NURS 360Exam 1 STUDY GUIDE NURS 360.

Below are listed topics that frame the concepts/questions on Exam #1. It will be 50 questions and online.  The importance of reflection in nursing practice Allow to understand actions, why did you do specific action, what can you do to improve future situations Process of contemplating experiences, sometimes even new experiences and searching for meeting those events nurses should use.  Orthostatic vitals: Why they are done, and risk involved with positive orthostasis Its usually done in hospitals and can be indicative of dehydration, anemia or prolonged immobilization. Its most commonly due to ANS or delay of circulatory response. Risks involved include fall risks, dizziness, fainting, changes in mental status, and anxiety. Systolic drop of 20mmgh and 10mmgh of dystolic  Calculation of I & Os. Be aware to calculate supplied nutritional data (as example, pt drank x ounces, had an IV at 125mL/hr for 24 hours) You will need to be able to tally the numbers. In addition, you may need to calculate a patient on fluid restriction to determine if they can have more fluid. 1 fl oz= 30 ml (you don’t count BM) 8oz=240mL  Normal values for vital signs (BP, HR, RR, SpO2, T) as defined by Yoost & Crawford (2020) BP- < and <80 60-80 P- 60 to 100 RR- 12 to 20 SpO2- 95 to 100% T: 35.5C to 37.5C (95.9-99.5)  Care of the patient that speaking a language other than English. How would you communicate? Nurse has to have an interpreter (translator). Usually hospitals have a phone specifically for this and would 3- way call.  Methods to prevent Hospital Acquired Infections HAND HYGIENE 15 to 20 seconds. protective PPE, sanitizing anything that the patient touches, vaccines up to date. Airborne positive and negative pressure you push things out. Wash hands with visible soiled and C.dif Disinfection-wiping down Sterilization-boiling or steam pressure  Breath sounds commonly heard in heart failure or pneumonia Heart failure- crackles fluid back up into the lungs Pneumonia- fluid accumulation in the aveoli. Crackles.