling the voices to stop/go away
How can you show acceptable behavior for impulse control/conduct/ADHD?
modeling
What is important to set for those with impulse control/conduct/ADHD?
limit setting
What approach should you use for those with impulse control/conduct/ADHD?
calm, firm, respectful
What should you do when expectations are met with impulse control/conduct/ADHD?
provide specific positive feedback
What type of personality disorder can be characterized by splitting?
borderline
When should an incident report be filed?
- medication/procedure/treatment errors
- equipment injury/error
- needlestick injuries
- falls/injuries
- threats
- loss of property
What should be included in the incident report?
- identification
- time and place
- accurate account of the event
- who was notified
- actions taken
- signature
What type of food should be given to someone who is manic?
portable, nutritious
What is a situational/external crisis?
unanticipated loss/change in everyday life
- job change, divorce
What is a maturational/internal crisis?
achieving new developmental stages, which requires additional coping mechanisms
- marriage, retirement
