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Exam (elaborations)

NSG 200 Final Exam Questions And Answers With 100% Correct Answers

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  • Course
  • NSG 200
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  • NSG 200

Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to achieve comfort Electronic health record: - Systematic collection of a patient's health care and treatment in a digital format Mistakes in documentation that commonly result in malpractice: - - failing to...

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  • August 3, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NSG 200
  • NSG 200
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ACADEMICMATERIALS
NSG 200 Final Exam
Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to
achieve comfort



Electronic health record: - Systematic collection of a patient's health care and treatment in a
digital format



Mistakes in documentation that commonly result in malpractice: - - failing to record pertinent
health or drug information

- failing to record nursing actions

- failing to record medication administration

- failing to record drug reactions or changes in patient's conditions

- incomplete or illegible records

- failing to document discontinued medications



Disclosure of medical information is on what type of basis? - need to know



5 characteristics of quality documentation: - Factual

Accurate

Complete

Current

Organized



What activities must be documented at the time of occurence? - - VS

- pain assessment

- administration of meds and tx

- preparation for diagnostic tests

- change in pt status & who was notified

,- admission, transfer, discharge, or death

- tx for sudden change in patient status

- response to tx or intervention



Methods of documentation: - - narrative note

- Problem oriented medical record

- SOAP note

- SOAPIE note

- PIE note

- focus charting (DAR)



Weakness of narrative note: - repetition

length

disorganization



What is the form of documentation that is organized by problem or diagnosis? - problem -
oriented medical record



SBAR: - Situation

Background

Assessment

Recommendation



How long after giving verbal orders does a provider have to sign the prescription? - 24 hours



What are the stages of an interview? - Preparation

Introduction

Working

Termination

, Therapeutic Communication Techniques - 1) ACTIVE LISTENING - Shows clients that they have
your undivided attention

2) OPEN-ENDED QUESTIONS - Used initially to encourage clients to tell their story in their own way. Ask
questions in a language that a client can understand

3) CLARIFYING - Questioning clients about specific details in greater depth or directing them toward
relevant parts of the history.

4) SUMMARIZING - Validates the accuracy of the story.



Assessment techniques: - History

Inspection

Palpation

Percussion

Auscultation



Depth of light palpation: - 1 cm



Depth of deep palpation: - 4 cm



Why is percussion performed? - - evaluate size, borders, and consistency of internal organs

- detect tenderness

- determine extent of fluid in body cavity



Direct percussion: - - strike finger or hand against patient's body

- evaluate adult sinus by tapping finger on sinus

- elicit tenderness over kidney with first



Percussion tones: - tympany

resonance

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