Science Medicine Nursing
Med Surg Exam 1 - LPN exam with
question and correct answers
fourth degree burn burn in which full thickness of the skin and underlying
muscle and bone is damaged
color varies
visible charred in deepest areas
extremity movement limited
insensate
respiratory issues in burn pts watch for -
increasing
restlessnes
coughing
hoarseness
rapid shallow respirations
stridor (high-pitched wheeze)
falling o2 levels
,contractures in burn pt always a concern, tighness of the muscles or ligaments
-proper positioning
-regular excercise
-must be excercise and stretched every day
Roles and functions of the LPN - caretaker
- educator
- collaborator
- advocate
- leader and delegator
- promote health and prevent disease
- provide comfort measures
- assist to make decisions
- manage client care
- act as a resource person
- use resources in a cost effective manner
-
5 rights of delegation right task
right circumstance
right person
right direction/communication
right supervision/evaluation
QSEN 5 competences - provide pt centered care
- collaborate
- Implement evidence based practice
- use quality improvement
- use informatics
Factors that influence critical thinking attitude, communication skills, problem solving
characteristics of a critical thinker *maintains and open mind and questioning attitude
*recognizes own biases and limitations
*separates relevant info form irrelevant
*identifies missing info
*considers all possibilities
*admits what they do not know
*reasons logically
*strives for excellence
*draws valid conclusions from evidence and data
*sets priorities and makes careful decisions
*is flexible, creative, humble, honest, curious, and insightful
*admits what they do not know
clinical judgement refers to the result (outcome) of critical thinking or clinical
reasoning; the conclusion, decision, or opinion a nurse
makes
, Data collection in the nursing process - LPN may be asked to assist with initial admission
assessment
which is the RN responsiblity
- LPN is responsible for ongoing assessment
- LPN systemically gather and review data
- determine whether there is a present life-
threatening problem that needs addressing and act
appropriately
ADPIE - Diagnosis - LPN and medsurg -LPN reports data collection findings to the RN and assists
in
verifying, categorizing, and grouping the data in logical order
- the LPN also assist in analyzing the data to determine
significant relationships among data, pt needs, and problems
Planning (nursing process) - LPN and SMART goals (Specific, Measurable, Attainable,
Realistic, medsurg Timely)
assist the RN in the developement of expected outcomes and
interventions for a patients plan of care
Implementation in the nursing process provide planned nursing care to accomplish expected
outcomes of nursing
- distinguish with activities you need to carry out and
which ones the pt must learn to do to gain
independence
Evaluation in the nursing process compare actual outcomes of nursing care to expected
outcomes and assist with update the nursing care plan
Sources and information for the database *admission form if applicable
--- reason for admission, allergies, home medications, etc.
* If the pt has been hospitalized in the past
*medical diagnosis
*preliminary lab work
*imaging studies
*chief complaint
*level of pain
*last bowel movement
*problems with urination, eating, or difficulty sleeping
*secondary sources of info from family
Inspection - facial expression
-posture
-grimaces
-movements
-hair, skin, nails
- oral mucus membranes and teeth
- clean
-evidence of a support system
congruent match the feeling tone of what is said verbally
Med Surg Exam 1 - LPN exam with
question and correct answers
fourth degree burn burn in which full thickness of the skin and underlying
muscle and bone is damaged
color varies
visible charred in deepest areas
extremity movement limited
insensate
respiratory issues in burn pts watch for -
increasing
restlessnes
coughing
hoarseness
rapid shallow respirations
stridor (high-pitched wheeze)
falling o2 levels
,contractures in burn pt always a concern, tighness of the muscles or ligaments
-proper positioning
-regular excercise
-must be excercise and stretched every day
Roles and functions of the LPN - caretaker
- educator
- collaborator
- advocate
- leader and delegator
- promote health and prevent disease
- provide comfort measures
- assist to make decisions
- manage client care
- act as a resource person
- use resources in a cost effective manner
-
5 rights of delegation right task
right circumstance
right person
right direction/communication
right supervision/evaluation
QSEN 5 competences - provide pt centered care
- collaborate
- Implement evidence based practice
- use quality improvement
- use informatics
Factors that influence critical thinking attitude, communication skills, problem solving
characteristics of a critical thinker *maintains and open mind and questioning attitude
*recognizes own biases and limitations
*separates relevant info form irrelevant
*identifies missing info
*considers all possibilities
*admits what they do not know
*reasons logically
*strives for excellence
*draws valid conclusions from evidence and data
*sets priorities and makes careful decisions
*is flexible, creative, humble, honest, curious, and insightful
*admits what they do not know
clinical judgement refers to the result (outcome) of critical thinking or clinical
reasoning; the conclusion, decision, or opinion a nurse
makes
, Data collection in the nursing process - LPN may be asked to assist with initial admission
assessment
which is the RN responsiblity
- LPN is responsible for ongoing assessment
- LPN systemically gather and review data
- determine whether there is a present life-
threatening problem that needs addressing and act
appropriately
ADPIE - Diagnosis - LPN and medsurg -LPN reports data collection findings to the RN and assists
in
verifying, categorizing, and grouping the data in logical order
- the LPN also assist in analyzing the data to determine
significant relationships among data, pt needs, and problems
Planning (nursing process) - LPN and SMART goals (Specific, Measurable, Attainable,
Realistic, medsurg Timely)
assist the RN in the developement of expected outcomes and
interventions for a patients plan of care
Implementation in the nursing process provide planned nursing care to accomplish expected
outcomes of nursing
- distinguish with activities you need to carry out and
which ones the pt must learn to do to gain
independence
Evaluation in the nursing process compare actual outcomes of nursing care to expected
outcomes and assist with update the nursing care plan
Sources and information for the database *admission form if applicable
--- reason for admission, allergies, home medications, etc.
* If the pt has been hospitalized in the past
*medical diagnosis
*preliminary lab work
*imaging studies
*chief complaint
*level of pain
*last bowel movement
*problems with urination, eating, or difficulty sleeping
*secondary sources of info from family
Inspection - facial expression
-posture
-grimaces
-movements
-hair, skin, nails
- oral mucus membranes and teeth
- clean
-evidence of a support system
congruent match the feeling tone of what is said verbally
