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RNSG 2539 Final Exam Distribution Rubric: Key Body Systems, Study notes of Health sciences

San Antonio CollegeHealth sciences

A comprehensive overview of key concepts and topics related to interpersonal relationships, clotting disorders, fluid and electrolyte imbalances, gas exchange, immunity, nutrition, metabolism, perfusion, cognition, and burns. It includes detailed information on various aspects of these topics, such as intimate partner violence, rape trauma, elder abuse, bullying, disseminated intravascular coagulation (dic), heparin-induced thrombocytopenia (hit), hellp syndrome, shock, acute kidney injury, sepsis, organ transplant, pancreatitis, liver failure, myocardial infarction, traumatic brain injury, schizophrenia, and burn management. Organized in a clear and concise manner, making it easy for students to understand and retain the information.

Typology: Study notes

2024/2025

Uploaded on 12/07/2024

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RNSG 2539 Career Mobility FINAL EXAM DISTRIBUTION RUBRIC
Interpersonal Relationships
Interpersonal Relationships/ Intimate Partner Violence/SAFE
questions
Spot the answer, Assess the risk, Find a safe way, Everyday
Pathophysiology: Physical, emotionally, sexually or economically
abusive behavior by one partner to against the other to maintain
power and control
Violence does not discriminate happens to everyone
Perpetrator (Risk factors)
- Controlling behavior
- Blames the survivor
- Has unrealistic expectations
- Violence outside home
- Substance use
- Violence hx
- Access to firearms
- Poor impulse control
Survivor (greatest risk for violence)
- Attempts to leave the relationship
- Seeks outside help
- Becomes more independent
- Lack of support
Concerning signs
- Physical manifestations (bruising)
- Behavioral symptoms
- Frequent ER Visits (Inconsistent explanation for injuries)
- Inconsistent explications to injuries
- STI
Nursing interventions
- Establish trust, build therapeutic alliance
- Open ended questions
- Direct client focused questions
- Normalized safety screening
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Download RNSG 2539 Final Exam Distribution Rubric: Key Body Systems and more Study notes Health sciences in PDF only on Docsity!

RNSG 2539 Career Mobility FINAL EXAM DISTRIBUTION RUBRIC

 Interpersonal Relationships

 Interpersonal Relationships/ Intimate Partner Violence/SAFE questions  Spot the answer, Assess the risk, Find a safe way, Everyday  Pathophysiology: Physical, emotionally, sexually or economically abusive behavior by one partner to against the other to maintain power and control  Violence does not discriminate happens to everyone  Perpetrator (Risk factors)

**- Controlling behavior

  • Blames the survivor
  • Has unrealistic expectations
  • Violence outside home
  • Substance use
  • Violence hx
  • Access to firearms
  • Poor impulse control**  Survivor (greatest risk for violence)
  • Attempts to leave the relationship
  • Seeks outside help
  • Becomes more independent
  • Lack of support  Concerning signs
  • Physical manifestations (bruising)
  • Behavioral symptoms
  • Frequent ER Visits (Inconsistent explanation for injuries)
  • Inconsistent explications to injuries
  • STI  Nursing interventions
  • Establish trust, build therapeutic alliance
  • Open ended questions
  • Direct client focused questions
  • Normalized safety screening
  • Developed a safety plan
  • Provide resources
  • Identify support systems
  • Documents findings on body map
  • Assess for thoughts of self-harm
  • Assess client readiness to end relationship
  • Interviewing the client without the perpetrator  Interpersonal Relationships/ Intimate Partner Violence/Cycle of Abuse
  1. Tension building phase –Abuser becomes irritable, withdraws affection, minor abuses may occur, abused clients tries to placate abuser takes blame.
  2. Acute battering phase- abuser exhibits violent behavior, abused client may seek help or hide abuse
  3. Honeymoon phase – Abuser feels remorse, exhibits affectionate behavior. Abused client accepts apologies feels hopeful (may lead to more violence) survivor remain hopeful  Interpersonal Relationships/ Rape/Trauma/Interventions  Sexual assault is.
  • Unwanted sexual interactions
  • Grabbing and fondling
  • Harassment
  • Incest
  • Human trafficking
  • Female genital mutilation
  • Sexual homicide (before or after murder)  Rape is a type of sexual assaults, divided into two categories.
  1. Attempted rape
  • Threat or intention
  1. Complete rape  Types of rape
  2. Marital rape (Coercion by spouse)
  3. Statutory rape (Intercourse with an individual under the age of consent.
  4. Date or acquaintance rape (Patient knows the perpetrator)

 Interpersonal Relationships/Elder Abuse/Treatment and Intervention

  • Screen for suicide and depression
  • Ask the healthcare provider for a social service referral
  • Report to appropriate authorities
  • Photograph and document specific findings

 Interpersonal Relationships/Elder Abuse/Indicators of Elderly Abuse

  • Physical; Atypical abrasions, lacerations, contusion, fractures
  • Sexual; anogenital injuries, new STI
  • Neglect; Dehydration, malnutrition, poor personal hygiene, pressure injurie, deteriorating comorbid conditions  Interpersonal Relationships/ Bullying/Intervention  Assess for suicide   Interpersonal Relationships/Bullying/Types of Bullying  Cyber bulling

 Clotting

 Clotting Disseminated Intravascular Coagulopathy (DIC) Diagnostics

  • Decreased platelets, fibrinogen level
  • increased PT/INR, Activated PTT, Elevated D-dimere
  • Sepsis and peclampsia are the most common reason of DIC  Clotting/Heparin Induced Thrombocytopenia/Clinical Manifestations  Internal manifestations
  • Petechiae
  • External bleeding
  • Ecchymosis, bruising  Clotting/Hemolysis Elevated Liver Enzymes Low Platelet Count Syndrome (HELLP)/Diagnostic Value  Cause of HELLP on female  Cause of syndrome is the baby  Way to cure HELLP would be delivering the baby  Right epigastric pain is a huge indication that there’s a development of HELLP  Clotting Hemolysis Elevated Liver Enzymes Low Platelet Count Syndrome (HELLP)/Clinical Manifestations

 Fluid and Electrolyte

 Fluid and Electrolyte/Shock/Fluid replacement  What is hypovolemic shock – loss of blood loss  Fluid replacement, next vasopressors  Fluid & Electrolyte Heart Failure Clinical Manifestations  Tachycardia  Low blood pressure  Shortness of breath  Crackles at the base of the lungs  Fluid & Electrolyte/ Acute Kidney Injury Nursing Management  Elevated BUN and Creatine levels  Three type of AKI

  • Prerenal
  • Intra renal – Abx vanco ototoxicity, nephrotoxicity
  • Post renal  Strep throat can lead to AKI 4 weeks after may develop Glomerulonephritisritis  Peak and throph

 Indicatives of organ rejection is the lab values   NutritionNutrition Pancreatitis Diagnostic Tests  Lipase  Amylase  WBC  Risk factors  Stones  Interventions

  • Keep patient NPO
  • Pain (Opioid Analgesics)
  • NG tube to low suction
  • ABX  Nutrition Pancreatitis Risk factors/causes  Metabolism  Metabolism Liver Failure Pathophysiology  Damate to hepatoells turning into scar tissue  Manage portal hypertension – beata blockers endostatin  The higher the ammonia the higher the alterness in LOC  Metabolism Liver Failure Treatment  Metabolism Liver Failure Clinical Manifestations  MAJOR COMPONE  Perfusion  Perfusion Shock Clinical Manifestations

 Perfusion Myocardial Infarction (MI) Clinical Manifestations  Perfusion Hypovolemic Shock Risk Factors  Cognition  Cognition/ Traumatic Brain Injury Factors predisposing to altered oxygenation  Cognition/ Traumatic Brain Injury (TBI) Nursing Management  Cognition Schizophrenia Clinical Manifestations  Burns  Burns Types of Burn depth  Burns Acute/Intermediate Phase  Burns Fluid and Electrolyte Alterations  Burns Topical Antimicrobial Agents  Burns Medical Management  Burns Cardiovascular Alterations  Burns Mechanical Debridement  Burns Burn depth  Burns Pain Management  Burns Emergency procedure at burn scene