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NUR195 Term 4 Test 2 Hondros- Questions & Answers
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NUR195 Term 4 Test 2 Hondros- Questions & Answers
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NUR195 Term 4 Test 2 Hondros- Questions & Answers Pt. dx with terminal cancer sharing a room with another patient. Both are from different diverse backgrounds and express pain levels in different ways. Why is that? Right Ans - People respond to the sensation of the pain in culturally diverse waysWhich patient would get the most benefit in care coordination? Right Ans - 87 year old who just had a CV resulting in dysphasia and right sided weakness
(stroke)
You are assisting the RN with care coordination on pt. with hip replacement. Which person would be included in the care coordination? Right Ans - Physical therapist, social services professional, patient spouse
Patient transferred from acute facility to long term facility. Considering the elements of care coordination. What should be included in the receiving facility report? Right Ans - Patient's fear of sleeping without oxygen, including a plan for follow up 24 hours after the transfer, ADL's, recent breakdown of skin over an extremity.
Which groups of these tiers of people requires care coordination? Right Ans - Children with special healthcare needs, people at the end of life.
At a hospital and making arrangements to transport critical patient to larger hospital. Providing traditional care to the patient. What would you do? Right Ans - Give report to the EMS that will be accompanying the patient by ambulance
84 year old who broke their hip. Alert and oriented answering all the questions app. What questions are important to implement? Right Ans - Contact social services, Suggest the patient wear an emergency notification device, Discuss safety issues with the patient and help the patient plan for those issues. Examples of cost effective care Right Ans - looking to reduce the cost and pass the value of savings to the patient. Reducing cost reduces waste. Checking orders and IV labels before pulling them and opening them
Adverse event Right Ans - Unintended harm. Something harmful happened,
but not extreme. (ex: giving wrong med to patient with no serious outcome) Accidentally administer 4 mg hydro when only 1 mg prescribed
Near miss event Right Ans - someone came in for surgery and reveals she did not stop taking warfarin. Surgery was rescheduled. No harm happened, no
mistakes happened. Patient with last name of Smith and in reviewing MAR, and realized there are 2 Mrs. Smith's. Realizing that this order was a mistake before it happened.
Sentinel event Right Ans - unexpected harm happened, and patient experienced extreme harm and or died. Administering meds and you gave several anti-hypertensive drugs to wrong patient. Patient goes into shock. You
attempt to restore blood flow and are unsuccessful. The client therefore passes away.
Adverse event Right Ans - gave diazepam to wrong patient. Patient was drowsy and difficult to arouse, but later returned to the normal state.
Caring for patient 12 hours post on R knee. Patient reports being fine and doesn't need anything. You observe the patient wincing when moving in bed. Nurse asks patient to rate pain using numerical scale and encourages taking pain meds as prescribed. Right Ans - You recognize that the verbal and nonverbal do not match
A recent grad nurse is reading note on chart by PT. Pt is lazy does not want to participate in their assignments this AM. Which statement demonstrates use of clinical judgement to explain the situation? Right Ans - Data in the chart are documented in a bias manner.
When conducting an admission assessment, you focus on the genitourinary (skin) system. Then you complete a H2T assessment. Which critical skill are you using at this moment? Right Ans - Assessing systematically then comprehensively.
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