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Portage learning nurs 251 exam 5 answers (a+) recent!!!
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Portage learning nurs 251 exam 5 answers (a+) recent!!!
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NURS 251 : FINAL EXAM STUDY GUIDE1. What are the steps in donning PPE?: - hand hygiene
- gown
- facemask
- face shield
- gloves
2. What are the steps in doffing PPE?: - remove gloves
- remove gown
- remove face shield
- mask
- hand hygiene
3. What are first level priority problems?: emergent, life threatening, or limb
threatening
4. What are second level priority problems?: urgent, you need to prevent
further deterioration, can be a mental status change, these require prompt
intervention 5. What is a third level priority problem?: these are important to
the patient's overall health but can wait to be addressed after urgent conditions
are addressed, long-term conditions
6. What are the steps in completing a health history?: - orientation: introduce
self and purpose
- working phase: collecting and recording data -
closing: thank you, summarize, any questions?
7. What is a complete health history database?: includes current and past
health history, a complete physical exam, and includes screens for pathology
8. What is a focused or problem centered health history database?: it is
more targeted, limited, and looks at short-term problems (usually 1 problem)
9. What is an emergent health history database?: includes just the facts, the
key information only, identifying and managing the emergent needs firsts
10. What is subjective data?: what the patient says
11. What is objective data?: obtained by observing and examining client
12. What are the components in collecting the history of present illness?: O:
onset
L: location
D: duration
C: characteristics
,A: aggravating/alleviating factors
R: related factors
T: treatments
S: severity
13. What is interdisciplinary communication?: allows healthcare members
from various disciplines to communicate and work together
14. What is the purpose of the end of shift report?: allows the nurse to explain
to the oncoming nurse the condition of their patients
15. What is SBAR?: S: situation
B: background
A: assessment
R: recommendation
16. What is involved in the situation step of SBAR?: - what are you talking
about?
- concise statement of the patient problem
- identify self and where your calling from
17. What is involved in the background step of SBAR?: - pertinent data to the
current problem
- any changes in mental status or uncontrolled pain
- what are your recent vitals
- pertinent lab results
18. What is involved in the assessment step of SBAR?: - abnormal findings as
well as pertinent normal findings
- clearly what is the problem, is it severe or life threatening
19. What is involved in the recommendation or request step of SBAR?: -
what do you want or need to continue care? - what solution can you offer or
propose?
- if you want the client evaluated by the provider, say so and state a specific
time20. What are the components of a mental status exam?: - appearance:
posture, movement, dress, grooming - behavior: speech, and mood
- cognition: orientation, memory, attention span
- thought processes: does this make sense? logical? (includes anxiety and
depression screen)
21. What is Broca's aphasia?: expressive (motor speech cortex), can
understand but cannot express self, understands written and spoken language
, NURS 251 : FINAL EXAM STUDY GUIDE
22. What is Wenicke's aphasia?: receptive (association auditory cortex), speech
is fluent, but cannot understand, they make up words
23. What are the basic assessment techniques?: inspection, percussion,
palpation, and auscultation
24. What is inspection?: looking at the patient without touching
25. What is percussion?: tapping the person's skin with short, sharp strokes to
assess underlying structures
26. What is palpation?: examination of the body using touch
27. What is auscultation?: listening to the sounds produced by the body using a
stethoscope
28. What is the normal range for an oral temperature?: 96.4 - 99.1
29. What are variances that could lead to a temperature outside the normal
range?: - heat production or heat loss
- diurnal cycle
- menstrual cycle
- exercise
- age
- hyperthermia or hypothermia
30. What is the expected range for pulse?: 60-100 bpm
31. What are variances that can affect pulse?: - age - fitness
- anxiety
- medications
32. What is bradycardia?: a heart rate less than 50 bpm
- sources of variances are: well trained athletes, and certain medications
33. What is tachycardia?: a heart rate greater than 95 bpm
- sources of variances are: fever, anxiety, exercise
34. What is the normal range for respirations in an adult?: 10-20 respirations
per minute
35. What are variances that can affect respiration rate?: - awareness of the
assessment
- illness (fever, respiratory insufficiency)
- exercise (faster and deeper)
- medications (opioids)
- increase in intracranial pressure
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