VITAL SIGNS , MEDICATIONS AND LAST DOSES , ALLER-
GIES DIET ACTIVITY SPECIFIC EQUIPMENT OR ADAPTIVE
TRANSFER (HAND-OFF) REPORTS SHOULD INCLUDE
DEVICES (OXYGEN,SUCTION WHEELCHAIR)ADVANCE DI-
RECTIVES
AN INCIDENT IS THE OCCURRENCE OF AN ACCIDENT OR
INCIDENTS REPORTS (UNUSUAL OCCURRENCES) AN UNUSUAL EVENT . EX ; MEDICATIONS ERRORS , FALLS,
OMISION OF PRESCRIPTION AND NEEDLESTICKS
S SUBJECTIVE DATA
O OBJECTIVE DATA
ASSESSMENT (INCLUDES NURSES DIAGNOSIS BASED ON
A
THE ASSESSMENT)
P PLAN
INCLUDES FEELINGS , BELIEFS AND VALUES , HEARING IN-
STRUCTORS WORDS & REPEATING EX; CLIENTS LEARNING
AFFECTIVE LEARNING ABOUT THE LIFE CHANGES NECESSARY FOR MANAGING
DIABITIES MELLITUS AND THEN DISCUSS THEIR FEELINGS
ABOUT HAVING DIABETES
IS GAINING SKILLS THAT REQUIRE MENTAL AND PHYSICAL
PSYCHOMOTOR LEARNING IS ACTIVITY . EX; CLIENTS PRACTICE PREPARING INSULIN IN-
JECTIONS .
TEACHING CLIENTS IN A DIFFRENT MANNER FROM CHIL-
DREN BECAUSE LEARNINC USUALLY OCCURS IN DIFER-
ENT WAYS . EX : ADULTS ARE OFTEN ABLE TO TO IDEN-
TIFY WHAT THEY NEED TO LEARN, ADULTS MIGHT NEED
ADULT LEARNERS
HELP FROM NURSE TO RESOLVE ISSUES DUE TO LIFE
FACTORS. ADULTS BEARNING IS ENHANCED WHEN THE
NURSE WORKS WITH THE CLIENT TO SET MUTUAL GOALS
.
COGNITIVE LEARNING
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, Fundamentals of Nursing Exam 2 Test Questions and Answers Rated A
IT INVOLVES KNOWLEDGE , COMPREHENSION , AP-
PLICATION , ANALYSIS SYNTHESTS AND EVALUATION.
EX; CLIENTS LEARN THE MANIFESTATION OF HYPO-
GLYCEMIA AND THEN CAN VERBALIZE WHEN TO NOTIFY
THE PROVIDER.
INTRAPERSONAL COMMUNICATION - COMMUNICATION WITHIN AN INDIVIDUAL.
INTERPERSONAL COMMUNICATION COMMUNICATION BETWEEN TWO PEOPLE
COMMUNICATION TO, WITHIN OR BETWEEN A LARGE
PUBLIC COMMUNICATION -
GROUP OF PEOPLE.
SMALL GROUP COMMUNICATION COMMUNICATION WITHIN A GROUP OF PEOPLE.
A NURSE IS PERFORMING ORAL CARE FOR A CLIENT THATS
TURN THE CLIENTS FACE TO THE SIDE
UNCONSCIOUS WHAT SHOULD THE NURSE DO
WHAT PART OF THE BODY SHOULD BE DONE FIRST WHEN
FACE
DOING A BED BATH .
SENSORY, PERCEPTION , MOISTURE, ACTIVITY , MOBILITY
WHAT ARE THE 6 COMPONENTS OF BRADEN SCALE ?
, NUTRITION, FRICTION AND SHEARL
SACRUM, ELBOW , FOOT , KNEE, COCCYX, SHOULDER
POSSIBLE PRESSURE ULCERS SITES BLADES, TROCHANTER SIDE OF THIGH ) BACK OF EAR ,
AND HIP.
STAGE 1 PRESSURE ULCER SKIN INTACT WITH NON - BLEACHABLE REDNESS
STAGE 2 PRESSURE ULCER PARTIAL THICKNESS LOSS OF DERMIS
FULL THICKESS TISSUE LOSS , SUBCUTANEOUS FAT MAY
STAGE 3 PRESSURE ULCER
BE VISIBLE BUT MUSCLE NOT EXPOSED .
STAGE 4 PRESSURE ULCER FULL THICKNESS LOSS WITH EXPOSED MUSCLE.
COVERED BY YELLOW GRAY BROWN BLACK ... ESCAR (
UNSTAGEABLE -
BLACK AND BROWN AND SLOUGH ( YELLOW )
WHAT TO DO WHEN WOUND IS FOUND
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