NUR 336 Midterm Exam Blueprint- Questions with Correct Answers
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Course
NUR 336
Institution
NUR 336
Incentive spirometer used for used to help keep lungs active after a surgery, reduce the risk of a patient developing pneumonia, and to have the patient practice deep breath exercises
To set up the spirometer: attach the tubing to the outlet at the base
Teaching a patient to use spirometer: make ...
NUR 336 Midterm Exam Blueprint-
Questions with Correct Answers
Incentive spirometer used for ✅used to help keep lungs active after a surgery, reduce
the risk of a patient developing pneumonia, and to have the patient practice deep breath
exercises
To set up the spirometer: ✅attach the tubing to the outlet at the base
Teaching a patient to use spirometer: ✅make sure to have patient inhale through the
mouth and not nose
make sure the patient is sitting up straight and to hold the spirometer around eye level
Have patient place their mouth on the mouthpiece and inhale (ensuring that the arrow
stays between the two lines) for as long as they can
After the patient finishes using, encourage the patient to cough to loosen up any mucus
Patient can repeat breathing into a spirometer 10 times an hour
Usually a spirometer is only used for ✅one patient (single used) and can stay at the
bedside near the patient
Reason for SBAR ✅The SBAR is used as a communication tool to communicate with
other providers about a patient inorder to ensure the best care possible for the patient
Helps promote standard communication throughout all healthcare professionals
SBAR stands for: ✅S → situation
Identify yourself (Sara Kueck, SN)
Name and age of the patient
Brief summary of primary problem
Day of admission or postoperative
B → background
Primary problem or diagnosis
Relevant past medical history
Relevant background data
A → assessment
Current vital signs
Relevant body system
Relevant labs
Trend of any abnormal clinical data
Whether or not a patient is stable
State of patient (increasing or decreasing)
R → recommendation
Suggestions to advance plan of care
, Initial interaction ✅Gel in, wear gloves if appropriate (ensure that a patient does not
have an allergy to the material of the glove first)
Introduce yourself and reason of visit
Ex: Hi, my name is Sara Kueck and I am a student nurse, I am going to be taking your
vitals today
Identify the patient using two identifiers (have patient state name and birthday, check
allergies have patient state allergy and reaction, if the patient has a fall risk band make
sure to provide proper education of what that means)
Ex: before we start can I please get your name and date of birth... also before we start
checking your vitals do you have any allergies I should know about... okay I will make
sure to note that, how do you respond when you come into contact with blah.... And just
one more thing before we start, I noticed you had a yellow bracelet can you tell me what
that means
Utilize therapeutic communication during assessment, ask the patient if they are in pain
Ex: are you feeling any pain today
If they say yes then ask the PQRSTU of the pain to get a better understanding
Don't be an *******, treat your patient like you would want to be treated
Perform brief situational assessment
Do what you are supposed to do
At the end of encounter summarize the visit, and time you will return
Ex: okay I'm all done, here is your call light, I will be back shortly to check on you but if
you need anything please press that red button
Place call light in reach, and place bed in low position
Don't want them to try and get out and fall because the bed was at waist level
Gel out
Safety interventions for nurse and client while bathing ✅Complete bed bath
Introduce yourself
Confirm client by two identifiers
Verify provider's orders
Gather supplies
Confirm privacy
Place supplies near bedside
Perform hand hygiene
Explain the procedure and put on gloves
Put patient in supine position raising the head of the bed 30 to 45 degrees and adjusting
the height of the bed to a comfy working position
Place a bath blanket over the client
Pull the top bed linens to the foot of the bed- ask the client to hold the top of the bed
blanket
If your washing these linens remove from bed and place in proper area
Otherwise leave them folded at end of bed
Remove clients gown
Remove the gown on the side without injury or IV first
Remove clients pillow and place towel bellow head
Place another towel over bath blanket on clients chest
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