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NFDN 2003 Exams Pack | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+
NFDN 2003 Exams Pack | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+
[Meer zien]NFDN 2003 Exams Pack | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+
[Meer zien]wound classification 
: cause - intentional/ unintentional 
skin integrity - open/closed/acute/chronic 
depth 
cleanliness 
duration 
type 
colour 
red wound 
: healing 
can be inflammatory/ proliferative / maturation 
needs to be kept clean and moist 
yellow wound 
: slough or exudate 
2 |...
Voorbeeld 2 van de 8 pagina's
In winkelwagenwound classification 
: cause - intentional/ unintentional 
skin integrity - open/closed/acute/chronic 
depth 
cleanliness 
duration 
type 
colour 
red wound 
: healing 
can be inflammatory/ proliferative / maturation 
needs to be kept clean and moist 
yellow wound 
: slough or exudate 
2 |...
SBAR 
: situation, background, assessment, recommendation 
clinical pathways 
: used in management of care 
care mapping 
: care mapped out day by day from admission day to discharge 
1. 
: do it yourself 
2. 
: influence others 
2 | P a g e 
3. 
: assign someone 
4. 
: do n
Voorbeeld 2 van de 7 pagina's
In winkelwagenSBAR 
: situation, background, assessment, recommendation 
clinical pathways 
: used in management of care 
care mapping 
: care mapped out day by day from admission day to discharge 
1. 
: do it yourself 
2. 
: influence others 
2 | P a g e 
3. 
: assign someone 
4. 
: do n
diabetes mellitus (DM) 
: insulin is not secreted adequately or tissues are resistant to its effects 
type 1 diabetes mellitus 
: diabetes in which no beta-cell production of insulin occurs and the patient is 
dependent on insulin for survival 
type 2 diabetes 
: progressive disorder in which body ...
Voorbeeld 2 van de 6 pagina's
In winkelwagendiabetes mellitus (DM) 
: insulin is not secreted adequately or tissues are resistant to its effects 
type 1 diabetes mellitus 
: diabetes in which no beta-cell production of insulin occurs and the patient is 
dependent on insulin for survival 
type 2 diabetes 
: progressive disorder in which body ...
Fluid & Electrolyte Needs 
: - Homeostasis 
- Affected by digestion, absorption, metabolism of nutrients and excretion of waste 
Functions of Body Fluids 
: - Need 1.5 L - 2.5L per day 
- 60-70% body weight is fluid [70% intracellular, 30% extracellular] 
- Transport nutrients and wastes to and from...
Voorbeeld 4 van de 53 pagina's
In winkelwagenFluid & Electrolyte Needs 
: - Homeostasis 
- Affected by digestion, absorption, metabolism of nutrients and excretion of waste 
Functions of Body Fluids 
: - Need 1.5 L - 2.5L per day 
- 60-70% body weight is fluid [70% intracellular, 30% extracellular] 
- Transport nutrients and wastes to and from...
Pre-op checklist 
: H&P (Hx & Physical), charts (old & new) 
Informed Consent 
Marked surgical site 
Name / Allergy Band 
Labs, X-rays, EKG, special testing 
Jewelry, dentures, glasses, hearing aids, prosthesis REMOVED 
No makeup/nail polish 
NPO status as required 
Pt teaching and understanding for...
Voorbeeld 2 van de 7 pagina's
In winkelwagenPre-op checklist 
: H&P (Hx & Physical), charts (old & new) 
Informed Consent 
Marked surgical site 
Name / Allergy Band 
Labs, X-rays, EKG, special testing 
Jewelry, dentures, glasses, hearing aids, prosthesis REMOVED 
No makeup/nail polish 
NPO status as required 
Pt teaching and understanding for...
Hypovolemia 
: Dehydration 
Hypervolemia 
: Fluid excess 
Hyponatremia 
: low sodium levels in the blood (<135 mEq/L) 
Hypernatremia 
: excess sodium levels in the blood (>135 mEq/L) 
Normal pH of blood gases 
: 7.35-7.45 
2 | P a g e 
Metabolic Acidosis 
: decrease in bicarbonate concentratio...
Voorbeeld 2 van de 9 pagina's
In winkelwagenHypovolemia 
: Dehydration 
Hypervolemia 
: Fluid excess 
Hyponatremia 
: low sodium levels in the blood (<135 mEq/L) 
Hypernatremia 
: excess sodium levels in the blood (>135 mEq/L) 
Normal pH of blood gases 
: 7.35-7.45 
2 | P a g e 
Metabolic Acidosis 
: decrease in bicarbonate concentratio...
compartment syndrome 
: involves the compression of nerves and blood vessels due to swelling within 
the enclosed space created by the fascia that separates groups of muscles 
6Ps 
: Pulslessness 
Pallor 
Pain 
Parasthesia 
Paralysis 
Palpated tense tissue 
fibreglass cast 
: more durable, dries qu...
Voorbeeld 2 van de 5 pagina's
In winkelwagencompartment syndrome 
: involves the compression of nerves and blood vessels due to swelling within 
the enclosed space created by the fascia that separates groups of muscles 
6Ps 
: Pulslessness 
Pallor 
Pain 
Parasthesia 
Paralysis 
Palpated tense tissue 
fibreglass cast 
: more durable, dries qu...
3 classifications of hormones 
: Steroid, peptide, protein 
What is assessed during a physical examination to assess general mobility 
: Body alignment (posture), gait, joints, skeletal muscles, neurovascular function 
Tibial nerve: assess sensation and movement 
: Sensation: prick the medial and la...
Voorbeeld 3 van de 25 pagina's
In winkelwagen3 classifications of hormones 
: Steroid, peptide, protein 
What is assessed during a physical examination to assess general mobility 
: Body alignment (posture), gait, joints, skeletal muscles, neurovascular function 
Tibial nerve: assess sensation and movement 
: Sensation: prick the medial and la...
Neurovital signs 
: GCS, hand grips, feet, pupils 
Mini-Mental State Examination (MMSE) 
: Brief 30-point questionnaire test that is used to screen for cognitive impairment; 
commonly used to screen for dementia. 
Non-depressed skull fractures 
: usually managed medically 
depressed skull fracture ...
Voorbeeld 2 van de 5 pagina's
In winkelwagenNeurovital signs 
: GCS, hand grips, feet, pupils 
Mini-Mental State Examination (MMSE) 
: Brief 30-point questionnaire test that is used to screen for cognitive impairment; 
commonly used to screen for dementia. 
Non-depressed skull fractures 
: usually managed medically 
depressed skull fracture ...
What is nursing 
: Building upon cognitive and leadership skills 
What is ideally wanted when a nursing team is trying to problem solve 
: Combine-knowledge 
What are pitfalls of problem solving 
: Micro-managing 
One person making the cal 
What are the decision areas 
: Clinical 
Ethical 
Group Dec...
Voorbeeld 3 van de 23 pagina's
In winkelwagenWhat is nursing 
: Building upon cognitive and leadership skills 
What is ideally wanted when a nursing team is trying to problem solve 
: Combine-knowledge 
What are pitfalls of problem solving 
: Micro-managing 
One person making the cal 
What are the decision areas 
: Clinical 
Ethical 
Group Dec...
SBAR 
: S: Situation: Concise statement of the problem 
B: Background: Pertinent & brief information related to the situation 
A: Assessment: Analysis & consideration of options (what you found/think) 
R: Recommendation: uAction requested/recommended (what you want) 
situation of SBAR 
: •Identify...
Voorbeeld 3 van de 25 pagina's
In winkelwagenSBAR 
: S: Situation: Concise statement of the problem 
B: Background: Pertinent & brief information related to the situation 
A: Assessment: Analysis & consideration of options (what you found/think) 
R: Recommendation: uAction requested/recommended (what you want) 
situation of SBAR 
: •Identify...
potential risks of fluid imbalance 
: electrolyte, acid base imbalance 
deficient fluid or excess fluid volume 
dehydration 
: hypovolemia (fluid volume deficit) 
highest risk is elderly 
assess from sin turgor, mucous membranes 
signs of hypovolemia 
: oliguria (low urine), concentrated urine, w...
Voorbeeld 2 van de 11 pagina's
In winkelwagenpotential risks of fluid imbalance 
: electrolyte, acid base imbalance 
deficient fluid or excess fluid volume 
dehydration 
: hypovolemia (fluid volume deficit) 
highest risk is elderly 
assess from sin turgor, mucous membranes 
signs of hypovolemia 
: oliguria (low urine), concentrated urine, w...
Hypovolemia is also called 
: dehydration 
Hypovolemia symptoms 
: - weak 
- rapid pulse 
- dizziness 
- thirst 
- weight loss 
- decreased BP 
Hypervolemia symptoms 
: - weight gain 
- SOB 
- wheezing/crackles 
- tachycardia 
2 | P a g e 
- increased urinary output 
- increase B
Voorbeeld 3 van de 28 pagina's
In winkelwagenHypovolemia is also called 
: dehydration 
Hypovolemia symptoms 
: - weak 
- rapid pulse 
- dizziness 
- thirst 
- weight loss 
- decreased BP 
Hypervolemia symptoms 
: - weight gain 
- SOB 
- wheezing/crackles 
- tachycardia 
2 | P a g e 
- increased urinary output 
- increase B
female sexual health assessment 
: menarche, menstrual history, pregnancies, current meaningful sexual 
relationships 
PLISSIT model 
: Permission 
Limited Information 
Specific Suggestions 
Intensive Therapy 
Pap smear 
: Test for early detection of cervical cancer; scraping of cells removed from ...
Voorbeeld 2 van de 13 pagina's
In winkelwagenfemale sexual health assessment 
: menarche, menstrual history, pregnancies, current meaningful sexual 
relationships 
PLISSIT model 
: Permission 
Limited Information 
Specific Suggestions 
Intensive Therapy 
Pap smear 
: Test for early detection of cervical cancer; scraping of cells removed from ...
What does SBAR stand for? 
: Situation 
Background 
Assessment 
Recommendation 
Concept Map 
: -another method of recording a nursing care plan 
-the nursing process is recorded in a visual diagram of patient problems and 
interventions that illustrates the relationships among clinical data 
Clini...
Voorbeeld 4 van de 34 pagina's
In winkelwagenWhat does SBAR stand for? 
: Situation 
Background 
Assessment 
Recommendation 
Concept Map 
: -another method of recording a nursing care plan 
-the nursing process is recorded in a visual diagram of patient problems and 
interventions that illustrates the relationships among clinical data 
Clini...
Components of SBAR 
: A framework and a clinical pathway 
Situation 
Background 
Assessment 
Recommendation 
clinical pathways (care mapping) 
: -tools used in case management of client care 
-mapped out day by day for admission to discharge 
Purpose of clinical pathways 
: -critical to meet expec...
Voorbeeld 3 van de 27 pagina's
In winkelwagenComponents of SBAR 
: A framework and a clinical pathway 
Situation 
Background 
Assessment 
Recommendation 
clinical pathways (care mapping) 
: -tools used in case management of client care 
-mapped out day by day for admission to discharge 
Purpose of clinical pathways 
: -critical to meet expec...
Nursing Process 
: -Assess: Encounter problem 
-Diagnoses: Collect Data 
-Identify Outcome: Analyze Data 
-Plan: Determine plan of action 
-Implement: Execute action plan 
-Evaluate: effectiveness of problem resolution 
Problem Solving 
: Assessment and analysis of a problem 
Decision Making 
: Choo...
Voorbeeld 4 van de 114 pagina's
In winkelwagenNursing Process 
: -Assess: Encounter problem 
-Diagnoses: Collect Data 
-Identify Outcome: Analyze Data 
-Plan: Determine plan of action 
-Implement: Execute action plan 
-Evaluate: effectiveness of problem resolution 
Problem Solving 
: Assessment and analysis of a problem 
Decision Making 
: Choo...
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