NUR2204 - Acute Care B Exam Questions And Answers

NUR2204 - Acute Care B Exam Questions And Answers GCS - ANS Glasgow Coma Exam, used to assess level of consciousness in trauma patients PEPSIS - ANS Physical, emotional, psychological, social, intellectual, spirit Acute care - ANS When the patient receives active, short-term treatment 5 Rights of clinical reasoning - ANS Right patient, action, cues, time & reason ADL's - ANS Activities of daily living (Breathe, eat, drink, elimination, safe environment, washing, dying) AGPIE - ANS Assessment, goal, planning, implementation, evaluation AGPIE example - ANS Assessment - collecting data, documentation Goal - Basis for patient care Planning - Evidence based guidelines Implementation - Plan of care carried out at right time Evaluation - Have the actions achieved the goals? PCA - ANS patient controlled analgesia Assessing - ANS A man comes to the emergency department complaining of severe chest pain. The nurse asks him questions and takes vital signs. Which step of the process of care is the nurse demonstrating? 3 components of a GCS - ANS Verbal response, eye opening, motor response Normal 02 sats range - ANS 95-100% oxygen flow rates - ANS Determines the volume of oxygen that is delivered to the patient