NFDN 2003 MIDTERM Questions and Verified Answers, 100% Guarantee
Priority Setting - -Self actualization
-esteem
-belonging
-safety
-physiological
first order - ABC'S (airway, breathing, and circulation)
second order - Actual problems needing immediate help (elimination, pain, and nutrition)
Third Order - comfort, coping, early actual or potential problems (Prevention)
Fourth oder - Potential problems in the future
clinical pathways - Tools for tracking a patients progress toward achieving positive
outcomes within a specific timeframe
-plan from admission to discharge
-benchmarks for patient to meet
-case management for client care
-developed using research, and clinical outcomes
-used for specific medical injuries
variance record - Any deviation off the clinical pathway
Roles of the practical nurse when using clinical pathways - -monitor progress
-each event takes place including interventions
-monitor results
,-document progress
Care Mapping - Clinical guidelines to help facilitate the coordination of care and
education throughout hospitalization and discharge
-outlines stages of the patient
-more of an algorithm: gives desired outcomes
-clients will be continually assessed
-no set timeframes: more base on assessment
Legal and Ethical Principles - -Canada health act
-CLPNA competencies
-Policies of agency
-standards of practice
chronic venous insufficiency/ Post thrombotic syndrome - Results from obstruction of the
venous valves
chronic venous insufficiency/ Post thrombotic syndrome (Clinical Manifestations) - -
might notice symptoms more in the mornings
-will cause edema, altered pigmentation, pain, and status dermatitis
-difficult to treat
-statis ulcers develop as a result: causing brownish discolouration of the tissues
chronic venous insufficiency/ Post thrombotic syndrome (Complications) - -Venous
ulcerations
chronic venous insufficiency/ Post thrombotic syndrome (Management) - -elevate the legs
-compression stockings
, Leg ulcers - -an excavation of the skin that occurs when inflamed necrotic tissue sloughs
off
Leg ulcers (Pathophysiology) - -inadequate exchange of oxygen and other nutrients in the
tissue is the metabolic abnormality that underlies the documentation of leg ulcers
Leg ulcers (Clinical manifestations) - -depends on whether the problem is material or
venous in origin
arterial ulcers - -disease is characterized by intermittent claudication, which is pain caused
by activity and relived after a few minutes of rest
-typically, arterial ulcers are small, circular, deep, ulcerations on the tips of the web spaces of the
toes
Venous ulcers - -characterized by pain, described as aching or heavy
-large, superficial, and highly exudative
-venous hypertension causes exudation of blood which discolours the area
Medical management of ulcers - -managed by advanced practice nurses or wound care,
ostomy, and continence nurses in collaboration with phycisians
Pharmacological therapy for ulcers - -antibiotic therapy is prescribed when the ulcer is
infected
-the specific antibiotic agent is base din the culture and sensitivity that results
compression therapy for ulcers - adequate compression therapy involves the application of
external or counter pressure to the lower extremities to facilitate ceos return to the heart
debridement therapy for wounds - -promotes healing, the wound is kept clean of drainage
and necrotic tissue
Priority Setting - -Self actualization
-esteem
-belonging
-safety
-physiological
first order - ABC'S (airway, breathing, and circulation)
second order - Actual problems needing immediate help (elimination, pain, and nutrition)
Third Order - comfort, coping, early actual or potential problems (Prevention)
Fourth oder - Potential problems in the future
clinical pathways - Tools for tracking a patients progress toward achieving positive
outcomes within a specific timeframe
-plan from admission to discharge
-benchmarks for patient to meet
-case management for client care
-developed using research, and clinical outcomes
-used for specific medical injuries
variance record - Any deviation off the clinical pathway
Roles of the practical nurse when using clinical pathways - -monitor progress
-each event takes place including interventions
-monitor results
,-document progress
Care Mapping - Clinical guidelines to help facilitate the coordination of care and
education throughout hospitalization and discharge
-outlines stages of the patient
-more of an algorithm: gives desired outcomes
-clients will be continually assessed
-no set timeframes: more base on assessment
Legal and Ethical Principles - -Canada health act
-CLPNA competencies
-Policies of agency
-standards of practice
chronic venous insufficiency/ Post thrombotic syndrome - Results from obstruction of the
venous valves
chronic venous insufficiency/ Post thrombotic syndrome (Clinical Manifestations) - -
might notice symptoms more in the mornings
-will cause edema, altered pigmentation, pain, and status dermatitis
-difficult to treat
-statis ulcers develop as a result: causing brownish discolouration of the tissues
chronic venous insufficiency/ Post thrombotic syndrome (Complications) - -Venous
ulcerations
chronic venous insufficiency/ Post thrombotic syndrome (Management) - -elevate the legs
-compression stockings
, Leg ulcers - -an excavation of the skin that occurs when inflamed necrotic tissue sloughs
off
Leg ulcers (Pathophysiology) - -inadequate exchange of oxygen and other nutrients in the
tissue is the metabolic abnormality that underlies the documentation of leg ulcers
Leg ulcers (Clinical manifestations) - -depends on whether the problem is material or
venous in origin
arterial ulcers - -disease is characterized by intermittent claudication, which is pain caused
by activity and relived after a few minutes of rest
-typically, arterial ulcers are small, circular, deep, ulcerations on the tips of the web spaces of the
toes
Venous ulcers - -characterized by pain, described as aching or heavy
-large, superficial, and highly exudative
-venous hypertension causes exudation of blood which discolours the area
Medical management of ulcers - -managed by advanced practice nurses or wound care,
ostomy, and continence nurses in collaboration with phycisians
Pharmacological therapy for ulcers - -antibiotic therapy is prescribed when the ulcer is
infected
-the specific antibiotic agent is base din the culture and sensitivity that results
compression therapy for ulcers - adequate compression therapy involves the application of
external or counter pressure to the lower extremities to facilitate ceos return to the heart
debridement therapy for wounds - -promotes healing, the wound is kept clean of drainage
and necrotic tissue
