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Exam (elaborations)

Rnsg 1413 Exam 4 Blueprint Questions With Correct Answers

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RNSG 1413 EXAM 4 BLUEPRINT QUESTIONS WITH CORRECT ANSWERS

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types of loss


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, - necessary loss: loses alway occur when people age
- maturational loss: a form of necessary loss; all normally expected life
changes across the life span
- situational loss: caused by unpredictable external events
- actual loss: when a person can no longer feel, hear, or know a person or
object
- perceived loss: uniquely defined by the person experiencing the loss and
is less obvious to other people




Methods of Documentation


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- flow sheets (graphic records)
- narrative documentation
- PIE: P-problem or diagnosis, I-interventions, E-evaluation
- focus charting: DAR: D-data, A-action of nurse, R-response of patient
- SOAP note: S-subjective, O-objective, A-assessment, P-plan
- charting by exception




physiological changes with aging:
Integumentary


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loss of skin elasticty with fat loss in extremities: pigmentation changes:
glandular atrophy ( oil, moisture, sweat glands) : thinning hair, with hair
turning fray- white , shower nail growth, atrophy of epidermal arterioles




pain scale

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- numerical rating scale (NRS) requires patients to rate pain on an 11-point
line of 0 to 10, 0 no pain and 10 the worst pain
- verbal descriptive scale (VDS) consists of a line with 2-6 words
descriptors equally spaced along the line
- visual analog scale (VAS) consists of a straight line without labeled
subdivisions, patient indicates pain by marking the appropriate point on the
line
- for children, Wong-Baker Faces Pain Rating Scale (FPS-revised) provides a
pictorial representation of pain intensity, most often used for children older
than 3 to 4 yo, but even 2 yo can report pain
- for children, Oucher pain scale (0-10) uses a series of photographic
images of faces in varying degress of distress




A persistent Allostatic load can cause long term physiological problems such as


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-chronic hypertension
-depression
-sleep deprivation
-chronic fatigue syndrome
-autoimmune disorders




fall prevention


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