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FUNdamentals of Nursing - Exam 1
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FUNdamentals of Nursing - Exam 1
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FUNdamentals of Nursing - Exam 1Acronym used for successful communication in the workplace to promote teamwork and
safety. - ANS-S - situation
B - background
A - assessment
R - Recommendation
Another term for a seizure? - ANS-Irritable focus -or- Foci
Assessment for Hygiene - ANS-Self-care ability
* encourage self-care
skin
feet & nails
Oral cavity
hair & hair care
Eyes, ears & nose
Best way to palpate is? - ANS-Lightly - for superficial
Deeply - with two hands for deeper findings
Body temp is affected by heat loss, what causes this? - ANS-Radiation
Conduction
Evaporation
Convection
Body Temp normal range - ANS-96.4-100.1
Can the RN provide subjective information about patient? - ANS-NO! Only the patient
can give subjective info.
,OBJECTIVE info is what the RN sees, hears, or smells
CHANNELS in communication process - ANS-These are the means of conveying the
message through visual, auditory, and tactile senses.
Facial expression = visual message
Spoken word = auditory
Touch = tactile
Characteristics of communication within Caring/Working Relationships: -
ANS-Professionalism - appearance, demeanor, behavior
Courtesy - hello, good-bye, knock on doors, please, thank you...
Use of Names - Always introduce yourself
Confidentiality - HIPPA
Trust - always honest!
Acceptance & Respect - Non-judgmental attitudes
Availability - "Anything else I can get you?
Socializing - don't socialize with pt. and don't socialize with colleagues where pt's can
hear
Code Blue - ANS-Check for responsiveness
Assess for breathing 5-10 sec
Activate code blue
check pulse for 5-10 sec
If not pulse, begin CPR
Common NANDA International diagnostic Identification for patient situation: -
ANS-Activity intolerance
, Ineffective health maintenance
Risk for infection
Impaired physical mobility
Bathing self-care deficit
Dressing self-care deficit
Condition of what areas greatly impacts patient's ability for self-care? - ANS-Feet - bear
weight or ambulate
Hands - dexterity
Nails - infection
Consent zone of touch is - ANS-Mouth, wrists, feet
Permission needed
Define acronym SOLER - ANS-S - Sit facing the patient
O - Open posture
L - Lean toward the patient
E - Establish & maintain eye contact
R - Relax
Define Assessment - ANS-Collects comprehensive data pertinent to the patient's health
and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Define Eupnea - ANS-Normal breathing
Define Intrapersonal - ANS-a.k.a. SELF-TALK
Define Intrerpersonal - ANS-Occurs between two people or groups
- usually one on one conversation
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