NUR 155 Study Review Exam 1 Test (Galen).

NUR 155 Study Review Exam 1 Test (Galen). Who is able to access an EMR? (electronic medical record) people with appropriate need for access with a login username and password Why should medications be documented immediately after they are given? To avoid confusion and double dosing. Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More If a mistake is made while paper documenting how should you proceed? Draw a line through and write error above or after the entry along with the nurses initials followed by the correct entry SBAR Situation Background Assessment Recommendation Orientation or introductory phase • Making introductions, establishing professional role boundaries (formally or informally) and expectations, and clarifying the role of the nurse • Observing, interviewing, and assessing the patient, followed by validation of perceptions • Identifying the needs and resources of the patient working phase development of a contract or plan of care enhancing trust collaborating among nurse and patient Termination phase Alerting pt of impending closure of relationship evaluating the outcome achieved concluding the relationship and transitioning patient care to another caregiver What should you do before obtaining a health history from the patient? Make sure they are alert and oriented order of abdomen assessment Inspect, Auscultate, Percuss, Palpate normal order of assessment Inspect, Palpate, Percuss, Auscultate How often should orders for restraints be renewed every 24 hours Macule/patch Small, flat, non-palpable skin color change Ex: flat mole Papule/plaque Solid, elevated lesion Example: wart or psoriasis Nodule solid, raised lesion Example: lipomas, squamous cell cancers Tumor Solid mass that extends through subcutaneous tissues Example: larger lipomas, cancerous lesions Vesicle/bulla