NR 224 Fundamentals Final Exam (2024) Questions and Answers Latest (Verified by Expert).

NR 224 Fundamentals Final Exam (2024) Questions and Answers Latest (Verified by Expert). NR 224 Final Exam Key Concepts NOTE: Remember NR 224 requires you to answer exam questions in which you will have to not only understand but also apply information related to the concepts covered in the course. The intent of this study tool is to outline the major content that will be covered on the exam. Additional content may be included on the exam. Critical Thinking Be prepared to prioritize and to consider the best option when answering exam questions. What considerations are important when determining the best option? Whatever decision is best for the patient When should the nurse delegate vs not delegate? Delegation: “transferring responsibility for a performance of an activity or task while retaining accountability for an outcome”  assigning tasks to other healthcare professionals (vitals, labs); UAP (unlicensed assistive personnel), LPNs Not delegate: “to do on your own or not share the tasks”  give meds, change in status, receive new meds, new admission, teaching What are essential steps the nurse should do prior to performing any skill on a patient? -AIDET A-Acknowledge (greet the patient) I- Introduce yourself D- duration of assessment E- explain the procedure T- thank you -Hand hygiene and provide privacy -Identify your patient using name and DOB -Assess allergies -Assess pain -Determine level of consciousness (LOC) What are principles related to HIPAA?  Patients’ privacy, who the patient give right to have his information  Patient information can be used or disclosed by a health plan, provider  HIPAA enables patients to find out how their information may be used and how it has been disclosed  gives patients the right to examine and obtain a copy of their own health records and to request corrections. What is HIPAA?  Health Insurance Portability and Accountability Act  Focuses on Patient Health Information  Stipulates how healthcare workers can share information A major component of the Health Insurance Portability and Accountability Act (HIPAA), the Privacy Rule, was introduced to promote the use of standard methods of maintaining the privacy of protected health information (PHI) among health care agencies. Nursing Process Review the steps in the nursing process. Be prepared to interpret a scenario/situation to determine the corresponding step in the nursing process.  Assessment: gather all subjective and objective data  Diagnosis: NANDA, nursing diagnosis for actual problems, Potential problems, or risk for problems.  Outcome identification: SMART goals for pt (patient)  Planning: nurse/pt make a plan to achieve the goal ACR/6.19.2024 NR 224 Final Exam Key Concepts  Implementation: how the nurse will put the plan into action & Interventions  Evaluation: was the goal met and what needs to be adjusted Consider nursing diagnoses that are applicable to a given situation/scenario. Infection Prevention and Control What is the difference between clean (aseptic) and sterile technique?  Clean is the routine hand hygiene, drying and use of nonsterile gloves, it uses for taking blood, examining patients, and feeding patients.  Sterile techniques used for surgery and invasive procedures with high rates of infection. It involves surgical hand rub with long actin antiseptic, dry hands with sterile towel, sterile field (gown, mask, gloves, supplies), skin prep, a dedicated room.  While clean means free from marks and stains, sterile goes even further and is free from bacteria or microorganisms  Sterile: No SPORES or microorganisms What are examples of skills and procedures that should be performed using clean technique? Sterile technique? 1. During procedures that require intentional perforation of the patient’s skin, such as insertion of peripheral IV catheters or a central intravenous line. 2. when the integrity of the skin is broken as a result of trauma, surgical incision, or burns 3. during procedures that involves invasive procedures such as insertion of a urinary catheter or surgical instruments into sterile body cavities such as insertion of a wound drain List strategies/interventions that may prevent infection transmission.  Standard precaution (wash hands, gloves) = apply when contact with blood, body fluid, non-intact skin, and mucous membrane.  Hand hygiene is the most effective basic technique in preventing and controlling the transmission of infection. What are principles associated with creating and maintaining a sterile field? consider the 2.5cm (1 inch) around the sterile gloving contaminated must be waist level What is PPE? PPE: Personal protective equipment for protection against exposure to infectious materials. This includes gloves, mask, goggles, hair net and gown. Removal: gloves comes off first, then gown, mask, head pieces, and first thing that goes on Standard precautions: handwashing What are the different types of isolation precautions and considerations are associated with each type?  Standard precautions should be used in all settings and it includes hand washing, when hands are visibly soiled used antibacterial soap and water, when not visibly soiled use hand NR 224 Final Exam Key Concepts NOTE: Remember NR 224 requires you to answer exam questions in which you will have to not only understand but also apply information related to the concepts covered in the course. The intent of this study tool is to outline the major content that will be covered on the exam. Additional content may be included on the exam. Critical Thinking Be prepared to prioritize and to consider the best option when answering exam questions. What considerations are important when determining the best option? Whatever decision is best for the patient When should the nurse delegate vs not delegate? Delegation: “transferring responsibility for a performance of an activity or task while retaining accountability for an outcome”  assigning tasks to other healthcare professionals (vitals, labs); UAP (unlicensed assistive personnel), LPNs Not delegate: “to do on your own or not share the tasks”  give meds, change in status, receive new meds, new admission, teaching What are essential steps the nurse should do prior to performing any skill on a patient? -AIDET A-Acknowledge (greet the patient) I- Introduce yourself D- duration of assessment E- explain the procedure T- thank you -Hand hygiene and provide privacy -Identify your patient using name and DOB -Assess allergies -Assess pain -Determine level of consciousness (LOC) What are principles related to HIPAA?  Patients’ privacy, who the patient give right to have his information  Patient information can be used or disclosed by a health plan, provider  HIPAA enables patients to find out how their information may be used and how it has been disclosed  gives patients the right to examine and obtain a copy of their own health records and to request corrections. What is HIPAA?  Health Insurance Portability and Accountability Act  Focuses on Patient Health Information  Stipulates how healthcare workers can share information A major component of the Health Insurance Portability and Accountability Act (HIPAA), the Privacy Rule, was introduced to promote the use of standard methods of maintaining the privacy of protected health information (PHI) among health care agencies. Nursing Process Review the steps in the nursing process. Be prepared to interpret a scenario/situation to determine the corresponding step in the nursing process.  Assessment: gather all subjective and objective data  Diagnosis: NANDA, nursing diagnosis for actual problems, Potential problems, or risk for problems.  Outcome identification: SMART goals for pt (patient)  Planning: nurse/pt make a plan to achieve the goal ACR/6.19.2024 NR 224 Final Exam Key Concepts  Implementation: how the nurse will put the plan into action & Interventions  Evaluation: was the goal met and what needs to be adjusted Consider nursing diagnoses that are applicable to a given situation/scenario. Infection Prevention and Control What is the difference between clean (aseptic) and sterile technique?  Clean is the routine hand hygiene, drying and use of nonsterile gloves, it uses for taking blood, examining patients, and feeding patients.  Sterile techniques used for surgery and invasive procedures with high rates of infection. It involves surgical hand rub with long actin antiseptic, dry hands with sterile towel, sterile field (gown, mask, gloves, supplies), skin prep, a dedicated room.  While clean means free from marks and stains, sterile goes even further and is free from bacteria or microorganisms  Sterile: No SPORES or microorganisms What are examples of skills and procedures that should be performed using clean technique? Sterile technique? 1. During procedures that require intentional perforation of the patient’s skin, such as insertion of peripheral IV catheters or a central intravenous line. 2. when the integrity of the skin is broken as a result of trauma, surgical incision, or burns 3. during procedures that involves invasive procedures such as insertion of a urinary catheter or surgical instruments into sterile body cavities such as insertion of a wound drain List strategies/interventions that may prevent infection transmission.  Standard precaution (wash hands, gloves) = apply when contact with blood, body fluid, non-intact skin, and mucous membrane.  Hand hygiene is the most effective basic technique in preventing and controlling the transmission of infection. What are principles associated with creating and maintaining a sterile field? consider the 2.5cm (1 inch) around the sterile gloving contaminated must be waist level What is PPE? PPE: Personal protective equipment for protection against exposure to infectious materials. This includes gloves, mask, goggles, hair net and gown. Removal: gloves comes off first, then gown, mask, head pieces, and first thing that goes on Standard precautions: handwashing What are the different types of isolation precautions and considerations are associated with each type?  Standard precautions should be used in all settings and it includes hand washing, when hands are visibly soiled used antibacterial soap and water, when not visibly soiled use hand