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solutions for active and latent errors active - slips with attention for designs of protocols, devices, and work env (checklists, force functions, or minimize work arounds, remove variations, remove distractions, re-design) -mistakes with more training, supervision latent -revise systems, protocols, how individuals interact with system Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS DOD and AHRQ support effective communications and teamwork in healt...

THIS PACKAGE CONTAINS MULTIPLE EXAMS OF NSG 320 FROM EXAM 1 TO 3. ENOUGH QUESTIONS WITH ANSWERS TO HELP YOU PREPARE FOR YOUR EXAMS.

The clinic nurse reviews information about four patients who are requesting Pap testing. Which patient needs to be scheduled first? 1. A 19-year-old patient who first had intercourse at age 13 years 2. A 25-year-old patient who has never had a pelvic examination 3. A 33-year-old patient who had a normal Pap test 2 years previously 4. A 67-year-old patient who says her previous Pap test results have been norma When assessing a patient with cervical cancer who had a total abdominal hys...

What is one advantage of using a gastrostomy tube over an NG tube? a) Improved patient comfort b) Decreases risk for esophageal reflux and mucosal irritation c) Easier insertion procedure d) Reduced risk of gastrointestinal bleeding What nursing action is important when caring for a patient admitted with an exacerbation of inflammatory bowel disease (IBD) or Crohn's disease? a) Monitor stools for blood (ulcerative colitis) b) Administer high-dose steroids c) Initiate a high-fibe...

what should be done before peritoneal dialysis take weight and warm solution benign prostatic hyperplasia (BPH) prostate enlargement, which compresses urethra and surrounding bladder, most common in men >50 s/s of BPH - weak/intermittent stream (dribbling) - Urinary retention - sensation on incomplete emptying - urgency and frequency - Straining to void - Recurrent UTI - Hematuria - Fatigue - Anorexia treatment for BPH -bladder training -FInasteride (Proscar) -TUR...

A nurse is preparing to admit an infant diagnosed with pertussis. What kind of precautions should the nurse prepare for this infant? 1. No precautions are necessary. 2. Contact precautions only. 3. Contact and droplet precautions 4. Airborne precautions Rationale: Pertussis is highly contagious and the infant should be placed on droplet/contact precautions. The nurse is preparing an educational offering to nursing students regarding preventive measures for pertussis. Which statement ...

A patient with hemophilia is experiencing hemoarthrosis. What is the recommended intervention? a) Apply warm compresses b) Cold packs for 24-48 hours c) Administer pain medication d) Immobilize the joint In assessing a patient for potential Digoxin toxicity, what question is the nurse likely to ask? a) Have you had any allergic reactions? b) Have you been experiencing any nausea/vomiting? c) What is your daily fluid intake? d) How often do you experience chest pain? Which p...

What is Erythema Infectious (fifth disease)? Infectious disease with peak incidence late winter and early spring, risk for fetal death How is Erythema Infectious (fifth disease) transmitted? What would you see in an assessment of a child with erythema infectiosum (fifth disease)? What is Hand, Foot and Mouth Disease (HFMD)? How is Hand, Foot, and Mouth Disease (HFMD) transmitted? What would you see in an assessment of a child with Hand, Foot, Mouth Disease (HFMD)?...

What things we should know about nutrition in preschoolers? -may be picky eaters, but this lessens as age develops -food fads are common -offer meals and snacks -encourage a routine/family eating -avoid power struggle What anticipatory guidance occurs with preschoolers, in regards to play? -associative play: cooperative play without rigid rules -appropriate toys: pretend play, water/sand, building materials, puppets What anticipatory guidance occurs with preschoolers, in regards...

How can you prevent SIDS? -Put baby on back when sleeping -Only use a fitted sheet, NOT blankets -Keep things off of bay head -Encourage breast-feeding -Do not use pillows -Co sleeping Explain proper co-sleeping Not in the bed with the parents, but the crib in the parents room What is diaper dermatitis? inflammatory reaction of the skin within the diaper region How does diaper dermatitis present? flat red rack in the skin creases in the diaper region Tx diaper dermat...

Which items would the nurse anticipate administering during emergent care for a patient with suspected MI? Which pt statement would alert the nurse that more pt teaching is needed regarding chronic stable angina? A. I will take Tylenol to treat the headache caused by nitroglycerin B. I will take nitro before an activity that usually causes chest pain C. I will replace my nitroglycerin supply every 6 months D. I can take up to 5 tablets every 3 minutes for relief of my chest pain ...

The nurse in the outpatient clinic is assessing a 22-year-old patient who needs a physical exam before starting a new job. The patient reports a history of a splenectomy several years previously after an accident but has otherwise been healthy. Which information obtained during the assessment will be of most immediate concern to the nurse? 1. The patient engages in unprotected sex. 2. The patient's oral temperature is 100°F (37.8°C). 3. The patient's blood pressure is 148/76 mm Hg. 4...

malignant transformation occurs through 1. Initiation 2. Promotion 3. Progression 4. Metastasis cancer (malignant) cells Abnormal Serve no useful function Harmful to normal body tissues Features of Cancer (Malignant) Cells -anaplasia -large nuclear to cytoplasmic ratio -specific functions lost -loose adherence -migration (metastasis) -no contact inhibition -rapid or continuous cell division -abnormal chromosomes primary tumor Identified by the tissue from which it ...

When might we see a U wave? What is the "powerhouse" of the heart? What is the MONA treatment for MI? What does elevated CK-MB indicate? What diet should those with HF follow? What are the symptoms of chronic HF using FACES? How may skin appear in a patient with chronic HF? How can pain be relieved in patients with PVD? What is TNM staging? What are neutropenic precautions? How much can 1 unit of platelets increase HgB by? ...

Adolescence Kohlberg stage conventional ^challenges the values and beliefs of the fam ^develops own values and beliefs system ^influenced by peer pressure and conflicts arising with caregivers ^more activities outside of the home ^prone to gang membership for peer acceptance ^starts intimate relationships ^feelings of being in love ^LGBTQ youth may encounter more challenges HEADSS home education activities drugs/diet sexuality suicide/safety Adolescent home assessment ...

Which of the following laboratory tests would be most important to check in a patient presenting with purpura? A. Urinalysis B. Serum electrolytes C. Coagulation studies D. White blood cell count Rationale: Purpura are areas of ecchymoses that may signify a bleeding disorder. Therefore it is most important for the nurse to assess the patient's coagulation studies. Which of the following medications are the most likely to have an effect on the patient's integumentary system? A. ...

What is the most common cause of death for birth-1? What is the most common cause of death for 1-4? What is the most common cause of death for 5-14? What is the most common cause of death for 15-19? How should we care for families and kids at end of life? What stage is infancy to 1 year? What stage is 1-3? What stage is 3-6? What stage is 6-12? What stage is 12-19?

Micro vascular Eye & Vision Changes Diabetic Peripheral Neuropathy (DPN) Diabetic Nephropathy (Microabuminuria) Erectile Dysfunction Cognitive Dysfunction Macro vascular •Cardiovascular Disease •Cerebrovascular Disease •Stroke •Heart attack •Sudden death Diabetic foot care -Inspect daily -Avoid going barefoot -Proper footwear -How to treat cuts -Avoid hot water -Cotton stockings -Nail trimming -Dry between toes Neurotrophic ulceration foot injury and u...

Asthma interventions remain with the client high fowlers O2 therapy Asthma diagnostics pulmonary function test peak expiratory flow allergen test Controller meds daily meds for all persistent asthma tiotropium Reliever meds bronchodilators PRN albuterol COPD causes CO2 is high, patients are not able to fully exhale COPD symptoms chronic cough with sputum cyanosis of mucous membranes barrel chest increased resting RR use of accessory muscles shallow breath...

Mouth and throat assessment - visible tonsils common finding in children - first 2 years: age child in months- 6=number of teeth Thorax and lung assessment - infants chest shape almost circular - less than 7 years of age abdominal movement is seen during respirations - infants respiratory movement is often irregular - often harder to determine upper versus lower respiratory sounds - assess for: retractions, increased resp rate, increased resp effort. if noted, act quickly Heart/pulse...