NU 311 Exam 2 Study Hints | Questions with 100% Verified Answers | Latest Update

NU 311 Exam 2 Study Hints | Questions with 100% Verified Answers | Latest
Update

Question: What are the parts of the Nursing Process?
Answer:
Diagnostic Label Etiology Defining Characteristics

Question: Diagnostic Label
Answer:
found in the nursing pocket guide (235 choices)

Question: Etiology
Answer:
"contributing factors"; What is the causing problem?

connected to the Diagnostic Label by "related to" or "R/T"

EX: risk for trauma R/T weakness, poor vision, and slippery floors

Question: Defining Characteristics
Answer:
these help to select the appropriate diagnosis; reflect causative pr contributing factor; signs &
symptoms

connected to Etiology by "as evidenced by" or "a.e.b"

EX: "I feel breathless" EX: Dyspnea

Question: Know how to write an apporiate Nursing Diagnosis.
Answer:
EX: Impaired Skin Integrity R/T stool incontinence a.e.b. reddened and excorticated perineum

EX: Acute Pain R/T surgical incision a.e.b. facial grimacing, crying, guarding of incision, and
verbal report of pain

Question: Know the steps of the Nursing Process.
Answer:
Assess Diagnose Plan Implement Evaluate

,Question: Assess
Answer:
gather information about the client's condition

Question: Diagnose
Answer:
identify the client's problem

Question: Plan
Answer:
set goals of care and desired outcomes and identify appropriate nursing actions

Question: Implement
Answer:
perform the nursing actions identified in planning

Question: Evaluate
Answer:
determine if goals met and outcomes achieved

Question: Understanding Application of Assessment: Three Activities:
Answer:
~gathering the data ~sorting and organizing the collected data ~documenting the data in the
retrievable format

Question: Understanding Application of Assessment: Sources of Data:
Answer:
~Primary: Patient ~Secondary: family, friends, HCP, and medical records

Question: Understanding Application of Assessment: Types of Data:
Answer:
~Subjective: verbal description (what the patient tells you) ~Objective: observation or
measurement (what YOU as the nurse observes)

, Question: Understanding Application of Nursing Diagnosis
Answer:
~using Clinical Judgement ~250 choices

~divided into subjects: individual, family, group, community

~types of diagnosis: actual or problem, health promotion, potential or risk

Question: Understanding Application of Planning
Answer:
~prescribe intervention ~set priorities ~document as plan of care

~Types of Intervention:
Independent- autonomous action; no med order required Dependent- require an order
Collaborative- require knowledge & skill

Question: Understanding Application of Implementation
Answer:
~addresses if goals are met ~ongoing process to determine effectiveness of the plan of care

~Evaluation Statement: Should directly address the goal statement and the outcomes expected

~If goal is met: either continues or establish a new goal

~If goal is unmet: modify goal or intervention

Question: Know the principles of Sterile Technique.
Answer:
1. All objects used in the sterile field must be sterile
2. Sterile objects become unsterile if touched by unsterile objects
3. Sterile objects that are out of sight or below waist are unsterile
4. Sterile objects can become unsterile by prolonged exposure to air
5. 1 inch or 2.5 cm border around sterile field is unsterile
6. When sterile surface comes in contact with a wet surface it become contaminated
7. fluid flow in the direction of gravity
8. Skin cannot be sterilized; it is unsterile