Nursing Foundations Final Exam Study Guide

Topics covered in going through past exams in class Which is the most important reason for nurse to be critical thinkers Nurses care for clients who have multiple health problems The nurse is administering pain meds to an assigned patient doe 4 hours as prescribed Nursing intervention Develop nursing diagnosing Analysis of data After collecting sub and obj data Like to eat fried food and elevated cholesterol Example of cluster of related clues Complains of nausea and stomach pain after eating Received thrush after iv antibiotic, to retreat infection. What type of infection Endogenous Common etiologies contribute to self-care deficit Knowledge, motivation, pain Surgical wound Primary intention Movement of joints Complications of immobility How to move patient in bed Know weight bearing for transferring patients Ambulation aids Functional alignment- positioning patient Restraints When to use Delegation Body mechanics Fall risk Assess for ambulation Dehydration s/s Impaired gas exchange Ineffective breathing pattern Significant cough Highest priority pt Assessing nares, ear for NC O2 Hypoxia s/s Measuring hypoxemia Trachea suctioning Asthma Pneumonia COPD Electroactivity of the heart Age and cardiovascular changes Heart failure Left vs right Hypovolemia s/s Fluid and electrolyte balance control DVT Types of fluid replacement Urine output Elimination Risks/causes of decreased Enemas