Study Guide: Everything You Need to Ace It!!
Components of SBAR correct answers A framework and a clinical pathway
Situation
Background
Assessment
Recommendation
clinical pathways (care mapping) correct answers -tools used in case management of client
care
-mapped out day by day for admission to discharge
Purpose of clinical pathways correct answers -critical to meet expected outcomes
-standardized care
Elements of clinical pathways correct answers -Client population
-time frames
-interventional categories
-meet expected outcomes
-variance record
Concept Mapping correct answers used for:
-abdominal absences
-nutrition/ fluid imbalance
-pain
-anxiety
-infection
Mentorship benefits correct answers -support of new grade
-foster growth of future generations
-creates long term connections
-role models
Mentorship Pitfalls correct answers -Personality conflict
-imposing their style on you
-social issues
time managment skills correct answers -anticipate events
-ensure patient safety
-must do vs should do
-prioritize
Risk factors affecting skin integrity correct answers -Lifestyle
-Developmental
-Physiological
-Environmental
Red wound correct answers -healing wounds, granulation tissue
, -inflammatory, proliferate, or maturation phase of healing
-need t be kept clean and moist
yellow wound correct answers -fibrous slough or exudate
-infected and not ready to heal
-require removal of slough
black wound correct answers -Presence of eschar (necrotic tissue)
-not ready to heal
-Must have eschar removed for healing to take place
Combination color correct answers -use most severe treatment
serous drainage correct answers clear, watery plasma
sanguineous drainage correct answers Bright red
serosanguineous drainage correct answers Mixture of plasma and red blood cells, pale red
and watery
purulent drainage correct answers -necrotic tissue
-pus
-thick yellow
-green
-tan
-brown
factors impairing wound healing correct answers -infection
-malnutrition
-age
-obesity
-impaired oxygenation
-smoking
-drugs
-vascular disease
-radiation
-wound stress
Factors promoting wound healing correct answers -provide adequate nutrition
-cleansing of the wound
-maintain moist wound bed
-dress wound
-drain the wound
-drain care to promote healing
-removing sutures s and staples
Common diagnostic tests to assess altered protective mechanisms correct answers -CBC
(WBC, neutrophils)
-Pre-albumin: poor nutrition for short time and Albumin levels: poor nutrition for long period
-Glucose levels