NURS 640 Exam 1 Comprehensive
Questions And Solutions Graded A+|
Latest Update
Chronic care model
focuses on improving care for chronic diseases. 1. Delivery of high quality care
requires a range of strategies that must closely involve and engage the patient. 2.
Team care is essential.
Transitional Care Model (TCM)
APN provides comprehensive in hospital planning and home follow up care
coordination, including training and support for nurses by a multidisciplinary HF
team. Care plans developed by nurses in collaboration with pt physicians that
reflect pt and caregiver goals and evidence based guidelines; pt and caregiver
education; coordination of care across settings; and nurse delivered clinical
services including medication management.
Care Transitions Intervention (CTI)
,A transition coach (RN or APN) provides tools and teaches self-management and
communication skills to pt and caregivers so they can coordinate their care and
follows up with home visit and telephone calls. CTI focuses on medication self-
management; pt assembled personal health recorded, primary care and specialist
follow up and teaching the pt how to recognize and follow up on ref flag
symptoms.
Re-Engineered Discharge (project RED)
nurse discharge advocate provides; pt education, medication reconciliation and
education; instruction about red flags; teach back learning process; coordination
of physician appointments and follow up testing; EBP written discharge plan
shared with pt and all providers. A clinical pharmacist follows up by telephone to
reinforce discharge plan, review medications and solve problems.
Enhanced Discharge Planning program (EDPP)
master prepared workers with experience in geriatric and community based
practice provide a phone based intervention to supplement the existing discharge
process; pre discharge review of pt chart and consultation with pt providers about
potential barriers to successful transition; follow up phone call to assess pt ability
to adhere to discharge plan and to determine if medical and social services
specified in the discharge plan have been received; to identify medication
problems and adherence, ensure knowledge of red flags. The EDPP model
emphasizes addressing psychosocial and medical issues that emerge after
discharge.
,Medical decision making
making is a process that you are continuously evaluating and refining based on
new data you obtain. To be particularly skilled in this, you must be cognizant of
the biases you may bring to your evaluation of the patient's case and the human
errors that can occur during the course of evaluation management. A good
clinician looks at both for their own errors and the errors of colleagues and make
the necessary corrections to avoid harm to the patient.
full compensated
Is pH normal? PaCO2 and HCO3 abnormal
uncompensated.
pH abnormal? PaCO2 or HCO3 abnormal
Mild PAO2
60-79 mmHg
Moderate PaO2
40-59mmHg
, Severe PaO2
< 40mmHg
Metabolic Acidosis
Lactic acidosis, ketoacidosis (diabetic, alcoholic, starvation), toxins (methanol,
salicylates) renal failure (acute or chronic)
Respiratory alkalosis
§ hypoxia (decreased inspired oxygen, high altitude, ventilation, hypotension,
severe anemia)
§ CNS-mediated disorders (hyperventilation, anxiety, neurologic disease, CVA,
infection, trauma, tumor, drugs, heat, hepatic failure)
§ Pulmonary disease (interstitial lung disease, pneumonia, PE, pulmonary edema)
§ Mechanical overventilation
Metabolic alkalosis
Excessive body bicarb content (renal alkalosis, Gastrointestinal alkalosis)
Pulse oximetry
Questions And Solutions Graded A+|
Latest Update
Chronic care model
focuses on improving care for chronic diseases. 1. Delivery of high quality care
requires a range of strategies that must closely involve and engage the patient. 2.
Team care is essential.
Transitional Care Model (TCM)
APN provides comprehensive in hospital planning and home follow up care
coordination, including training and support for nurses by a multidisciplinary HF
team. Care plans developed by nurses in collaboration with pt physicians that
reflect pt and caregiver goals and evidence based guidelines; pt and caregiver
education; coordination of care across settings; and nurse delivered clinical
services including medication management.
Care Transitions Intervention (CTI)
,A transition coach (RN or APN) provides tools and teaches self-management and
communication skills to pt and caregivers so they can coordinate their care and
follows up with home visit and telephone calls. CTI focuses on medication self-
management; pt assembled personal health recorded, primary care and specialist
follow up and teaching the pt how to recognize and follow up on ref flag
symptoms.
Re-Engineered Discharge (project RED)
nurse discharge advocate provides; pt education, medication reconciliation and
education; instruction about red flags; teach back learning process; coordination
of physician appointments and follow up testing; EBP written discharge plan
shared with pt and all providers. A clinical pharmacist follows up by telephone to
reinforce discharge plan, review medications and solve problems.
Enhanced Discharge Planning program (EDPP)
master prepared workers with experience in geriatric and community based
practice provide a phone based intervention to supplement the existing discharge
process; pre discharge review of pt chart and consultation with pt providers about
potential barriers to successful transition; follow up phone call to assess pt ability
to adhere to discharge plan and to determine if medical and social services
specified in the discharge plan have been received; to identify medication
problems and adherence, ensure knowledge of red flags. The EDPP model
emphasizes addressing psychosocial and medical issues that emerge after
discharge.
,Medical decision making
making is a process that you are continuously evaluating and refining based on
new data you obtain. To be particularly skilled in this, you must be cognizant of
the biases you may bring to your evaluation of the patient's case and the human
errors that can occur during the course of evaluation management. A good
clinician looks at both for their own errors and the errors of colleagues and make
the necessary corrections to avoid harm to the patient.
full compensated
Is pH normal? PaCO2 and HCO3 abnormal
uncompensated.
pH abnormal? PaCO2 or HCO3 abnormal
Mild PAO2
60-79 mmHg
Moderate PaO2
40-59mmHg
, Severe PaO2
< 40mmHg
Metabolic Acidosis
Lactic acidosis, ketoacidosis (diabetic, alcoholic, starvation), toxins (methanol,
salicylates) renal failure (acute or chronic)
Respiratory alkalosis
§ hypoxia (decreased inspired oxygen, high altitude, ventilation, hypotension,
severe anemia)
§ CNS-mediated disorders (hyperventilation, anxiety, neurologic disease, CVA,
infection, trauma, tumor, drugs, heat, hepatic failure)
§ Pulmonary disease (interstitial lung disease, pneumonia, PE, pulmonary edema)
§ Mechanical overventilation
Metabolic alkalosis
Excessive body bicarb content (renal alkalosis, Gastrointestinal alkalosis)
Pulse oximetry
