N450 Assessment 2-Questions with Correct Answers/Verified/ Latest Update 2024/2025
1 view 0 purchase
Course
N450
Institution
N450
ED Triage -️️Process of quickly sorting patients and assigning right resources in the right place
and right time
ESI 1 -️️Unstable
ESI 2 -️️Threatened
ESI 3-5 -️️Stable
ABCDE -️️Airway
Breathing
Circulation
Disability
Exposure/Environment
N450 Assessment 2-Questions with Correct Answers/Verified/ Latest
Update 2024/2025
ED Triage - ✔️✔️Process of quickly sorting patients and assigning right resources in the right place
and right time
ESI 1 - ✔️✔️Unstable
ESI 2 - ✔️✔️Threatened
ESI 3-5 - ✔️✔️Stable
ABCDE - ✔️✔️Airway
Breathing
Circulation
Disability
Exposure/Environment
Nursing Interventions for Alertness/Airway - ✔️✔️Control Bleeding
Open airway
Jaw thrust
Suction airway
Nasal/Oral airway or intubation
Cervical Spine immobilization
Nursing Interventions for Breathing - ✔️✔️Administer O2
Intubate
Suction
Alertness/Airway Assessment - ✔️✔️Assess:
Catastrophic external bleeding
LOC
,Respiratory distress
Patency: Foreign objects/loose teeth
Breathing Assessment - ✔️✔️Ventilation
Use of accessory muscles
Respiratory rate
Color of skin
Auscultate lungs
JVD and trachea position
Airflow does not ensure adequate.... - ✔️✔️ventilation
Circulation Assessment - ✔️✔️Palpate carotid or femoral
Pulse rate and quality
Skin color, temp, dry/moist
Capillary refill
BP
Nursing Interventions for Circulation - ✔️✔️CPR/ACLS
Prep for central venous access
Administer IV fluids/blood products
Control bleeding
If patient is hypotensive insert ______ large bore IVs, and start 0.9% normal saline or lactated
ringers - ✔️✔️two
Disability Assessment - ✔️✔️LOC w/ Glasgow Coma Scale
Pupils
Glasgow Coma Scale - ✔️✔️Eye opening 4
Verbal response 5
, Motor response 6
GCS 8 or less - ✔️✔️severe brain injury
GCS 9-12 - ✔️✔️moderate brain injury
GCS 13-15 - ✔️✔️mild head injury
Exposure/Environment Assessment - ✔️✔️Remove clothing for complete assessment
Nursing Interventions for Exposure/Environment - ✔️✔️Prevent heat loss by keeping patient
covered or infusing warmed IV fluids
Stabilize impaled objects
Protect patient's privacy
DO NOT remove _________ objects - ✔️✔️impaled
Facilitate Adjunctive Monitoring/Family Presence Assessment - ✔️✔️Evaluate VS and POx
Discuss family preference for involvement during invasive procedures and/or CPR
Nursing Interventions for Family Presence - ✔️✔️Monitor VS
Establish healthcare team
Secondary Survey - ✔️✔️head to toe assessment starting at head.
Touch, smell, looking all areas.
SAMPLE - ✔️✔️Symptoms
Allergies
Medications
Pertinent history
Last meal or intake
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MikeHarris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
