________ is to improve coordination of care and reduce the fragmentation of
care Right Ans - the nurse manager
Who has the right to read and make copies of their medical records per
HIPAA? Right Ans - The pt
___________is an interprofessional process, that begins at admission Right
Ans - discharge planning
what are Vital signs, height, weight, allergy status? Right Ans - baseline
data
What consists of substance abuse, caffeine use, history of mental illness,
history of abuse or homelessness, home situation/significant others? Right
Ans - Psychosocial Assessment
What includes current diet, any chewing or swallowing problems , recent
weight gain or loss, use of supplements, and dentures Right Ans - Nutrition
Assessment
D- data
A- Action
R- Response Right Ans - DAR (focus charting)
mandates the use of computerized databases to expedite the accreditation
process. Right Ans - Joint Commission
shows trends in vital signs, blood glucose levels, pain level, and other frequent
assessments Right Ans - Flow charts
Narrative documentation record information in a ___________ manner. Right
Ans - Story-like
uses standardized forms that identify norms and allows selective
documentation of deviations from those norms Right Ans - Charting by
exception
,are organized by problem or diagnosis and consist of a database, problem list,
care plan, and progress notes. Examples include SOAP, PIE, and DAR. Right
Ans - problem-oriented medical records
communication method used by nurses who are completing care for a patient
to transmit patient information to nurses who are about to assume
responsibility for continuing care; may be exchanged face to face, audiotaped,
walking rounds(unless pt has roommate or visitors) Right Ans - Change of
shift report
helps in burns/wound healing Right Ans - aloe
increases physical endurance Right Ans - Ginseng uses
doesn't adhere to the wound Right Ans - Alginate
help establish homeostasis while providing a moist environment for healing
and good absorption of exudate Right Ans - Alginate dressing
suppress the immune system and can delay the healing process of a wound
Right Ans - Corticosteroids
keeps moisture within the wound to reduce pain Right Ans - Hydrogel
dressing
has full thickness, deep crater without exposed muscle or bone it maybe with
or without slough. Right Ans - stage 3 ulcer
barrier cream intended for prevention measures usually used for a stage 1
ulcer and diaper rash Right Ans - zinc oxide
-mechanical debridement
- wet to dry dressing Right Ans - stage 4 ulcer
wounds that have tissue loss and widely separated edges. Right Ans -
Secondary intention healing
In enteral feeding via NG tube, how often should you check gastric residual?
Right Ans - q 4-6 hrs
,When doing a continuous enteral feeding via a ng tube what should you do?
Right Ans - flush the tubing with 30ml of water every 4 hr
for older than 65 or disability for 2 years or diagnosed with ALS or end stage
renal disease and receiving dialysis Right Ans - medicare
covers RX drugs Right Ans - medicare part D
Part A- covers inpatient hospital limited skilled nursing facilities and home
health
Part B-is outpatient care which includes diagnostics services and OT and PT
being receive outside the hospital.
Part C- combine A and C and is provided through private insurance
companies. ppl can purchase part C, its optional Right Ans - 4 parts of
Medicare
PALLOR
LOCAL SWELLING AT SITE
DECREASED SKIN TEMP AROUND THE SITE
DAMP DRESSING
SLOWER RATE OF INFUSION Right Ans - Infiltration and Extravasation
COMPLICATIONS
If you find infiltration and extravastion at an IV what should you do? Right
Ans - APPLY WARM OR COLD COMPRESS DEPENDING ON THE SOLUTION
INFUSING
Begins w/ injury, lasts 3-6d
Control bleeding w/ vasoconstriction and retraction of blood vessels and w/
clot formation.
Deliver O2, WBC, nutrients to area via blood
HEMOSTASIS OCCURS ALONG WITH FIBRIN FORMATION.
, MACROPHAGES ENGULF MICROORGANISM AND CELLULAR
DEBRIS( PHAGOCYTOSIS) Right Ans - Inflammatory stage of wound
healing
SHOULD EAT A SNACK OF 10 TO 15 GRAMS OF CARBS IF BLOOD GLUCOSE IS
LOW
EX: 4OZ OR 120ML OF FRUIT JUICE Right Ans - DIABETES PATIENT
- LAST 3-24d
- replacing lost tissue w/ connective or granulated tissue
- contracting wound's edges
- resurfacing new epithelial cells Right Ans - Proliferative stage of wound
healing
red tinged pus (NEWLY INFECTED WOUND) Right Ans - purosanguineous
exudate
blood tinged, water Right Ans - serosanguineous drainage
- LOSS TISSuE
- WOUND EDGE WIDELY SEPARATED UNAPPROXIMATED ( PRESSURE
ULCERS, OPEN BURN AREAS)
- LONGER HEALING TIME
-INCREASE FOR RISK OF INFECTION
- SCARRING
- HEALING BY GRANULATION (EX: PRESSURE ULCER LEFT OPEN TO HEAL)
Right Ans - secondary intention wound healing
NURSES USE INTRAPERSONAL SKILLS (THERAPEUTIC COMMUNICATION)
AND (PSYCHOMOTOR PERFORMANCE)
THE NURSE MAY DELEGATE TASKS, SUPERVISE OTHERS ,DOCUMENT THE
CARE AND CLIENT RESPONSE.
A NURSE MAY INCLUDE MINIMIZING RISK FACTORS AND WILL MAKE SURE
AND TEACH PT TO WEAR PROTECTIVE EQUIPMENT( EX.CANE) Right Ans
- Implementation
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 LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $29.99. You're not tied to anything after your purchase.