NUR 2115 FINAL EXAM STUDY GUIDE WITH ANSWERS

All Modules Review various nursing diagnoses related to specific patient problems discussed in Fundamentals Roughly 60% of the final exam will be cumulative over Module 1-7 Module 1-3 Concepts: Importance of documentation of assessments & interventions Types of nonverbal behavior which could promote improved communication The importance of QSEN competencies in nursing education What is a sentinel event? What is the main purpose for incident reporting? Examples of health promotion activities for primary, secondary and tertiary ISBARR, DARE, SOAPIEnotes for team communication Review teaching for a patient with modifiable health risk factors Age related safety concerns across the lifespan 6 Dimensions of wellness definitions Know the importance of basing our care plan on nursing theory HP 2020 Goals Developmental theories: focus on Erickson’s EBP- what information to trust for best practices- ANA, CDC, US Dept of Health, National Institute of Health (NIH). No .com sites for professional nursing. No blogs should be used as a reference-. OK to use most .org .edu or .gov sites. I.C.O. statements ANA Scope of Practice ANA Standards of Professional Performance- definitions (mod 1) Musculoskeletal: Review education on crutch, cane, walkerambulation Review safety precautions when repositioning patient in bed Review nursing interventions which would be included in caring for a patient with contractures Review the difference between active and passive range of motion Vital Signs: Review the assessment of all vital signs including BP, HR, respirations, temperature and pulse ox. Think about how you would handle VS outside of range for each VS and Spo2 What trends in VS are worrisome and how should the RN respond? Review normal values for VS: BP, HR, respirations, temperature and pulse ox across the lifespan When may it be inappropriate to delegate VS? Module 4-7: Review definitions of the nursing process including: Assessment nursing diagnoses Planning Outcomes interventions evaluation When you obtain your assessment data, what is the next step in the process ? After establishing goals, what is the next step? After implementing a new teaching plan, what is the next step (using the nursing process?) In order to create a nursing diagnosis, what details do you reference?: A. the medical diagnosis or B. the Nursing assessment? When prioritizing the nursing diagnoses, what goes first, your actual diagnoses or the “risk for” diagnoses. Respiratory/Cardiac: Review various lab data and normal values: BUN, electrolytes, CBC, blood glucose Review the common adventitious lungs sounds (wheezes, pleural friction rub, rhonchi, crackles and stridor) and what specific conditions you would auscultate them (COPD, pneumonia, asthma, CHF) Review respiratory terminology: dyspnea, cyanosis, tachypnea, bradypnea, apnea in beginning of Chap 38 Review the ACUTE and Chronic effects of hypoxia on the respiratory system and the rest of the body. Review the anatomical locations for auscultation of cardiac and respiratory systems (aortic, pulmonic, tricuspid and mitral) Review how to determine types of pitting edema: 1+, 2+, 3+ and 4+ Review interventions to decrease risks for pulmonary embolism Review grading of pulses: bounding, normal, diminished, absent Infection/ Inflammation/ Thermoregulation: Review the difference between inflammation and infection Review the effects of excessive or ineffective inflammatory response which could occur in a patient Review the purpose/benefits of the inflammatory process including fever benefits Review infection terms: opportunistic, virulence, phagocytosis, hospital-acquired, nosocomial, immunocompromised Review the chain of infection: infectious agent, reservoir, portal of exit, portal of entry, susceptible host, mode of transmission Review stages of infection: incubation period, prodromal stage, full stage of illness, convalescent period nur 2115 final exam Review types of nosocomial and hospital acquired infections (HAI’s) Review rationale of proper hand hygiene Review terminology: bacteremia Review signs and symptoms of infection Review the difference between endogenous nosocomial and exogenous nosocomial infection (Mod 7) Integumentary and Tissue Integrity: Review the stages of pressure ulcers including I, II, II and VI ulcers as well as unstageable and suspected deep tissue injury Review integumentary changes in various developmental ages Review the importance of nutrition and wound healing Review the following precautions: protective, droplet, airborne, contact, standard, isolation, airborne Review the difference between a wound evisceration, dehiscence, fistula, hemorrhage. Review the use and advantages of negative pressure wound therapy (wound vac) Review process of healing: primary, secondary, tertiary Review the use and rationale of the Braden scale Review the difference between acute and chronic wounds Review the effect of shearing force and friction on skin integrity 40% OF EXAM WILL BE ON THE FOLLOWING SECTIONS: Glucose Regulation: Review patient education a nurse would include in self administration of insulin Review the normal lab values for fasting blood glucose and A1C Review risk factors and complications of diabetes Review treatment modalities for diabetes Review treatment for hypoglycemia Review education and teaching on foot care of a diabetic patient Gastrointestinal: Review the complete assessment of the GI system including inspection, auscultation, palpation and percussion Review conditions of diarrhea and constipation and precipitating factors of each Review the components in a focused GI assessment Review risks and treatments for constipation& diarrhea Review effects of immobility on the GI system Review the risk factors which increase irritable bowel syndrome (IBS) Review diagnostic colon cancer screening Review teaching regarding a patient undergoing a colonoscopy Review education and teaching regarding ostomy care Review side effects of diarrhea& constipation Discuss the interrelationship between GI system disorders and antibiotics Genitourinary: Review the components of performing a GU assess Review s/s of UTI, risks for developing UTI and treatments Review the effects of immobility on the GU system Review causes of urinary incontinence Review the GU terminology: micturition, oliguria, dysuria, retention, urgency Review nursing care for urinary incontinence Review the process of obtaining a 24-hour urine collection Review the collection of a midstream urine specimen Pain/Stress & Adaptation: Review the types of pain: chronic, acute, intractable, neuropathic, radiating, phantom, referred psychogenic Review which pain management tasks can be delegated to nursing assistant Review alternative techniques of pain management: hypnosis, distraction, guided imagery, massage, reiki, music, aromatherapy Review risks of inadequate pain management nur 2115 final exam Review care planning and prioritization of pain control Describe the body’s stress response What are the physiological effects of prolonged stress on the body?