NFDN 2003 Midterm Review exam with
| | | | | |
correct answers |
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 |
-used |to |flush |the |area |with |a |constant |low-pressure |flow |
-cleans |wounds |of |exudate |and |debris |
-do |not |leave |irrigant |pooled |in |wound |bed, |allow |gravity |to |assist |in |drainage
| | | | | |
correct answers |
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 |
-used |to |flush |the |area |with |a |constant |low-pressure |flow |
-cleans |wounds |of |exudate |and |debris |
-do |not |leave |irrigant |pooled |in |wound |bed, |allow |gravity |to |assist |in |drainage
