Exam (elaborations)
NR 223 Exam 2.
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Exam of 5 pages for the course VNSG 1231 PHARM Ch 34 BSHP at VNSG 1231 PHARM Ch 34 BSHP (NR 223 Exam 2.)
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NR 223 Exam 21 g - ANS-100 mL of 1% solution
ac - ANS-before meals
Advantages of the electronic records - ANS-efficiency, ease of collection for research,
interfacility coordination, continual update capacity.
Assessed - ANS-IPPA
Inspection, Percussion, Palpitation, Auscultation data
Assessment Activities - ANS-Nursing interview, health history, and physical assessment.
bid - ANS-two times a day
Change of Shift Report - ANS-Use worksheet, background info, be specific, evidence for
inferences, describe invasive treatments, abnormal findings
Charting by Exception - ANS-Narrative is only provided when there are changes in data or a
deviation from the norm
Chief Complaint - ANS-Patient problem which can sometime differs from the admitting med Dx
Complete charting: SADE - ANS-Saw
Assessed
Did
Evaluation
Confidentiality - ANS-legal obligations, no sharing info, provide patient with EHR, written
permission for medical release, eliminate identifiers
CPR - ANS-is both a medical and nursing Dx.
Critical Pathways and care Maps are the same thing - ANS-They eliminate nurses' notes, flow
sheets, & nsg care plans.
Defining Characteristics - ANS-Subjective and objective data that justify the nursing diagnosis.
Subjective data is what the patient states vs and objective data can be observed and measured.
Did - ANS-Interventions with Outcomes
, drop factor - ANS-(quantity * size * rate)/(length of time in minutes)
Evaluation - ANS-Goal achievement, effectiveness of interventions with outcomes that support
evaluation
Evaluation - ANS-Takes place when the patient's status changes
Evaluation can result in revision or discontinuance - ANS-of portions of the care plan.
Flow Sheet or Flow Chart - ANS-Is made of checked boxes and narrative comments
Focus charting - ANS-Data, Action, Response
Goal vs. Outcome Criteria - ANS-A goal states what is accomplished if outcomes are met,
whereas the outcome criteria measure goal achievement.
hs - ANS-at bedtime
implement nursing interventions - ANS-should include action, frequency, quantity, method, and
the individual responsible
implement organization of - ANS-resources & care delivery
implement proactivity by - ANS-anticipate & prevent complications
implement reassessment of - ANS-the patient
implement review of - ANS-the nursing care plan
Implementation - ANS-a. reassess
b. review/revise
c. organize
d. anticipate & prevent complications
e. implement
Iv flow rates are measured in - ANS-mL/hr
Macrodrip - ANS-10 to 15 gtt/mL; Used to deliver rates greater than 100 mL/hr
Medical diagnosis - ANS-related to organ systems, curing, and eliminating the disease.
mEQ - ANS-also in g/mL
Microdrip - ANS-60 gtt/mL. Used for rates of less than 100 mL/hr
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