Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NURSING ADULT WITH COMPLEX NEEDS EXAM LATEST UPDATE 2025-2026|Qs WITH CORRECT As|100% PASS, Exams of Nursing

NURSING ADULT WITH COMPLEX NEEDS EXAM LATEST UPDATE 2025-2026|Qs WITH CORRECT As|100% PASS

Typology: Exams

2024/2025

Available from 06/14/2025

carol-gakii
carol-gakii 🇺🇸

485 documents

1 / 39

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NURSING ADULTS WITH COMPLEX NEEDS EXAM
LATEST UPDATE 2025-2026|QUESTIONS WITH
CORRECT ANSWERS|100% PASS
White blood cells normal count
4.5 to 11.0 × 109/L
Normal area for ileostomy stoma to be formed
Right illiac region
Stoma stool consistency would expect
type 7 loose and watery
DM range
4-7mmol
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27

Partial preview of the text

Download NURSING ADULT WITH COMPLEX NEEDS EXAM LATEST UPDATE 2025-2026|Qs WITH CORRECT As|100% PASS and more Exams Nursing in PDF only on Docsity!

NURSING ADULTS WITH COMPLEX NEEDS EXAM

LATEST UPDATE 2025-2026|QUESTIONS WITH

CORRECT ANSWERS|100% PASS

White blood cells normal count 4.5 to 11.0 × 109/L Normal area for ileostomy stoma to be formed Right illiac region Stoma stool consistency would expect type 7 loose and watery DM range 4-7mmol

Blood gas- PH 7.35- 7. Blood gas- PaC 4.7-6.0 kPa Blood gas- p 10.5 to 14.0 kPa Blood gas- base excess -2.5 to +2.5 mmol/L Blood gas-Calculated bicarbonate 22 to 30 mmol/L Risks with oxygen Dry oral mucosa

tachycardia and decreasing depth of breathing Hypernatermina high sodium (na) hyponatermina low sodium (na) hypokalaemia low potassium (k) hyperkalaemia high potassium (k) Clinical judgement model (tanner, 2006) Based on - Benner (1982) From Novice to Expert. American Journal of Nursing 82(3): p402-

Guidelines for surgery NBM No eating or drinking 6 hours prior to surgery & no water 2 hours before surgery Morphine typical side effects

  • Sedation
  • pruritis (iching of skin)
  • Consitpation definition of trauma A disease characterised by injury to the body caused by intentional or unintentional exposure to mechanical, thermal, electrical or chemical energy' blunt traumas Assault e.g. baseball bat Crush injury

of limb or organ, for fixation of many fractures and for relief of pain or other distressing symptoms. Normally within hours of decision to operate. EXPEDITED (NCEPOD) Patient requiring early treatment where the condition is not an immediate threat to life, limb or organ survival. Normally within days of decision to operate. ELECTIVE (NCEPOD) Intervention planned or booked in advance of routine admission to hospital. Timing to suit patient, hospital and staff. Emergency anaesthesia Two main problems -Hypovolaemia> bleeding -risk of aspiration

types of anaesthetic GA- General anaesthetic - Sedation - TIVA( Total Intravenous Anaesthesia) - TCI (Target Controlled Infusion) LA- Local anaesthetic Regional anaesthetic sepsis 6

  • oxygen keep above 94% -check lactate -antibiotics -measure urine output -blood cultures -give fluids reference for best practice and evidence based care Baker (2016) Evidence Based Practice for Nurses and Healthcare professionals

reference for clinical judgement Tanner (2006) Think Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing. Journal of Nurse Education. (Tanner, 2006) reference for sepsis in trust Sepsis Trust (2017) [available online] sepsis.org Temperature range 36.1-38. temperature scoring 1 35.1-36. 38.1-39. temperature scoring 2

temperature scoring 3 <35. oxygen saturations normal above 96% oxygen saturations scoring 1 94-95% oxygen saturations scoring 2 92-93% oxygen saturations scoring 3 <91%

Heart rate scoring 1 41- 91- heart rate scoring 2 111- heart rating scoring 3 <

Question example: Dannys alterted body image write a nursing diagnosis has an ileostomy

danny is experiencing a disturbed body image related to his emergency tempoary ileostomy as evidenced by inability to look at his ileostomy site writing a person centred goal/ objectives for first care priorty (5 marks) using assessment skills indentify whats wrong i.e. pain: pain score willl improve to a tolerable level of 4/10 over next 2 hrs principles from writing a person centred SMART GOAL Specific- WHO is involved, WHAT do I want to accomplish Measureable- Can you track progresss/ measure the outcome Attainable- Ensure that the goal is possible (no out of reach) Relevant- Is the goal worth while to meet your needs

-critical evaluate the provided research and known national guidelines to promote evidence-based practice -systhesis this information and your own knowledge to create response to the patients problem sodium (na) values 135- potassium (k) 3.5-5. calcium (ca) 9- Magnesium 1.8-

chloride (Cl) 96- phosphorus 3.0-4. magnesium (mg) 1.3-2.1 mEq/l AKI Reversible, Raised creatinine >26umol/l normal creatinine 0.7-1.2umol/l Care plan frame work clinical judgement model tanner 2006

33 mark essay points (responding) part 3

  • start with taking action and responding part of clinical judgment model (tanner 2006) -NMC code with empowering people to make decisions around care (NMC, 2015)-> positive affects on patients
  • importance of person centred care ->sometimes a conflict between what is considered best practice and delivering person centred care (Baker, 2016)-> along side best evidence to give best care to implement -addressing the issues ie infected wound-> discussing a better wound healing management ie new dressings -make recommendation using either ie antimicrobal honey or silver dressings -purpose of these -> remove the high bacterial counts that are prolonging the inflammatory period of wound healing (Schulz et al,
  • exploring other factors to reduced healing poor nutritional intake, needs to be addressed (Falanga, 2004). -The use of evidence based practice to supporting something ie a dressing
  • then compare the evidence proivded across studys -analysis these studys ie number of participants, type of study, cost
  • critical of each study, coming up with a suggestion for choose ie dressing type, healing time or price and size of sample trialled on -discussion of affectiveness of each product -discussing the importance of the type of study in terms of hierarchy of evidence with randomised control studies being top of hierarchy (Moule and Goodman, 2014). -look as cost of each product (BNF, 2017) and provide care in line of NHS constitution (NHS, 2015) -Dicussions of studies with cleaning the wound using a critical approach -assessing each paper with their conclusions using a comparative approach -discussing hierahcy of evidence with Randomised and Quasi- Randomised Control Trails -> discussing if these papers have these -talking about bias of the studys -Come to conclusion which is the best choice, ie from cost (BNF, 2018), affectiveness -reassessment is key as apart of clinical judement model (tanner, 2006)