Fpcc Final Exam Study Guide With Complete Solutions

FPCC FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS Maslow's Hierarchy of Needs - Answer-(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization What are to the nursing process? - Answer-( AAPIE) 1. Assessment 2. Analysis 3. Planning 4.Implementation 5. Evaluation What is Assessing in Nursing Process ? - Answer-Gather Data What is Analyzing in Nursing Process ? - Answer-Identify Problem, Formulate Nursing Diagnosis What is Planning in Nursing Process ? - Answer-Write care plan to meet goal What is implementation in Nursing Process ? - Answer-Carry out plan EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 2/68 What is Evaluating in Nursing Process ? - Answer-Collect Objective Data to determine the extent to which goals were achieved . Revise plan if goals aren't met ? What are primary sources in nursing ? - Answer-•Subjective and objective information obtained directly from the client in what the client says or what you observe •Client: usually the BEST source What are the secondary sources in nursing ? - Answer-•Obtained "secondhand" •Family members •Medical records •Laboratory reports •Diagnostic reports What can you delegate to a UAP? - Answer--taking vital signs (unless initial assessment) -I&O -patient transfers and ambulation -postmortem care -bathing -feeding -gastrostomy feedings EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 3/68 -attending to safety -weighing -performing simple dressing changes -suctioning of chronic tracheostomies -CPR What can not be delegated? - Answer-- Assessment - Teaching - Medication Administration - Evaluation - Unstable patients How to Don and Doff PPE? - Answer-donning: hand hygiene, gown, mask, eye protection, gloves doffing: remove gloves, gown, wash hands, eye wear, mask, wash hands What are the special considerations for C.diff infection ? - Answer-Must wash Hands with SOAP AND WATER , all material must be disinfected with alcohol ? Contact indications & barrier protection - Answer-infections EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 4/68 private room or cohort patient gloves & gown What PPE is required for *contact* precautions? - Answer-- gloves + gowns; - private room; [can cohort w/same infection, just as long as each client has their own equipment] Droplet Isolation Precautions - Answer-- spread in tiny droplets caused by coughing and sneezing Ex: - pneumonia, influenza, whopping cough, bacterial meningitis What PPE is required for *droplet* precautions? - Answer-- mask - private room; [can cohort w/same infection, just as long as each client has their own equipment]; - mask on patient for transport What PPE is required for *airborne* precautions? - Answer-- mask [N95 if TB]; - if splashing or spraying is a possible, wear full face protection including eyes, nose, and mouth; - negative pressure room; - private room; EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 5/68 - mask on patient for transport What is airbourne transmission ? - Answer-- Airborne exposure may occur if small particles (i.e., aerosols containing droplet nuclei) with viable microorganisms are generated, propelled over short or long distances, and inhaled Protective isolation indications & environment - Answer-immunosuppressed patient: chemotherapy, transplant, burns private room positive airflow no plants or fresh fruits full PPE What are the nutritional needs to promote adequate wound healing ? - Answer-- protein, fluid, vitamin A, vitamin C, and zinc What causes pressure ulcers to develop? - Answer-- caused by unrelieved pressure that leads to tissue ischemia What is a stage 1 pressure ulcer? - Answer-Skin intact, red, non-blanching, warm, painful What is a stage 2 pressure ulcer? - Answer-Skin is not intact, loss of the dermis occurs, pink/red, open wound, shallow EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024. Page 6/68 What is a stage 3 pressure ulcer? - Answer-Full thickness skin loss, extends into the dermis and subcutaneous tissue. Slough and tunneling may be present What is a stage 4 pressure ulcer? - Answer-Full thickness skin loss, exposed bone, tendon, or muscle, slough or eschar, and tunneling What is the Braden Scale? - Answer-an evidence-based tool that looks at various factors that put patients at risk for developing a pressure ulcer. Includes: sensory perception moisture activity mobility nutrition friction shear How do you Prevent Pressure Injuries ? - Answer-◦PREVENTION is the priority intervention! - Pressure injury monitoring - Manage moisture