Wgu D439 Foundations of Nursing: Comprehensive Study Guide Notes 2026 Update with complete solutions.

Foundations OA Study Guide Donning + Doffing Don - “gmeg” gown mask eyewear gloves doff- gloves, eye protection, then gown, then mask. then hand hygeine ————————————————————- standard precaution - hand hygeine + clean gloves cointact precaution- gown + gloves. ● , MRSA, scabies Droplet (disease or condition doesn’t travel fat but can reach you if you are in close proximity of the pt) - gown, gloves, and surgical mask ● flu, bacterial meningitis, airborne (suspended in ar) ● varicella, meazles, tb gown, gloves, n95 (protects wearer from others ,) surgical mask (protects you from me) neg pressure room —————————————————————— ADPIE Assessment -gathering information from objective and subjective data Diagnosis - nursing diagnosis. THIS IS WHAT I AS A NURSE THINKS IS THE PRIMARY PROBLEM THAT I NEED TO CORRECT Planning - SET SMART (SPECIFIC, MEASURABLE, ATTAINABLE, REALISTIC, TIMELY) * pt centered, pt goal. Implementation - aka intervention or the doing stage, what we are actually doing for our pt Evaluations - reflect on if the nursing process worked and if the goals were achieved for both the pt and the nurse ————————————————————— Occupational Therapy vs Physical therapy OT - HELPS PT RELEARN DAILY THINGS LIKE FEEDING THEM SELVES, OR BRUSHING THEIR HAIR PT- WORKS TO HELP PT WALK, AMBULATE, ROM, ETC SBAR SITUATION - “Here is this pt xyz age ” BACKGROUND - They came in with s/s of xy ” ASSESSMENT - “After assessing the pt he/she has a hard time breathing, v/s are . pt states they are having sharp pain….” RECOMMENDATION - “ I would like to start pt on….. or is there something else that you would like for me to ….” ———————————————————— VITAL SOUNDS temp- posterior, sublingual, (tip of the probe under tongue at the back of the mouth pulse ; radial - count 30 secs. BP- relaxed arms, uncrossed legs. if sitting , feet flat on the ground ● manual bp - squeeze (palpate) bulb until you know longer hear radial pulse, squeeze another 30 mmg (or 3 times, place stethescope, record when you first heard the heart beat, and when you no longer hear it. the first number is the systolic pressure, the second number is the absense of sound which is your diastolic pressure.