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Exam (elaborations)

NR 223 Exam 2.

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Exam of 5 pages for the course VNSG 1231 PHARM Ch 34 BSHP at VNSG 1231 PHARM Ch 34 BSHP (NR 223 Exam 2.)

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  • July 23, 2024
  • 5
  • 2023/2024
  • Exam (elaborations)
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NR 223 Exam 2
1 g - ANS-100 mL of 1% solution

ac - ANS-before meals

Advantages of the electronic records - ANS-efficiency, ease of collection for research,
interfacility coordination, continual update capacity.

Assessed - ANS-IPPA
Inspection, Percussion, Palpitation, Auscultation data

Assessment Activities - ANS-Nursing interview, health history, and physical assessment.

bid - ANS-two times a day

Change of Shift Report - ANS-Use worksheet, background info, be specific, evidence for
inferences, describe invasive treatments, abnormal findings

Charting by Exception - ANS-Narrative is only provided when there are changes in data or a
deviation from the norm

Chief Complaint - ANS-Patient problem which can sometime differs from the admitting med Dx

Complete charting: SADE - ANS-Saw
Assessed
Did
Evaluation

Confidentiality - ANS-legal obligations, no sharing info, provide patient with EHR, written
permission for medical release, eliminate identifiers

CPR - ANS-is both a medical and nursing Dx.

Critical Pathways and care Maps are the same thing - ANS-They eliminate nurses' notes, flow
sheets, & nsg care plans.

Defining Characteristics - ANS-Subjective and objective data that justify the nursing diagnosis.
Subjective data is what the patient states vs and objective data can be observed and measured.

Did - ANS-Interventions with Outcomes

, drop factor - ANS-(quantity * size * rate)/(length of time in minutes)

Evaluation - ANS-Goal achievement, effectiveness of interventions with outcomes that support
evaluation

Evaluation - ANS-Takes place when the patient's status changes

Evaluation can result in revision or discontinuance - ANS-of portions of the care plan.

Flow Sheet or Flow Chart - ANS-Is made of checked boxes and narrative comments

Focus charting - ANS-Data, Action, Response

Goal vs. Outcome Criteria - ANS-A goal states what is accomplished if outcomes are met,
whereas the outcome criteria measure goal achievement.

hs - ANS-at bedtime

implement nursing interventions - ANS-should include action, frequency, quantity, method, and
the individual responsible

implement organization of - ANS-resources & care delivery

implement proactivity by - ANS-anticipate & prevent complications

implement reassessment of - ANS-the patient

implement review of - ANS-the nursing care plan

Implementation - ANS-a. reassess
b. review/revise
c. organize
d. anticipate & prevent complications
e. implement

Iv flow rates are measured in - ANS-mL/hr

Macrodrip - ANS-10 to 15 gtt/mL; Used to deliver rates greater than 100 mL/hr

Medical diagnosis - ANS-related to organ systems, curing, and eliminating the disease.

mEQ - ANS-also in g/mL

Microdrip - ANS-60 gtt/mL. Used for rates of less than 100 mL/hr

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