NUR 120 Final Exam 2
Math - answer Make sure you know various formulas and dosage calculations
discussed
Prioritization of Care*** - answer Priority 1- ABCs + V & L
-airway problems
-breathing problems
-cardiac or circulation problems
-vital signs concerns
-lab values that are life threatening
Priority 2-
-changes in mental status
untreated medical problems
-pain
-urinary elimination problems
Priority 3-
-health problems that don't fit into first to categories:
-activities, rest, family coping, lack of knowledge
5 rights of Delegation - answertask
circumstances
person
direction
communication/supervision
evaluation
Nursing Interventions that cannot be delegated - answerInitial Assessment
Patient Teaching
Evaluating Care
Activities UAP perform typically include: - answer-Obtaining routine
-VS on stable PT
-feeding/helping pt at mealtimes
-ambulating stable pt
-helping pt with bathing/hygiene
Therapeutic communication/best response to client concerns and questions -
answerOpen ended question
not "yes/no"
non judgmental
culturally appropriate
,Normal Common Lab Values - answerK- 3.5-5.0 mEq/L
Na- 136-145 mEq/L
Ca- 9-10.5 mg/dL
Phos- 3-4.5 mg/dL
S/S of Fluid Volume Excess - answerconfusion
Increased BP
tachycardia
Anorexia
Headache
S/S of Fluid Volume Deficit - answerdry mucous membranes
thirst
weight loss
restlessness
tachycardia
postural hypotension
increased RR
When to notify the provider - answercheck other answers to see if there is a nursing
assessment, if not notify the physician
Medications Antidotes - answerVitamin K- warfarin
digifab- digoxin
protamine sulfate- heparin
Narcan (naloxone)- opiates
benzos- flumazenil
S/S to monitor when administering - answerVS
LOC
PICOT - answerPatient
Intervention
Comparison
Outcomes
TIme
Evidence-based care and its impact on nursing profession - answer-Problem solving
approach
-PICOT
-Search for the best evidence based on the clinical question
-critically appraise and synthesize the evidence
-implement the evidence in practice
-evaluate the practice of decision or change
-share the outcomes of the decision of change
, Patient Centered Care - answerTable 1.2 pg. 5/14
-recognize the pt and caregiver as full partners in providing compassionate and
coordinated care based on respect for pt preferences, values, and needs
-provide care with sensitivity and respect, taking into consideration the pt perspectives,
beliefs, and cultural background
-assess level of comfort and treat appropriately
-engage the pt in an active partnership that promotes health, well-being, and self-care
management
-facilitate pt informed consent for care
Maslow's Hierarchy of Needs** - answerPhysiological
safety
love/belonging
esteem
self-actualization
Culturally Competent Care - answerAbility to understand, appreciate, and work with
people from cultures other than your own
The 4 components of cultural competence are - answercultural awareness
cultural knowledge
cultural skill
cultural encounter
Focused Assessment - answer-abbreviated assessment that focuses on 1+ body
systems that are the focus of care
-includes an assessment related to a specific problem
-monitors s/s of new problems
Comprehensive Assessment - answer-Detailed assessment of all body systems (head-
to-toe)
-onset of care in primary or ambulatory care setting
-on admission to hospital, rehab, or long-term care setting
-on initial home care visit
Emergency Assessment - answer-limited to assessing life-threatening conditions
-conducted to ensure survival. Focuses on elements in primary survey
-after life-saving interventions are started, perform brief systematic assessment to
identify other injuries or problems
SCIP - answer**
Never Events - answerreport immediately
assess patient first
Math - answer Make sure you know various formulas and dosage calculations
discussed
Prioritization of Care*** - answer Priority 1- ABCs + V & L
-airway problems
-breathing problems
-cardiac or circulation problems
-vital signs concerns
-lab values that are life threatening
Priority 2-
-changes in mental status
untreated medical problems
-pain
-urinary elimination problems
Priority 3-
-health problems that don't fit into first to categories:
-activities, rest, family coping, lack of knowledge
5 rights of Delegation - answertask
circumstances
person
direction
communication/supervision
evaluation
Nursing Interventions that cannot be delegated - answerInitial Assessment
Patient Teaching
Evaluating Care
Activities UAP perform typically include: - answer-Obtaining routine
-VS on stable PT
-feeding/helping pt at mealtimes
-ambulating stable pt
-helping pt with bathing/hygiene
Therapeutic communication/best response to client concerns and questions -
answerOpen ended question
not "yes/no"
non judgmental
culturally appropriate
,Normal Common Lab Values - answerK- 3.5-5.0 mEq/L
Na- 136-145 mEq/L
Ca- 9-10.5 mg/dL
Phos- 3-4.5 mg/dL
S/S of Fluid Volume Excess - answerconfusion
Increased BP
tachycardia
Anorexia
Headache
S/S of Fluid Volume Deficit - answerdry mucous membranes
thirst
weight loss
restlessness
tachycardia
postural hypotension
increased RR
When to notify the provider - answercheck other answers to see if there is a nursing
assessment, if not notify the physician
Medications Antidotes - answerVitamin K- warfarin
digifab- digoxin
protamine sulfate- heparin
Narcan (naloxone)- opiates
benzos- flumazenil
S/S to monitor when administering - answerVS
LOC
PICOT - answerPatient
Intervention
Comparison
Outcomes
TIme
Evidence-based care and its impact on nursing profession - answer-Problem solving
approach
-PICOT
-Search for the best evidence based on the clinical question
-critically appraise and synthesize the evidence
-implement the evidence in practice
-evaluate the practice of decision or change
-share the outcomes of the decision of change
, Patient Centered Care - answerTable 1.2 pg. 5/14
-recognize the pt and caregiver as full partners in providing compassionate and
coordinated care based on respect for pt preferences, values, and needs
-provide care with sensitivity and respect, taking into consideration the pt perspectives,
beliefs, and cultural background
-assess level of comfort and treat appropriately
-engage the pt in an active partnership that promotes health, well-being, and self-care
management
-facilitate pt informed consent for care
Maslow's Hierarchy of Needs** - answerPhysiological
safety
love/belonging
esteem
self-actualization
Culturally Competent Care - answerAbility to understand, appreciate, and work with
people from cultures other than your own
The 4 components of cultural competence are - answercultural awareness
cultural knowledge
cultural skill
cultural encounter
Focused Assessment - answer-abbreviated assessment that focuses on 1+ body
systems that are the focus of care
-includes an assessment related to a specific problem
-monitors s/s of new problems
Comprehensive Assessment - answer-Detailed assessment of all body systems (head-
to-toe)
-onset of care in primary or ambulatory care setting
-on admission to hospital, rehab, or long-term care setting
-on initial home care visit
Emergency Assessment - answer-limited to assessing life-threatening conditions
-conducted to ensure survival. Focuses on elements in primary survey
-after life-saving interventions are started, perform brief systematic assessment to
identify other injuries or problems
SCIP - answer**
Never Events - answerreport immediately
assess patient first
