NUR 195 FINAL EXAM WITH COMPLETE SOLUTIONS
leadership styles - ANSWER autocratic- makes all decisions
democratic- includes everyone
laissez faire- lazy
situational- depends on issue
5 rights of delegation to a uap - ANSWER right task
right circumstance
right person
right supervision
right communication
braden scale - ANSWER skin integrity/ wound care/pressure ulcers
lower the number, higher the risk
less than 17 = risk for pressure ulcers
spices tool - ANSWER S- sleep disturbances
P- problems w eating or feeding
I- incontinence problems
C- confusion
E- evidence of falls
S- skin breakdown
morris fall scale - ANSWER high risk >50
delegate to a uap - ANSWER vital signs
blood sugar
adl's
activities
, stable patient care
otc treatments
post-op teaching - ANSWER incentive spirometer
deep breathing/coughing
ted hose
ambulation
o2
pain management
restraints - ANSWER need a doctor's order
rom q2hr
2 finger width between wrist and restraint
release every 2 hrs
leap frog group - ANSWER patient safety for sentinel events
near miss events - ANSWER harm did not get to the patient
partially compensated - ANSWER pH/pco2/hco3 all compensated
uncompensated - ANSWER pH abnormal
pco2 or hco3 abnormal
fully compensated - ANSWER pH normal
pco2/hco3 abnormal
nursing process - ANSWER Assessment
Diagnosis
leadership styles - ANSWER autocratic- makes all decisions
democratic- includes everyone
laissez faire- lazy
situational- depends on issue
5 rights of delegation to a uap - ANSWER right task
right circumstance
right person
right supervision
right communication
braden scale - ANSWER skin integrity/ wound care/pressure ulcers
lower the number, higher the risk
less than 17 = risk for pressure ulcers
spices tool - ANSWER S- sleep disturbances
P- problems w eating or feeding
I- incontinence problems
C- confusion
E- evidence of falls
S- skin breakdown
morris fall scale - ANSWER high risk >50
delegate to a uap - ANSWER vital signs
blood sugar
adl's
activities
, stable patient care
otc treatments
post-op teaching - ANSWER incentive spirometer
deep breathing/coughing
ted hose
ambulation
o2
pain management
restraints - ANSWER need a doctor's order
rom q2hr
2 finger width between wrist and restraint
release every 2 hrs
leap frog group - ANSWER patient safety for sentinel events
near miss events - ANSWER harm did not get to the patient
partially compensated - ANSWER pH/pco2/hco3 all compensated
uncompensated - ANSWER pH abnormal
pco2 or hco3 abnormal
fully compensated - ANSWER pH normal
pco2/hco3 abnormal
nursing process - ANSWER Assessment
Diagnosis
