Foundations Exam Study Guide Updated

UPDATED: FOUNDATIONS EXAM STUDY GUIDE PRIORITY FRAMEWORKS ABC-S  IS THE PATIENT’S AIRWAY CLEAR?  IS THE PATIENT ABLE TO BREATHE?  IS THE PATIENT HEART RATE/BLOOD PRESSURE WITHIN RANGE? 1. IN THIS FRAMEWORK THE MOST IMPORTANT PATIENT IS THE ONE WHOSE AIRWAY IS BLOCKED. 2. THE SECOND WOULD BE THE PATIENT WHOSE BREATHING IS COMPROMISED AND CANNOT GET OXYGEN TO THE BODY. 3. THE THIRD WOULD BE THE PATIENT WHOSE BLOOD PRESSURE AND HEART RATE ARE COMPROMISED. 4. THE LAST WOULD BE A PATIENT WHO IS NOT SAFE OR WHOSE SAFETY IS AT RISK. S = SAFETY. PRACTICE QUESTION 1. A NURSE IS WORKING THE 7-7 SHIFT ON THE PEDIATRIC UNIT AND HAS RECEIVED REPORT ON FOUR POSTOPERATIVE PATIENTS. WHICH OF THE FOLLOWING REQUIRES IMMEDIATE INTERVENTION? a) AN ADOLESCENT WHO IS POSTOPERATIVE FOLLOWING AN APPENDECTOMY AND HAS REFUSED TO AMBULATE FOR THE PAST 8 HOURS b) A SCHOOL-AGED CHILD WHO IS POSTOPERATIVE FOLLOWING A HERNIORRHAPHY WITH AN INFILTRATED PERIPHERAL IV THAT HAS BEEN CLAMPED c) A PRESCHOOLER WHO IS POSTOPERATIVE FOLLOWING A TONSILLECTOMY AND IS EXPERIENCING FREQUENT SWALLOWING d) AN INFANT WHO IS POSTOPERATIVE FOLLOWING A CLEF PALATE REPAIR WITH A HEART RATE OF 146/MIN A RESPIRATORY RATE OF 28/MIN