COMP EXAM 3 GALEN 280 MAIN EXAM WITH ALL ANSWERS

COMP EXAM 3 GALEN 280 MAIN EXAM
WITH ALL ANSWERS




UAP delegation tasks? Name examples... - correct answer-- vital signs rouitine STABLE
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PT
n




- IN & OUT of food and f/c
n n n n n n n n




- ADL'S shower, grooming, shaving etc.
n n n n n




- toileting and walking (not post op who has never walked)
n n n n n n n n n n




- feeding without aspiration precautions
n n n n n




- positioning
n




Can a UAP measure the drainage of a Hemovac or Jackson-Pratt? - correct answer-yes
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measure the amount of fluid cant assess the drainage system.
n n n n n n n n n n




Can a UAP collect specimens? - correct answer-yes!!! stool and urine
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Can a UAP empty a colostomy bag ? - correct answer-yes ! not the wafer.
n n n n n n n n nn n n n n n




end of life care - correct answer-the support and care given during the time surrounding
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death = HOSPICE
n n n




hospice care - correct answer-comfort measures in the last phases of life
n n nn n n n n n n n n




hospice care and family - correct answer-- private room
n n n n nn n n n n




- encourage the client and family to express feelings
n n n n n n n n




- provide support and advocancy
n n n n




- provide privacy
n n n




- LET THEM TOUCH THE CLIENT AS MUCH AS THEY WANT !
n n n n n n n n n n n




PRIORITY QUESTIONS use what formula? - correct answer-SPEC n n n n n nn n




SPEC stands for ? - correct answer-S= stable vs non stable
n n n n nn n n n n n n

, P= potential vs real
n n n




E= expected vs unexpected
n n n




C= chronic vs acute
n n n




priority patients are? - correct answer-- neuro changes ex: GCS LOW 8
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- very low values labs ex: DM with 50 BS
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- client returning form invasive procedures and a comlication happens ex: eviceration
n n n n n n n n n n n n




- ABC's airway problems and there acid base inbalanced
n n n n n n n n




- client with chest pain and syncope not ecpected
n n n n n n n n n




- pt w/ 2-3 rd degree burns
n n n n n n n




- client with new onset of infectious disease = TB
n n n n n n n n n




- any unexpected events= MI, STROKE, HHS, DKA, ADDISONS CRISIS, THYROID
n n n n n n n n n n




STORM, MYXEDEMA COMA, HTN CRISIS, PREECLAMPSIA, STROKE...
n n n n n n n




Maslow's Hierarchy of Needs - correct answer-physiological, safety, love/belonging,
n n n n nn n n n




esteem, self-actualization
n n




physiological needs? 1ST NEED - correct answer-AIRWAY n n n n nn n




RESPIRATORY EFFORT n




HR, RHYTHM, CONTRACTIONS STRENGTH
n n n




NUTRITION
ELIMINATION

SAFETY AND SECURITY = 2N NEED - correct answer-- PROTECT FROM INJURY
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- PROMOTE FEELING OF SECURITY
n n n n n




- TRUST IN NURSE CLIENT RELATIONSHIP
n n n n n




TRIAGE RED TAG EXAMPLES? CLASS 1 - correct answer-EMERGENT THREAT TO
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LIFE EX:
n n




CARDIAC TEMPONADE n




STROKE
SHOCK
AIRWAY OBSTRUCITON n




YELLOW TAG CLASS 2 - correct answer-Urgent within 30 min to 2 hours- can wait a little
n n n n nn n n n n n n n n n n n




- OPEN FRACTURES W DISTAL PULSES
n n n n n




- LARGE WOUNDS
n n




GREEN TAG CLASS 3 - correct answer-the walking wounded
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- CLOSED FRACTURES
n n




- SPRAINS
n




- ABRASIONS
n




- CONTUSION
n




BLACK TAG CLASS 4 - correct answer-EXPECTED TO DIE!
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- MASSIVE HEAD TRAUMA
n n n




- FULL THICK BURNS TO WHOLE BODY
n n n n n n




- HIGH CERVICAL SPINE INJURY REQUIRING MECHANICAL VENTILATION
n n n n n n n




ABGS NORMAL VALUES - correct answer-PH = 7.35- 7.45
n n n nn n n n n