NR 446
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Latest content NR 446
Chamberlain College of Nursing: NR 446REVIEW NOTES PART 2: Nonpharmacological Pain Management 
 
1.	Transcutaneous electrical nerve stimulation (TENS), heat, cold. Therapeutic touch and massage. 
2.	Interruption of pain pathway 
 
a.	Cold for inflammation, 
 
b.	Heat to increase blood flow and to reduce stiffness. 
 
3.	Distraction: includes ambulation, deep breathing, visitors, television and music 
 
4.	Relaxation: includes meditation, yoga, and progressive muscle relaxation 
 
5.	Imagery: foc...
- Class notes
- • 31 pages's •
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NR 446•NR 446
Chamberlain College of Nursing: NR 446 Leadership Proctored Questions and Answers 
1.	NR 446A nurse is providing an in-service about client right for a group of nurses. Which of the following statements should the nurse include in the service? 
a.	A nurse can disclose information to a family member with the client’s permission 
b.	A nurse can apply restraints on a PRN basis 
c.	A nurse can administer medications without consent to a client as a part of a research study 
d.	A nurse is responsib...
- Exam (elaborations)
- • 24 pages's •
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NR 446•NR 446
Chamberlain College of Nursing: NR 446 Exam 1 Review 
 
	Nursing process 
 
o The weakness of the nursing process, like the traditional problem-solving model, is in not requiring clearly stated objectives. Goals should be clearly stated in the planning phase of the process, but this step is frequently omitted or obscured. 
 
	Role of the nurse as a client advocate 
 
Advocacy 
 
•	Advocacy involves helping others to grow and self-actualize 
•	Nurses must advocate for themselves, clients, sub...
- Class notes
- • 23 pages's •
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NR 446•NR 446
Chamberlain NR446 Collaborative Healthcare – Part 4 Review Notes (2026) 
Select Prototype Medication: furosemide (Lasix) 
Other Medications: 
◯Ethacrynic acid (Edecrin) 
◯Bumetanide (Bumex) 
◯Torsemide (Demadex) 
 
Purpose 
 
●	Expected Pharmacological Action 
◯High-ceiling loop diuretics work in the ascending limb of loop of Henle. 
■	Blocks reabsorption of sodium and chloride and to prevent reabsorption of water 
■	Causes extensive diuresis even with severe renal impairment 
 
...
- Class notes
- • 47 pages's •
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NR 446•NR 446
Chamberlain College of Nursing: NR 446 REVIEW NOTES PART 5 
 
Recognizing the need for a swallow evaluation (symptoms that indicate) 
 
•	Choking 
•	Drooling 
•	Coughing 
•	Difficulty swallowing solids, liquids and pills 
•	Painful swallowing 
•	Pocketing food 
•	Weight loss 
•	History of aspiration pneumonia, CVA, Parkinson’s 
 
Auscultation of heart sounds 
 
 
Nursing interventions and management for bacterial meningitis. 
1)	Health Promotion and Disease Prevention: 
•		H...
- Class notes
- • 43 pages's •
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NR 446•NR 446
Chamberlain College: NR 446 REVIEW NOTES PART 3Nursing Intervention for Client with Dementia 
 
Perform self-assessment regarding possible feeling of frustration, anger, or fear when performing daily care for clients with progressive dementia. 
Nursing interventions are focused on protecting the client from injury as well as promoting client dignity and quality of life. 
Provide for a safe and therapeutic environment 
 
•	Assign the client to a room close to the nurse’s station for close obs...
- Class notes
- • 33 pages's •
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NR 446•NR 446
Chamberlain College of Nursing: NR 446REVIEW NOTES PART 2: Nonpharmacological Pain Management 
 
1.	Transcutaneous electrical nerve stimulation (TENS), heat, cold. Therapeutic touch and massage. 
2.	Interruption of pain pathway 
 
a.	Cold for inflammation, 
 
b.	Heat to increase blood flow and to reduce stiffness. 
 
3.	Distraction: includes ambulation, deep breathing, visitors, television and music 
 
4.	Relaxation: includes meditation, yoga, and progressive muscle relaxation 
 
5.	Imagery: foc...
- Class notes
- • 31 pages's •
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NR 446•NR 446