Galen NUR 242 Exam 1 Med-Surg Tested (Latest ) Questions with Revised Answers 2.pdf

NURS242SExamS1SmedSsurgSstudySguide




Exam 1 med surg study guide
S S S S S


UnitS1
SpecialtySpracticeSofSmedical-surgicalSnursing
Promote,Srestore,SorSmaintainSoptimalShealthSforSpatientsS18SyearsSandSolderS
NursesSmustShaveSknowledge,Sskills,SandSattitudesStoSbe
CareScoordinatorsSTr
ansitionSmanagersSC
aregivers
PtSeducatorsS
Leaders
AdvocatesSforStheSptSandSfamily
TheSjointScommission:SeffectiveScareScoordinationSandStransitionSmanagementSUnder
standableSdischargeSinstructionsSforStheSpatientSandSfamilySExplanationSofSsel
f-careSactivities
OngoingSorSemergencyScareSinformation
ListSofScommunitySandSoutpatientSresourcesSandSreferralsSKnowledg
eSofStheSptsSlanguage,Sculture,SandShealthSliteracySMedicationSreconcil
iation
Safety
TheSabilityStoSkeepStheSpatientSandSstaffSfreeSfromSharmSandSminimizeSerrorsSinScareSNursingS
safetySprioritySboxes
CriticalSrescueS
ActionSalertSD
rugSalert
TheSjoinScommission:SaScultureSofSsafetyS
Blame-freeSapproach
PatientsSandSfamiliesSareSsafetySpartnersSw/hcpSandSorganizationsSSeri
ousSeventsSmustSbeSreported
TeamworkSandSinterprofessionalScollaboration
CollaborateSwithSinterprofessionalShealthScareSteamSInterprofession
alSeducationScollaborativeScompetencies
Values/ethicsSforSinterprofessionalSpracticeS
Role-responsibilities
InterprofessionalScommunicationS
TeamsSandSteamwork
Communication:SSBAR
FormalSmethodSofShand-
offScommunicationSbetweenStwoSorSmoreShealthScareSteamSmembers
4Ssteps
s-situationS(name,Sage,Sdx)
b-
backgroundS(history,ShomeSmeds,Sallergies)SA-
assessmentS(ivs,Sv/s,Slabs)SRecommendation/
requestS(plan,SptSupdates)
teamSTEPPS

, NURS242SExamS1SmedSsurgSstudySguide



Delegation
ProcessSofStransferringSaSselectedSnursingStaskSorSactivityStoSaScompetentSUAPS(unlicensed
SassistiveSpersonnel)

TheSnurseSisSalwaysSaccountableSforStheStask/activitySdelegated!SNugg
et**
MakeSsureStheySunderstand,SandSitSisSwithinStheirSscopeSofSpractice!!SBeSspecificSPrior
itizationSandSdelegation
Physiological,Spsychological,Sacute,Schronic,Sunstable,Sstable,Sunpredictable,SpredictableSFiv
eSrightsSofSdelegation
RightStask
RightScircumstancesS
RightSperson
RightScommunicationS
RightSsupervision
Supervision
GuidanceSorSdirection,Sevaluation,SandSfollowupSbyStheSnurseStoSensureSaStask/activitySisSp
erformedSappropriately
Evidence-basedSpracticeS(EBP)
IntegrationSofStheSbestScurrentSevidenceSandSpracticesStoSmakeSdecisionsSaboutSpatient
careSE
ConsidersSpatientSpreferencesSandSvalues
ConsidersSoneSownSclinicalSexpertiseSforSdeliverySofSoptimalShealthScare
thics
AddressesSissuesSandSquestionsSaboutSmoralitySAttributes
AutonomySBene
ficenceSNonmal
eficenceSFidelity
VeracitySSoci
alSjustice
CommonShealthSproblemsSofSolderSadultsS
Concepts
TheSprioritySconceptsSareSmobilitySnutritionSandScognitionSSub
groupsSofSlateSadulthood
YoungSold-
S65StoS74SyearsSMiddleSoldS

75-84SyearsSOldSoldS–
S85StoS99SyearsSEliteSold-

S100Splus

CommonShealthSissuesSandSconcernsSP
erformanceSofSadlsSParticipatio
nSinSsocialSactivitiesSLosses
HealthSpromotion

, NURS242SExamS1SmedSsurgSstudySguide



SpecialSconsiderationsSforSolderSadultSclientsSDec
reaseStoleranceStoSmeds
DecreaseSivSrateStoSavoidSfluidSoverloadSI
ncreaseSriskSof:
RespiratorySdepressionS
PneumoniaSDisorientat
ion
SkinSbreakdownS
ProblemsSw/
CirculationS
NutritionSCo
nstipation
FluidSandSelectrolyteSbalanceS
IncreaseSbalanceSandSdecraseSfalls
SuddenSincreaseSinSconfusionS
UrineSinfectionSHypox
ia
ElectrolyteSimbalanceS
ClinicalSmanagement
TreatScoexistingSmedicalSdisordersS
CardiacSproblems
Pvd
NeurologicalSdisorders
Nugget**
Copd
Resp.Sissues
CommonShealthSissuesSandSconcernsSImpa
iredSnutritionSandShydrationSImpai
redSmobilitySstrokes,SriskSfallsSStress
,Sloss,SandScoping
Accidents
DrugSuseSandSmisuseS
ImpairedScognitionSS
ubstanceSuse
ElderSneglectSandSabuseS
Nugget**
Depression
HealthSneed:SseeingSMDSasSneededSI
mpairedSnutritionSandShydration
IncreasedSneedSforScalcium,SvitSa/c/d,Sfiber
DiminishedStasteSandSsmell,StoothSloss,SpoorSdenturesScanSimpactSnutritionSstatusSCon
stipationSconcers
LonelinessS
SkinSbreakdown

, NURS242SExamS1SmedSsurgSstudySguide



NutritionSsupportSAvoi
dSfriction,Sshearing
RepositionSandSprovideSsupportSsurfacesS
IncreaseSmobilitySandSactivity
CleanSskin,SuseSmoistureSbarriersS
RehabilitationSinterprofessionalSteam
Nurses,SnursingSassistantsSPhysicia
nsSandSphysicianSassistantsSAdvanc
edSpracticeSnurses
PhysicalStherapistsSandSassistantsS
OTSandSassistants
Speech-
languageSpathologistsSandSassistantsSNeuropsychol
ogists
SocialSworkersS
Psychologists
SpiritualScareScounselorsS
RegisteredSdietitiansSPh
armacists
CardiovascularSandSrespiratorySassessmentS
AssessSforSdecreaseSinScardiacSoutput
ChestSpain
WeaknessSandSfatigue
PlanScareStoSmaximizeSlimitedSenergySresourcesS
FrequentSrestSperiods
MajorStasksSinSmorning
DetermineSlevelSofSactivitySthatScanSbeSdoneSwithoutSinvokingSsymptoms
Nugget**
FluidSinSlungsSandSDVTs
SOB
Crackles,SrhonchiS
ImprovingSphysicalSmobility
SafeSpatientShandlingSpractices
PositionSchangesS(bedStoSchair,Scommode,SorSwheelchair)SProv
ideSassistanceSw/Stransfers
GaitStraining
UseSofSassistiveSdevices/ambulatorySaidsS(canesSandSwalkers)SImpleme
ntingSROMSroutines/exercises
CoordinateScareSw/PTSandSOT
AssessSptsSmobilitySlevelsSusingSstandardizedStoolSN
ugget**SlookSatSchartS6-1
CanesSandSwalkers**
CaneSoppositeSaffectedSlegS(COAL)
Walker,Swith,SaffectedSlegS(wanderingSWilma’sSalwaysSlate)SSk
inSandStissueSintegritySassessment