SURGICAL NURSING: CONCEPTS
FOR CLINICAL JUDGMENT AND
COLLABORATIVE CARE (EVOLVE)
11TH EDITION BY DONNA D.
IGNATAVICIUS, CHERIE R.
REBAR& NICOLE M.
HEIMGARTNER EXAM WITH
ACTUAL NGN QUESTIONS AND
WELL EXPLAINED 100% CORRECT
ANSWERS WITH RATIONALES
LATEST 2025 UPDATE GRADED A+
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method of care in which an RN would be the team leader, and there would be 2 LPNs and 2 UAPs
- need good communication
- this would be where they can have a med nurse and a treatment nurse
Primary nursing
an RN is responsible for the person's total care
Patient-Focused care
1990's; RNs are care managers and UAPs had expanded roles such as EKGs, drawing blood,
assessment activities...
Charge nurse assigns patients according to certain factors:
- Acuity level - how critical patient is
- Client needs - total / partial care
- Staff preparation - if a pt needs chemo, Rn will be prepped to do so
CANT DELEGATE:
UEAT
Unstable patient
Evaluation
Assessment
Teaching
5 Rights of Delegation
1) Right task
2) Right circumstance
3) Right person
4) Right directions / communication
5) Right supervision / evaluation
Primary level of care / prevention
Health promotion, prevention of illness
ex) teaching about diet/exercise, vaccines
Secondary level of care / prevention
Health maintenance, early detection, prompt intervention to prevent of minimize loss of function
and independence
ex) mammograms, colonoscopy
Tertiary level of care / prevention
Once you have a disease , minimize deterioration and improve quality of life
ex) rehab after a stroke
Acute care setting
Hospital setting
Ambulatory Care
Medical clinics, urgent care, mental health
- operate individually or within hospital
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- responsibilities: direct patient care, patient intake screenings, treating patients w acute or chronic
illness, health education
Home health care
Homecare or public agencies
- helps coordinate care for patient and collabs with interdisciplinary team members
Role of Nursing Profession:
- Promote health
- Promote safety & quality care
- care, self-care, care coordination
- adaptation to physiological and pathophysiological process
- prevention of disease or injury
- cultural sensitivity
- health literacy
Wellness definiton
Being equivalent to health
- involves being proactive and being involved in self-care activities aimed toward a state of physical,
psychological, social, and spiritual well-being
Health definition - World Health Organization
"State of complete, physical, mental and social well-being and not merely the absence of disease and
infirmity"
SBAR
Situation
Background
Assessment
Recommendation
SBAR - SITUATION
Patient information and brief statement of what is happening now
SBAR - BACKGROUND
Medical and surgical history
SBAR - ASSESSMENT
Assessment data that is of concern
SBAR - RECOMMENDATION
Form as a question that may be a solution or request for help
OFNEARS
oxygenation / circulation
fluids / electrolytes
nutrition
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elimination
activity
rest
sleep
MASLOW
Physiological
Safety & Security
Love & Belonging
Self Esteem
Self Actualization
ADPIE
ASSESSMENT
DIAGNOSIS
PLANNING
INTERVENTION
EVALUATION
SMART GOALS
Specific
Measurable
Attainable
Realistic
Timely
Critical thinkers
- Strong knowledge base
- Ability to develop new solutions
- Truth seekers
- Flexible
- "out of the box" thinker
Intimacy vs Isolation
- ages 18-30
where young adults focus on forming close, committed relationships with others, and if
unsuccessful, may experience feelings of loneliness and isolation
Generatively vs Stagnation
- Ages 30-65
Generativity - state of productivity and contribution back to society
Stagnation - state of feeling stuck and unproductive, maladaptive
Integrity vs Despair
- Ages 65 +
Integrity - looks back on life happily
Despair - regrets
Med/Surg nurse needs broad knowledge of:
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