NFDN 2003 Midterm Review Questions
with Correct Answers | Rated A+
What does SBAR stand for? - CORRECT ANSWER -Situation
Background
Assessment
Recommendation
Concept Map - CORRECT ANSWER --another method of recording a nursing care plan
-the nursing process is recorded in a visual diagram of patient problems and interventions that
illustrates the relationships among clinical data
Clinical (critical) pathways - CORRECT ANSWER --directs the entire health care team in the daily
care goals for select health care problems
-includes: nursing care plan, specific interventions, and a documentation tool
-it describes the patient care required at specific times in the treatment
-multidisciplinary approach
Purpose of clinical pathway - CORRECT ANSWER -Critical to meet expected outcomes
Standardize care
Reduce delays in care
Reduce costs
What is the purpose of SBAR? - CORRECT ANSWER --All events are critical to meet outcomes
-Standardization of Care
-Can be individualized
,-Reduces duplication and delays in care
-Reduces cost of care
What does SBAR do? - CORRECT ANSWER --Communication Framework
-Clear & Direct communication with Care Providers
-Clinical Pathways
-Care maps
-Effective & Efficient Processes
-Care mapped from entry to exit
What is the purpose of dressing? pg. 1318 - CORRECT ANSWER --Like a second skin to
something that has been broken
-to control bleeding, to prevent infection, to absorb blood
-aids in homeostasis
-provides a moist environment
What type of wounds need dressing? - CORRECT ANSWER -wounds with extensive tissue loss
What is gauze? - CORRECT ANSWER --Absorbent and WICK away any drainage.
-Does not irritate the wound.
Why would we use gauze? - CORRECT ANSWER -It gathers lots of secretions, for something that
is draining lots
Telfa - CORRECT ANSWER --Non-adherent gauze
-Telfa can be used over clean wounds with little or no drainage.
-Does not stick and drainage can pass through to the gauze.
, When would we use occlusive dressing? - CORRECT ANSWER --Anytime we do not want
something to go in/out of the wound because it is impermeable to external bacteria and other
contaminants
-eg. chest tube
Occlusive (Hydrocolloid) - CORRECT ANSWER --Adhesive and occlusive.
-Interacts with wound fluid to provide a moist environment
-Surface touching the wound forms a gel and maintains a moist environment.
-Can be used on clean, granulating wounds as well as for wounds that need debriding.
-They slowly liquify necrotic tissue.
-Can be left in place until seal is broken, allowing for enhanced healing.
-Use on ulcer type wounds.
-WATCH CAREFULLY AS SOME HYDROCOLLOIDS CAN LEAVE RESIDUE IN WOUND THAT LOOKS
LIKE PUS
-minimal absorption, maintains wound med moisture
-impermeable to external bacteria and other contaminants
-must be left in place for 5-7 days
-should NOT be used in heavily draining, or full thickness infected wounds
What assessment do you do pre/post dressing change? - CORRECT ANSWER --When you go in,
what do you see? Is there drainage on the top, moist, what type of drainage and how much?
-If the were medicated, and how they tolerated the procedure
Complex wound irrigation - CORRECT ANSWER --we irrigate from CLEAN to DIRTY
-use a single squeeze 100mL saline bottle this delivers saline at the proper pressure to avoid
trauma to the wound bed
with Correct Answers | Rated A+
What does SBAR stand for? - CORRECT ANSWER -Situation
Background
Assessment
Recommendation
Concept Map - CORRECT ANSWER --another method of recording a nursing care plan
-the nursing process is recorded in a visual diagram of patient problems and interventions that
illustrates the relationships among clinical data
Clinical (critical) pathways - CORRECT ANSWER --directs the entire health care team in the daily
care goals for select health care problems
-includes: nursing care plan, specific interventions, and a documentation tool
-it describes the patient care required at specific times in the treatment
-multidisciplinary approach
Purpose of clinical pathway - CORRECT ANSWER -Critical to meet expected outcomes
Standardize care
Reduce delays in care
Reduce costs
What is the purpose of SBAR? - CORRECT ANSWER --All events are critical to meet outcomes
-Standardization of Care
-Can be individualized
,-Reduces duplication and delays in care
-Reduces cost of care
What does SBAR do? - CORRECT ANSWER --Communication Framework
-Clear & Direct communication with Care Providers
-Clinical Pathways
-Care maps
-Effective & Efficient Processes
-Care mapped from entry to exit
What is the purpose of dressing? pg. 1318 - CORRECT ANSWER --Like a second skin to
something that has been broken
-to control bleeding, to prevent infection, to absorb blood
-aids in homeostasis
-provides a moist environment
What type of wounds need dressing? - CORRECT ANSWER -wounds with extensive tissue loss
What is gauze? - CORRECT ANSWER --Absorbent and WICK away any drainage.
-Does not irritate the wound.
Why would we use gauze? - CORRECT ANSWER -It gathers lots of secretions, for something that
is draining lots
Telfa - CORRECT ANSWER --Non-adherent gauze
-Telfa can be used over clean wounds with little or no drainage.
-Does not stick and drainage can pass through to the gauze.
, When would we use occlusive dressing? - CORRECT ANSWER --Anytime we do not want
something to go in/out of the wound because it is impermeable to external bacteria and other
contaminants
-eg. chest tube
Occlusive (Hydrocolloid) - CORRECT ANSWER --Adhesive and occlusive.
-Interacts with wound fluid to provide a moist environment
-Surface touching the wound forms a gel and maintains a moist environment.
-Can be used on clean, granulating wounds as well as for wounds that need debriding.
-They slowly liquify necrotic tissue.
-Can be left in place until seal is broken, allowing for enhanced healing.
-Use on ulcer type wounds.
-WATCH CAREFULLY AS SOME HYDROCOLLOIDS CAN LEAVE RESIDUE IN WOUND THAT LOOKS
LIKE PUS
-minimal absorption, maintains wound med moisture
-impermeable to external bacteria and other contaminants
-must be left in place for 5-7 days
-should NOT be used in heavily draining, or full thickness infected wounds
What assessment do you do pre/post dressing change? - CORRECT ANSWER --When you go in,
what do you see? Is there drainage on the top, moist, what type of drainage and how much?
-If the were medicated, and how they tolerated the procedure
Complex wound irrigation - CORRECT ANSWER --we irrigate from CLEAN to DIRTY
-use a single squeeze 100mL saline bottle this delivers saline at the proper pressure to avoid
trauma to the wound bed
