Exam (elaborations)
nurs funds midterm (1).
nurs funds midterm (1).
[Show more]
Seller
Follow
Content preview
nurs funds midtermFactors that affect pain - CORRECT ANSWER-Culture
The first action a nurse takes in the general assessment of pain - CORRECT ANSWER-• Location
of pain
Pain assessment tool for adults who speak another language: - CORRECT ANSWER-•
Wong-Baker FACES
The best judge of the existence and severity of pain• - CORRECT ANSWER-• The patient
self-report
Numeric Sedation Scale - CORRECT ANSWER-• S: Sleep, easy to arouse; no action necessary
• 1: awake and alert; no action necessary
• 2: occasionally drowsy, but easy to arouse; no action necessary
• 3: frequently drowsy, drifts off to sleep during conversation; reduce dosage
• 4: somnolent with minimal or no response to stimuli; discontinue opioid, consider use of naloxone
A type of communication style when a nurse asks the patient to teach back - CORRECT
ANSWER-• Feedback
Infection control - CORRECT ANSWER-• Demonstrated by effective hand hygiene
5 moments of hand hygiene - CORRECT ANSWER-1) Before touching a patient
2) Before a clean or aseptic procedure
3) After a body fluid exposure risk
4) After touching a patient
5) After touching a patients surroundings
**even with gloves you have to wash your hands
Adequate for routine mechanical cleansing of the hands - CORRECT ANSWER-• Nonantimicrobial
agents
Normal ranges of vital signs for healthy adults - CORRECT ANSWER-• Oral temperature: 37.0 C,
98.6 F
• Pulse rate: 60 to 100 (80 average)
• Respirations: 12 to 20 breaths/min
• Blood Pressure: 120/80
Normal temperatures for healthy adults - CORRECT ANSWER-• Oral: 37.0 C, 98.6 F
• Rectal: 37.5 C, 99.5 F
• Axillary: 36.5 C, 97.7 F
• Typanic: 37.5 C, 99.5 F
• Forehead/Temporal: 34.4 C, 94.0 F
Sites for detecting pulse by light palpations - CORRECT ANSWER-• Temporal
• Carotid
• Brachial
• Radial
• Popliteal
, • Femoral
• Posterior Tibial Pedis
• Dorsalis Pedis
When the UAP needs further instruction when taking the proper measurement for blood pressure -
CORRECT ANSWER-• Raising the arm above the heart
When a nurse voices that it's unfair to a charge nurse this level of communication is: - CORRECT
ANSWER-• Interpersonal
When a patient tells the nurse to Go away and that no one can help me, a nurse's response: -
CORRECT ANSWER-• I will leave you alone and will come back to talk
Goals of the orientation phase or how to elicit information from the client: - CORRECT ANSWER-•
Establish tone and guidelines for the relationship
• Identify each other by name i.e what the patient prefers to be called by
• Clarify roles of both people
• Establish an agreement about the relationship
• Provide the patient with orientation to the health care system
Working phase - CORRECT ANSWER-• Work together to meet the patient's needs
• Provide whatever assistance is needed to achieve each goal
• Provide teaching and counseling
Termination phase: - CORRECT ANSWER-• Examine goals of helping relationship for attainment
• Make suggestions for future efforts, if necessary
• Encourage patient to express emotions about the termination
• If appropriate, help the patient establish a helping relationship with another nurse
• Assist the patient transferring from one agency to another or from one unit in an agency to
another
SBAR: - CORRECT ANSWER-• Situation
• Background
• Assessment
• Recommend
Types of fever: - CORRECT ANSWER-• Intermittent: returns to normal at least once every 24 hrs
• Remittent: doesn't return to normal and fluctuates a few degrees up and down
• Sustained/continuous: temperature remains above normal w/ minimal variations
• Relapsing/recurrent: temperature returns to normal for one/more days w/ one/more episodes of
fever each as long as several days
Aseptic Technique - CORRECT ANSWER-• Includes all activities to prevent or break the chain of
infection. It includes two categories: surgical asepsis and medical asepsis
Surgical Asepsis: - CORRECT ANSWER-• Sterile technique i.e insertion of pikline/Foley catheter
Medical Asepsis: - CORRECT ANSWER-• Clean technique
Evaluating patients goals: - CORRECT ANSWER-• Use techniques of medical asepsis
• Identify health habits and lifestyle patterns promoting health
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 lydiaomutho. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for CA$11.24. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79064 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now