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FUNdamentals of Nursing - Exam 1

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FUNdamentals of Nursing - Exam 1

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  • June 3, 2024
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  • 2023/2024
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FUNdamentals of Nursing - Exam 1
Acronym used for successful communication in the workplace to promote teamwork and
safety. - ANS-S - situation
B - background
A - assessment
R - Recommendation

Another term for a seizure? - ANS-Irritable focus -or- Foci

Assessment for Hygiene - ANS-Self-care ability
* encourage self-care

skin

feet & nails

Oral cavity

hair & hair care

Eyes, ears & nose

Best way to palpate is? - ANS-Lightly - for superficial

Deeply - with two hands for deeper findings

Body temp is affected by heat loss, what causes this? - ANS-Radiation

Conduction

Evaporation

Convection

Body Temp normal range - ANS-96.4-100.1

Can the RN provide subjective information about patient? - ANS-NO! Only the patient
can give subjective info.

,OBJECTIVE info is what the RN sees, hears, or smells

CHANNELS in communication process - ANS-These are the means of conveying the
message through visual, auditory, and tactile senses.

Facial expression = visual message
Spoken word = auditory
Touch = tactile

Characteristics of communication within Caring/Working Relationships: -
ANS-Professionalism - appearance, demeanor, behavior

Courtesy - hello, good-bye, knock on doors, please, thank you...

Use of Names - Always introduce yourself

Confidentiality - HIPPA

Trust - always honest!

Acceptance & Respect - Non-judgmental attitudes

Availability - "Anything else I can get you?

Socializing - don't socialize with pt. and don't socialize with colleagues where pt's can
hear

Code Blue - ANS-Check for responsiveness

Assess for breathing 5-10 sec

Activate code blue

check pulse for 5-10 sec

If not pulse, begin CPR

Common NANDA International diagnostic Identification for patient situation: -
ANS-Activity intolerance

, Ineffective health maintenance
Risk for infection
Impaired physical mobility
Bathing self-care deficit
Dressing self-care deficit

Condition of what areas greatly impacts patient's ability for self-care? - ANS-Feet - bear
weight or ambulate

Hands - dexterity

Nails - infection

Consent zone of touch is - ANS-Mouth, wrists, feet

Permission needed

Define acronym SOLER - ANS-S - Sit facing the patient

O - Open posture

L - Lean toward the patient

E - Establish & maintain eye contact

R - Relax

Define Assessment - ANS-Collects comprehensive data pertinent to the patient's health
and/or situation.

- info medical personnel can look at
- begins the moment you walk through the door

Define Eupnea - ANS-Normal breathing

Define Intrapersonal - ANS-a.k.a. SELF-TALK

Define Intrerpersonal - ANS-Occurs between two people or groups

- usually one on one conversation

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