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Exam (elaborations)

NURS 640 Exam 1 questions with verified answers graded A+ updated

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NURS 640 Exam 1 questions with verified answers graded A+ updated

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NURS 640 Exam 1 questions with verified answers
graded A+ updated
1. Chronic program (EDPP)
care
model


2. Transitional
Care Model
(TCM)




3. Care Transi-
tions
Interven-
tion (CTI)




4. Re-
Engineered
Discharge
(project
RED)



5. Enhanced Dis-
charge
Planning


,NURS 640 Exam 1 questions with verified answers
graded A+ updated
focuses on improving care to pt and caregivers so they can coordinate their care and follows up
for chronic diseases. 1. with home visit and telephone calls. CTI focuses on medication self-
Delivery of high quality care management; pt assembled personal health recorded, primary care
requires a range of and specialist follow up and teaching the pt how to recognize and
strategies that must closely follow up on ref flag symptoms.
involve and engage the
patient. 2. Team care is nurse discharge advocate provides; pt education, medication
essential. reconciliation and education; instruction about red flags; teach back
learning process; coordination of physician appointments and follow up
APN provides testing; EBP written discharge plan shared with pt and all providers. A
comprehensive in hospital clinical pharmacist follows up by telephone
planning and home follow to reinforce discharge plan, review medications and solve problems.
up care coordination,
including training and master prepared workers with experience in geriatric and community
support for nurses by a based practice provide a phone based intervention to supplement the
multidisciplinary HF team. existing discharge process; pre discharge review of pt chart and
Care plans developed by consultation with pt providers about potential barriers to successful
nurses in collaboration with transition; follow up phone call to assess pt ability to adhere to
pt physicians that reflect pt discharge plan and to determine if medical and social services spec-
and caregiver goals and ified in the discharge plan have been received; to identify medication
evidence based guidelines; problems and adherence, ensure knowledge of red flags. The EDPP
pt and caregiver education; model emphasizes addressing psychosocial and medical issues that
coordination of care across emerge after discharge.
settings; and nurse
delivered clinical ser- vices
including medication
management.

A transition coach (RN or
APN) provides tools and
teaches self-management
and communication skills


,NURS 640 Exam 1 questions with verified answers
graded A+ updated
6. Medical making is a process that you are continuously evaluating and refining
decision based on new data you obtain. To be particularly skilled in this, you
making must be cognizant of the biases you may bring to your evaluation of
the patient's case and the human errors that can occur during the
course of evaluation management. A good clinician looks at both for
their own errors and the errors of colleagues and make the necessary
corrections to avoid harm to the patient.

7. full compensated Is pH normal? PaCO2 and HCO3 abnormal

8. uncompensated. pH abnormal? PaCO2 or HCO3 abnormal

9. Mild PAO2 60-79 mmHg

10. Moderate PaO2 40-59mmHg

11. Severe PaO2 < 40mmHg

12. Metabolic Lactic acidosis, ketoacidosis (diabetic, alcoholic, starvation), toxins
Acido- sis (methanol, salicylates) renal failure (acute or chronic)
13. Respiratory § hypoxia (decreased inspired oxygen, high altitude, ventilation,
alka- losis hypotension, severe anemia)
§ CNS-mediated disorders (hyperventilation, anxiety, neurologic
disease, CVA, infection, trauma, tumor, drugs, heat, hepatic failure)
§ Pulmonary disease (interstitial lung disease, pneumonia, PE,
pulmonary ede- ma)
§ Mechanical overventilation
14. Metabolic Excessive body bicarb content (renal alkalosis, Gastrointestinal
alkalo- sis alkalosis)

15. Pulse oximetry Measures peripheral arterial oxygen saturation. AKA "the fifth vital
sign." In most patients peripheral oxygen saturation as measured by


, NURS 640 Exam 1 questions with verified answers
graded A+ updated
pulse oximetry (SpO2) provides accurate information on tissue
oxygenation, which allows the clinician

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