and Verified Answers | Already Graded
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Medical Surgical nursing - 🧠 ANSWER ✔✔Medical & Surgical nurses
practice primarily on hospital units that care for adult patients who are
acutely ill with a wide variety of medical issues, or who are recovering from
surgery
Difference between medical and surgical - 🧠 ANSWER ✔✔Medical - No SX
component
-care of patients who require care for disease/illlness but may not need sx
Surgical - SX component
,-patients that require sx
-lots of post-op assessments
List medical pre-op vital checks - 🧠 ANSWER ✔✔Day 1: Admission to first
24 hours (Initial vitals and then Q4H)
Day 2: 24-48hrs (x2/shift or every 6 hours = QID or Q6H)
Day 3: 48hrs to discharge (x1/shift = BID, Q12H)
List sx post-op vials checks - 🧠 ANSWER ✔✔Day 1: Arrive on unit to first
24hrs (Initial vitals and then Q30 minutes x2 = every thirty minutes for one
hour THEN every hours for 2 hours = Q1H x2 THEN every 4 hours = Q4H)
Day 2+: From 24 hours to discharge (Twice per shift/every 6 hours = QID
or Q6H)
What to use to know your client (resources) - 🧠 ANSWER ✔✔Client chart
Nursing Kardex
MAR
Checks for room safety equipment and safety for care - 🧠 ANSWER ✔✔1)
Is the client breathing?
2) Is there O2 flowing? What rate? Is it on?
,3) What equipment is at the bedside and does it work?
4) Is the bed safe? (height and position)
5) Is there equipment blocking access to the patient?
6) Trace all tubing back to the source
What does SAFE stand for? (Universal falls precautions) - 🧠 ANSWER
✔✔S- Safe environment
A - Assist with mobility
F - Falls risk reduction
E - Engage patient and family
What are the 3 easy universal falls precaution questions? - 🧠 ANSWER
✔✔1) Do you need to use the toilet?
2) Do you have any pain or discomfort?
3) Do you need anything before I leave?
What is the most common cause of delay in discharge? - 🧠 ANSWER
✔✔Lack of Mobilizing
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3
, What needs re-assessment? - 🧠 ANSWER ✔✔Every intervention needs a
re-assessment.
Legally what does every patient in the hospital need daily? - 🧠 ANSWER
✔✔Full assessment and vital signs
What is the most commonly forgotten vital sign? - 🧠 ANSWER
✔✔Temperature
What do you update daily using pencil when patient status changes? - 🧠
ANSWER ✔✔Kardex
What do you need to know for every patient? - 🧠 ANSWER ✔✔Code status
What is the difference between indirect and direct care? - 🧠 ANSWER
✔✔Indirect - Prime IV, document
Direct - interventions doing with or for client
What legal requirements does documentation encapsulate? - 🧠 ANSWER
✔✔BC Coroner's Act
Controlled Drug and Substance Act
Evidence Act