Exam (elaborations)
Comp Exam 3 Galen 280 Latest Updates 2024/2025
- Course
- NUR 280
- Institution
- Galen College Of Nursing
Comp Exam 3 Galen 280 Latest Updates 2024/2025
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Comp Exam 3 Galen 280 LatestUpdates 2024/2025
UAP delegation tasks? Name examples... ANS✔✔ - vital signs rouitine STABLE
PT
- IN & OUT of food and f/c
- ADL'S shower, grooming, shaving etc.
- toileting and walking (not post op who has never walked)
- feeding without aspiration precautions
- positioning
Can a UAP measure the drainage of a Hemovac or Jackson-Pratt? ANS✔✔ yes
measure the amount of fluid cant assess the drainage system.
Can a UAP collect specimens? ANS✔✔ yes!!! stool and urine
Can a UAP empty a colostomy bag ? ANS✔✔ yes ! not the wafer.
end of life care ANS✔✔ the support and care given during the time
surrounding death = HOSPICE
hospice care ANS✔✔ comfort measures in the last phases of life
hospice care and family ANS✔✔ - private room
- encourage the client and family to express feelings
,- provide support and advocancy
- provide privacy
- LET THEM TOUCH THE CLIENT AS MUCH AS THEY WANT !
PRIORITY QUESTIONS use what formula? ANS✔✔ SPEC
SPEC stands for ? ANS✔✔ S= stable vs non stable
P= potential vs real
E= expected vs unexpected
C= chronic vs acute
priority patients are? ANS✔✔ - neuro changes ex: GCS LOW 8
- very low values labs ex: DM with 50 BS
- client returning form invasive procedures and a comlication happens ex:
eviceration
- ABC's airway problems and there acid base inbalanced
- client with chest pain and syncope not ecpected
- pt w/ 2-3 rd degree burns
- client with new onset of infectious disease = TB
- any unexpected events= MI, STROKE, HHS, DKA, ADDISONS CRISIS,
THYROID STORM, MYXEDEMA COMA, HTN CRISIS, PREECLAMPSIA, STROKE...
Maslow's Hierarchy of Needs ANS✔✔ physiological, safety, love/belonging,
esteem, self-actualization
physiological needs? 1ST NEED ANS✔✔ AIRWAY
, RESPIRATORY EFFORT
HR, RHYTHM, CONTRACTIONS STRENGTH
NUTRITION
ELIMINATION
SAFETY AND SECURITY = 2N NEED ANS✔✔ - PROTECT FROM INJURY
- PROMOTE FEELING OF SECURITY
- TRUST IN NURSE CLIENT RELATIONSHIP
TRIAGE RED TAG EXAMPLES? CLASS 1 ANS✔✔ EMERGENT THREAT TO LIFE
EX:
CARDIAC TEMPONADE
STROKE
SHOCK
AIRWAY OBSTRUCITON
YELLOW TAG CLASS 2 ANS✔✔ Urgent within 30 min to 2 hours- can wait a
little
- OPEN FRACTURES W DISTAL PULSES
- LARGE WOUNDS
GREEN TAG CLASS 3 ANS✔✔ the walking wounded
- CLOSED FRACTURES
- SPRAINS
- ABRASIONS
- CONTUSION
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