NUR 160-Hondros Exam 1 questions with 100% correct answers
NUR 160-Hondros Exam 1 questions with 100% correct answers workers are protected from disciplinary action when they report injuries, errors, or near misses - Correct Answers just culture What is your name? - Correct Answers close-ended question Everything will be fine - Correct Answers false reassurance To identify changes in pt condition, to help foresee areas of concern - Correct Answers Why Assess? who does the initial assessment? - Correct Answers RN When should an initial assessment be done? - Correct Answers Within 24 hours What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor - Correct Answers discharge planning 1. Introduce self 2. Explain procedure 3. wash hands 4. Identify pt 5. Provide privacy 6. Inspect, auscultate, palpate - Correct Answers Steps of an assessment If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale through mouth) - Correct Answers Correct, then continue Subjective then Objective (helps to identify ares of focus) - Correct Answers Order of assessmet If pt c/o sore throat or recent cold - Correct Answers Inspect airway, auscultate lungs Clear(Good or indifferent) - Correct Answers Serous Drainage Blood-red(a little is ok, alot is bad) - Correct Answers Sanginous Drainage Pink-mix of blood and serous(This is ok) - Correct Answers Serosanginous Drainage Puss (assess for infection and notify MD) - Correct Answers Purulent Drainage Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total) assess for an obstruction and notify MD - Correct Answers Absent Bowel Sounds
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