RATIONALES VERIFIED ANSWERS ALREADY GRADED A+NURS 142 - MIDTERM + FINAL NEWEST 2024 / 2025 ACTUAL EXAM TEST BANK 230 QUESTIONS AND CORRECT DETAILED ANSWERS WITH

RATIONALES VERIFIED ANSWERS ALREADY GRADED A+NURS 142 - MIDTERM + FINAL NEWEST 2024 / 2025 ACTUAL EXAM TEST BANK 230 QUESTIONS AND CORRECT DETAILED ANSWERS WITH Condom Catheter ?NURS 142 - MIDTERM + FINAL NEWEST 2024 / 2025 ACTUAL EXAM TEST BANK 230 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+ Condom Catheter ? – Putting ON -Pull condom down to base, hold it with non dominant hand, get adhesive tape and SPIRAL it from the pubic region of skin around the condom (prevents cut off of circulation) -Attach tube and bag, use velcro to attach bag to calf with drainage valve facing outwards from leg List the 3 dimensions of the Fundamental Of Care Framework 1. Relationship established. 2. Integration of care. 3. Context of care. What are the components and elements to the Relationship established dimensions? 1. Components - commitment to care 2. elements - know (patient health record) - Trust (establish trust with pt) - Focus (the focus/goal of this intervention) - anticipate (expecting) - evaluation (goal/focus has been accomplished) What are the components and elements to the Integration of Care? 1. Component - Physical - Element: safe, rested, clean, mobile, warm, fed, dressed, comfortable, hydrated, toileted 2. Component - relational - element: empathy, respect, compassion, consistent, certainty, ensuring goals are set 3. Component - Psychosocial - element: calm, coping, hopeful, respected, involved, informed, dignified what are the components and elements to the Context of Care? 1. Com - Policy level - ele: financial quality and safety, governance, regulation, accreditation 2. com - system level - ele: resources, culture, leadership, evaluation, feedback What does PCRA stand for? Point of Care Risk Assessment What do you check for with PCRA? 1. Who is the patient - Patient chart, patient themselves, wrist band 2. What are you looking for? - environmental hazards, signs for PPE, spills, needles, family members, patient themselves, the 4 B's 3. What are your tasks? - equipment needed, are you trained, and ready for the task 4. What does the care plan tell you? - ADLs, what the patient look like now (today), physical health (mobility), fall risk, sleep, bed mobility... List the things that the patient care plan tells you. 1. Communication - language, hearing, vision 2. Nutrition Diabetic - swallowing precautions, tube feeding, total dependent, assistance, independent 3. Elimination - commode, toilet, bedpan, urinal, catheter, brief, pull ups, 4. Hygiene - bath/shower per day, grooming, dressing 5. Oral/dental - dentures, teeth/mouth care per day (AM/PM) 6. Skin Integrity - need for cream/ointments, skin issues 7. Bed mobility - turning, boost, sling, slider 8. Fall risk 9. Transfer and mobility - manual assistant, overhead lift, walker, wheel chair 10. sleep 11. other/treatments Define ADL Activities of daily living (physical capability): Basic, essential self care tasks patients do everyday in order to maintain physical and emotional well being E.x walking, feeding, toileting, bathings, eating, transferring Define IADL Instrumental activities of daily living (mental capability): More complex tasks that are important for living independently in the community, requiring a higher level of cognitive and physical functon E.x getting groceries, managing transport, managing medication What is routine practice? (and examples) Methods used regularly to protect nurses and patients when there is potential to come in contact with blood or body fluids. - Includes the appropriate use of: gloves, gowns, masks, eyewear - appropriate - hand washing, cleaning of equipment, and disposal of contaminated linen sharps What is the 6 things in the Chain of Infection? 1. Infectious Agent 2. Reservoir 3. Portal of exit – Putting ON -Pull condom down to base, hold it with non dominant hand, get adhesive tape and SPIRAL it from the pubic region of skin around the condom (prevents cut off of circulation) -Attach tube and bag, use velcro to attach bag to calf with drainage valve facing outwards from leg List the 3 dimensions of the Fundamental Of Care Framework 1. Relationship established. 2. Integration of care. 3. Context of care. What are the components and elements to the Relationship established dimensions? 1. Components - commitment to care 2. elements - know (patient health record) - Trust (establish trust with pt) - Focus (the focus/goal of this intervention) - anticipate (expecting) - evaluation (goal/focus has been accomplished) What are the components and elements to the Integration of Care? 1. Component - Physical - Element: safe, rested, clean, mobile, warm, fed, dressed, comfortable, hydrated, toileted 2. Component - relational - element: empathy, respect, compassion, consistent, certainty, ensuring goals are set 3. Component - Psychosocial - element: calm, coping, hopeful, respected, involved, informed, dignified what are the components and elements to the Context of Care? 1. Com - Policy level - ele: financial quality and safety, governance, regulation, accreditation 2. com - system level - ele: resources, culture, leadership, evaluation, feedback What does PCRA stand for? Point of Care Risk Assessment What do you check for with PCRA? 1. Who is the patient - Patient chart, patient themselves, wrist band 2. What are you looking for? - environmental hazards, signs for PPE, spills, needles, family members, patient themselves, the 4 B's 3. What are your tasks? - equipment needed, are you trained, and ready for the task 4. What does the care plan tell you? - ADLs, what the patient look like now (today), physical health (mobility), fall risk, sleep, bed mobility... List the things that the patient care plan tells you. 1. Communication - language, hearing, vision 2. Nutrition Diabetic - swallowing precautions, tube feeding, total dependent, assistance, independent 3. Elimination - commode, toilet, bedpan, urinal, catheter, brief, pull ups, 4. Hygiene - bath/shower per day, grooming, dressing 5. Oral/dental - dentures, teeth/mouth care per day (AM/PM) 6. Skin Integrity - need for cream/ointments, skin issues 7. Bed mobility - turning, boost, sling, slider 8. Fall risk 9. Transfer and mobility - manual assistant, overhead lift, walker, wheel chair 10. sleep 11. other/treatments Define ADL Activities of daily living (physical capability): Basic, essential self care tasks patients do everyday in order to maintain physical and emotional well being E.x walking, feeding, toileting, bathings, eating, transferring Define IADL Instrumental activities of daily living (mental capability): More complex tasks that are important for living independently in the community, requiring a higher level of cognitive and physical functon E.x getting groceries, managing transport, managing medication What is routine practice? (and examples) Methods used regularly to protect nurses and patients when there is potential to come in contact with blood or body fluids. - Includes the appropriate use of: gloves, gowns, masks, eyewear - appropriate - hand washing, cleaning of equipment, and disposal of contaminated linen sharps What is the 6 things in the Chain of Infection? 1. Infectious Agent 2. Reservoir 3. Portal of exit