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NUR 160-Hondros Exam 1| HONDROS NUR 160 EXAM 1| Spring hondros college Nursing 160|, Exams of Nursing

NUR 160-Hondros Exam 1, HONDROS NUR 160 EXAM 1, Spring hondros college Nursing 160, HONDROS NUR 160 EXAM 1, Hondros Nur

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NUR 160-Hondros Exam 1, HONDROS NUR
160 EXAM 1, Spring hondros college
Nursing 160, HONDROS NUR 160 EXAM 1,
Hondros Nur160 exam 1, Nursing 160-Exam
1, Hondros- Nursing 160 exam 1
just culture - (ANS ) workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - (ANS ) What is your name?
false reassurance - (ANS ) Everything will be fine
Why Assess? - (ANS ) To identify changes in pt condition, to help foresee areas of concern
RN - (ANS ) who does the initial assessment?
Within 24 hours - (ANS ) When should an initial assessment be done?
discharge planning - (ANS ) What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
Steps of an assessment - (ANS ) 1. Introduce self
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NUR 160-Hondros Exam 1, HONDROS NUR

160 EXAM 1, Spring hondros college

Nursing 160, HONDROS NUR 160 EXAM 1,

Hondros Nur160 exam 1, Nursing 160-Exam

1, Hondros- Nursing 160 exam 1

just culture - (ANS ) workers are protected from disciplinary action when they report injuries, errors, or near misses close-ended question - (ANS ) What is your name? false reassurance - (ANS ) Everything will be fine Why Assess? - (ANS ) To identify changes in pt condition, to help foresee areas of concern RN - (ANS ) who does the initial assessment? Within 24 hours - (ANS ) When should an initial assessment be done? discharge planning - (ANS ) What should we pay attention to when a pt is post op knee replacement and they live on 2nd floor Steps of an assessment - (ANS ) 1. Introduce self

  1. Explain procedure
  2. wash hands
  3. Identify pt
  4. Provide privacy
  5. Inspect, auscultate, palpate Correct, then continue - (ANS ) If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale through mouth) Order of assessmet - (ANS ) Subjective then Objective (helps to identify ares of focus) Inspect airway, auscultate lungs - (ANS ) If pt c/o sore throat or recent cold Serous Drainage - (ANS ) Clear(Good or indifferent) Sanginous Drainage - (ANS ) Blood-red(a little is ok, alot is bad) Serosanginous Drainage - (ANS ) Pink-mix of blood and serous(This is ok) Purulent Drainage - (ANS ) Puss (assess for infection and notify MD) Absent Bowel Sounds - (ANS ) Auscultate 5 mins per quadrant (Silence means NOTHING) ( minute total) assess for an obstruction and notify MD

Symptoms of Hyperglycemia - (ANS ) extreme thirst, frequent urination, dry skin, hunger, blurred vision, drowsiness, nausea Symptoms of Hypoglycemia - (ANS ) shaking, tachycardia, sweating, anxious, dizzy, hunger, impaired vision, weakness, fatigue, headaches, irritable insulin - (ANS ) NPH-longer lasting (cloudy) Regular- faster acting (clear) Order of Insulin Draw - (ANS ) cloudy(air), clear(air),clear(insulin), cloudy(insulin) 70-110 - (ANS ) Normal BS Vision Intervention - (ANS ) Annual Eye Exam Vision Assessment - (ANS ) PERRLA, peripheral testing, snellen chart, Hx (changes in vision?, dark spots?, flashes?, issues in certain lighting?) Vision pt education - (ANS ) Certain drops can burn eyes, burning is better than being blind (miotics) Hearing interventions - (ANS ) 1. Face to face

  1. Speak clearly, slowly and directly
  1. Eliminate background noise Hearing Treatment - (ANS ) audiology Cataract Assessment - (ANS ) 1. dimness
  2. misty vision
  3. blurriness (milky haze) Glaucoma - (ANS ) High IOP Timolol - (ANS ) Glaucoma Tx ARMD risks - (ANS ) 1. depression
  4. ignoring Sx
  5. injuries, falls, accidents, mobility ARMD sight - (ANS ) Loss of central vision- can see on side(may place things to one side or other) Glaucoma Sight - (ANS ) Loss of peripheral vision-side vision Deafness Intervention - (ANS ) hearing aid care

Age prevention - (ANS ) sunscreen, antiaging products, lotions, hydration Nutrition Hx - (ANS ) What do you eat? Vitamins? OTC? Restrictions? BMI- high? Low? Constipation or Diarrhea? Nutrition prevention - (ANS ) Meal planning, diet, exercise, see dietician, if pt has cancer increase protein, low fat, increase calories Physical activity Hx - (ANS ) How much? Weight bearing? Intensity? ROM problems? Pain? Aerobic or Anaerobic? Physical Activity prevention - (ANS ) increased activity with plan, buddy system, classes, pain management for exercise if needed (1 hr before) Carcinogen Exposure Hx - (ANS ) radiation (time, distance, shielding), asbestos, led, pollution, sun or tanning, coal miner, Agent Orange?

Carcinogen prevention - (ANS ) PPE, avoidance, move if needed, remove lead, no tanning, stay out of sun Genetics Hx - (ANS ) family Hx, current Dx-past medical Hx, genetics testing (BRACAA1 or 2), blood tests, saliva Genetics prevention - (ANS ) proper screenings. good chronic Disease care prophylactic Tx, if indicated(mastectomy, Oophorectomy) Racial/Social Hx - (ANS ) poverty, food ingestion, BMI, alcohol, smoking, Sexual Hx, location of family home, work location, type of work, Sickle cell (AA), clotting factors (Caucasian) Racial/Social Prevention - (ANS ) education, screenings, dietary changes, routine medical care, changing jobs, abstaining Primary Prevention - (ANS ) PPE Secondary Prevention - (ANS ) Self Breast Exam Tertiary Prevention - (ANS ) Pulmonary Rehab

2 - (ANS ) two cells, one site 3 - (ANS ) invading>two sites adjacent 4 - (ANS ) two or more separate sites Types of errors - (ANS ) Diagnostic Treatment Preventative Communication Diagnostic error - (ANS ) delay in diagnosis Treatment error - (ANS ) gave 10,000mg of medicine instead of 1000 Preventative error - (ANS ) did not use bed alarm and pt fell communication error - (ANS ) failure to communicate Active error - (ANS ) error made during care provided Latent error - (ANS ) flaws in system (they did not update policy,etc.)

Morphine - (ANS ) For severe pain, schedule II, binds to opiate pain receptors, BBB Percocet - (ANS ) moderate to high pain, acetaminophen with oxycodone, BBB Norco - (ANS ) moderate pain, acetaminophen with hydrocodone Acetaminophen - (ANS ) mild to moderate pain, BB, resets hypothalamus, Acetaminophen warning - (ANS ) Do not exceed 4000mg per day. Acute liver failure, consider other sources of acetaminophen Forms of communication - (ANS ) 1. open-ended

  1. close-ended
  2. restating
  3. clarifying
  4. review/summary 6.stating
  5. paraphrasing Factors affecting Communication - (ANS ) 1. false assumption
  6. false reassurance
  7. giving advice
  8. defensiveness

Ceftriaxone - (ANS ) Broad-spectrum antibiotic Populations at risk for surgical complications - (ANS ) the very young and the very old, nutritional needs, chronic disease, people under stress (fear or anxiety), certain cultures, people on multiple medications and herbal remedies Immunodeficiency - (ANS ) healing slow and prone to infections Chronic disease - (ANS ) body is under stress, infection can easily occur medications - (ANS ) some cause immunodeficiency; some interact with anesthesia, some cause bleeding malnutrition - (ANS ) does not promote healing, protein is good for healing Pre-op testing - (ANS ) glucose level, EKG, blood counts, liver and kidney function, serum electrolytes, blood chem profile. Does the pt have any chronic conditions? Pt education in surgical cases - (ANS ) Infection control, signs of an infection, what to do if infection is suspected, when to call provider Concerns for education - (ANS ) level of cognition, How does the person learn?,

Informed Consent teaching - (ANS ) 1. Pt is competent and agrees to have procedure stated on form

  1. Risks should be explained by provider
  2. Make sure pt can see and hear what they are consenting to GI prep for surgery - (ANS ) 1. When pt should start NPO status Bowel prep, if ordered
  3. May have oral care
  4. Which meds will be taken, which will be held Skin Prep for surgery - (ANS ) 1. When and how to cleanse skin and with what
  5. If shaving is ordered, when, how, where
  6. What not to use on cleansed skin Latex allergy and surgery - (ANS ) 1. Screening for latex allergy risk
  7. Identified to all staff involved
  8. Allergy bracelet placement
  9. What kind of reaction? Respiratory Prep for surgery - (ANS ) 1. How to use incentive spirometer
  10. What sputum should and should not look like
  11. Why incentive spirometer is important, what symptoms do they need to report

Pre-operative checklist - (ANS ) Ensures all required care has been performed and that the patient is properly prepared for surgery Respiratory Prep for surgery - (ANS ) NARCOTICS - (ANS ) BIND TO OPIOID RECEPTORS IN THE CENTRAL NERVOUS SYSTEM BLACK BOX WARNING - (ANS ) FDA ISSUED WARNING AS SEVERE LIFE THREATENING EFFET SHCEDUALING OF DRUGS - (ANS ) DEFINED AS THE STRENGTH OF DRUGS I => HIGHEST II =>MOST COMMON NON SHCEDUALED => OVER THE COUNTER MAX DOSE OF ACETAMINOPHEN - (ANS ) 4G OR 4000MG

  • DAMAGE TO LIVER ALL CONTAIN ACETAMINOPHEN - (ANS ) ACETAMINOPHEN PERCOCET

NARCO

VICODIN

MORPHINE - (ANS ) -OPIOID NARCOTIC

-SHCEDUAL II

-DOES NOT CONTAIN ACETAMINOPHEN

-SIDE EFFECTS

*DECREASES MENTAL ALERTNESS

*EUPHORIA

*DYSPOHRIA

**** RESPIRATORY DEPRESSION*****

*NAUSEA

*VOMITING

*BRONCHOCONSTRICTION

*DECREASED URINATION

*BRADYCARDIA

WHAT TO DO IF PATIENT THINKS MEDS ARE WRONG - (ANS ) CHECK AGIAN

WHAT TO DO IF PATIENT VOMITS 5 MIN AFTER MEDS - (ANS ) CALL DOC

WHY NPO - (ANS ) TO REDUCE APSERATION

MALIGNANT TUMORS - (ANS ) -RATE OF GROWTH VARIES

-METASTASIZES

-RARELY CONTAINED IN A CAPSULE

-IRREGULAR MORE IMMOBILE WHEN PALPATED

-LITTLE RESEMBLANCE TO PARENT TISSUE

-INVADES NORMAL TISSUE

-MAY RECUR AFTER REMOVAL

-FATAL WITHOUT TREATMENT

OBJECTIVE - (ANS ) Information written or read that is based on facts rather than feelings or opinions. SUBJECTIVE - (ANS ) Based on personal opinions, feelings, and attitudes; not objective ANTICOAGULANTS - (ANS ) substances that prevent blood clotting CANCER STAGING - (ANS ) 1-4 =>LEVEL OR DEGREE OF PROBLEM X =>CANT ASSES O =>NONE IS => INSITU T =>TUMOR N => NODE

M => METASTASIS (SPREADING

INSITU - (ANS ) GROUP OF ABNORMAL CELLS THAT COULD TURN INTO CANCER

** PRECANCER

NEUTROPENIC PRECAUTIONS - (ANS ) Isolation procedures to protect an immunocompromised patient from infections. AVOID FRESH FRUIT VEGIES AND FLOWERRS FACTORS THAT EFFECT WOUND HEALING - (ANS ) -NUTRITION -SMOKING

  • DIABETIC PRE OP - (ANS ) -CHECK LIST -NO JEWELRY -LIVING WILL
  • ALLERGIES WHAT THEY ARE AND WHAT THEIR REACTION IS -IF THEY HAVE AN ALERGEY TO LATEX NO STRAIGHT RAZOR FOR HAIR REMOVAL -RESPIRATION INFECTION BEFORE SURGERY=>CALL DOC -INFORMED CONCENT