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NSG 444 Exam 3 – Correct Solutions To All Questions

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NSG 444 Exam 3 – Correct Solutions To All Questions

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NSG 444 Exam 3 – Correct Solutions To All
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Terms in this set (165)



Vital Signs During Shock Low BP
High HR and RR


Purpose of SBAR Interdisciplinary Communication


Team-Based Nursing RNs and LPNs can work together


Mild Anxiety Associated with tense experiences that occur in
everyday life.
b. Increased ability to grasp information
c. Sense of sight and sound are increased.
d. Perceptual field is increased.
e. Can be motivating, produce growth, enhance
creativity, and increase learning
f. Physical symptoms may include restlessness,
irritability, or mild tension.

,Moderate Anxiety a. The focus is on immediate concerns.
b. Narrowed perceptual field
c. Senses of sight and sound diminish as selective
inattentiveness occurs.
d. Learning and problem-solving still occur.
e. Physical symptoms include increased heart rate,
perspiration, gastric discomfort, headache, urinary
urgency, and/or mild tremors.


Severe Anxiety a. a feeling that something bad is about to happen.
b. A significant narrowing in the perceptual field
occurs.
c. Focus is on minute or scattered details.
d. All behavior is aimed at relieving the anxiety.
e. Learning and problem-solving are not possible.
f. Actions are aimed at reducing or alleviating
anxiety.
g. Physical symptoms are caused by stimulation of
the sympathetic nervous system (e.g., headache,
nausea, dizziness, sleep disturbances), increased
tremors, pounding heart rate, and hyperventilation.
h. The individual needs direction to focus.


Panic Anxiety a. Associated with dread and terror and a sense of
impending doom
b. Disorganization, difficulty perceiving reality, and
inability to concentrate
c. Loss of rational thoughts with distorted
perception occurs.
d. The individual is unable to communicate or
function effectively.
e. If prolonged, panic can lead to exhaustion and
death.
f. Increased motor activity (pacing, shouting,
screaming) or withdrawal
g. Impulsive and erratic behavior

, Interventions for Panic Anxiety - Provides a calm environment, decreases
environmental stimuli, and stays with the client
- Asks the client to identify what and how they feel
- Encourages the client to describe and discuss their
feelings
- Helps the client identify the causes of the feelings
if they are having difficulty in doing so
- Listens to the client for expressions of helplessness
and hopelessness
- Documents the event, significant information,
actions taken and follow-up actions, and the client's
response


What to do if you notice unsafe Report to state board
practice


What to never do with extended Crush or split
release medication


When can a medication be cut When it is scored


Level I Disaster Massive disaster that involves significant damage
and results in a presidential disaster declaration,
with major federal involvement and full
engagement of federal, regional, and national
resources (tornado, multi-structure fire, explosion,
major earthquake, terrorism)


Level 2 Disaster Moderate disaster that is likely to result in a
presidential declaration of an emergency, with
moderate federal assistance (severe flooding,
multi-fatality incident, structure fire, utility outage)


Level 3 Disaster Minor disaster that involves a minimal level of
damage but could result in a presidential
declaration of an emergency (local chemical spill,
small fire, local power outage)

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