hondros nurse Full Solution Pack;Bundled Exams 2023 with complete solution

Stage 1 pressure ulcer - Intact skin with nonblanchable redness Stage 2 pressure ulcer - Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or bruising. Stage 3 pressure ulcer - Full thickness tissue loss, subcutaneous fat may be visible. Possi...

Tanner's Model of Clinical Judgement - A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL THINKING PROCESS" that nurses use to solve any problem: *Noticing *Interpreting *Responding *Reflecting Nursing Process - Uses the Scientific Method to complete a Step-by-step a...

Checking accuracy and reliability - realizing that something doesn't seem quite right and taking action to determine if it is accurate or not, sounds suspicious and looking further into it Nursing Process - step by step approach directed at planning and providing pt care. Data collection(assessm...

How we do Head to toe assessment? - Collect subjective and objective data What is first steps of head to toe assessment? - Neurological DVT (deep vein thrombosis) - formation of a blood clot in a deep vein of the body, occurring most commonly in the legs or thighs DVT treatment - Anticoagulants,...

just culture - workers are protected from disciplinary action when they report injuries, errors, or near misses close-ended question - What is your name? false reassurance - Everything will be fine Why Assess? - To identify changes in pt condition, to help foresee areas of concern RN - who does...

Care Coordination - a process connecting both services and resources involving patient, providers and families with the goals of optimal patient outcomes Classification of safety events - Never miss event-error that could have caused harm but didn't Adverse event-error that results in moderate t...

tissue integrity - the ability of body tissues to regenerate and/or repair to maintain normal physiological processes interventions to maintain tissue integrity - reposition turning adequate nutrition skin assessments blanching test - A test of the rate of capillary refill; blanching means to cau...

(S) in SBAR - Situation (B) in SBAR - Background (A) in SBAR - Assessment (R) in SBAR - Recommendation The single most important and preventative technique that healthcare workers can use to interrupt the infectious process is doing what? - Handwashing PPE stands for? - personal protective equ...

When working on a central line, what do you use to clean the site? - Chloroprep If taking care of patients IVs, which ones are you more concerned about? - a patient with phlebitis and a patient with a red vein, palpable cord with a red streak What should the nurse consider when choosing the appro...

What kind of nutrition do we provide for someone to promote tissue healing - Protein ( chicken, fish, eggs, lean meat) Vitamin A Vitamin c Stages of burns - Stage 1 (emergent phase) Stage 2 (intermediate phase) Stage 3 (long term rehabilitation)) What do you do for a stage 1 burn - Focus on A...

What do we want to do with chain of infection? - break it, wash hands How does HAI spread - not hand washing, equipment What PPE is worn for what isolation - Contact - gloves, gown Droplet - mask, gloves, gown standard precautions - gloves What infections do we put in Contact isolation - VRE, M...

Nation Patient Safety Goals (NPSG) - -Identify residents correctly -Use medicines safely -Prevent infection -Prevent residents from falling -Prevent bed sores -identify patient safety risk Laissez-Faire leadership - -concern more with employees, than polices and patients -kick back relaxed -...

What should be done when there is an obstruction in a chest tube and why? - Milk the tube, never strip due to pressure changes When is it normal to find bleeding in a chest tube? - Only with a hemothorax Is tidaling normal with a chest tube? - Yes, on respirations What does it mean when there is...

Hypokalemia and lasix - If pt is Hypokalemic, report to RN before giving Lasix Hypervolemia Causes - CKD, liver disease, cirrhosis, CHF, increased salt intake, COPD Hypervolemia Signs and symptoms - Headache, Confusion, Nausea, Vomiting, Coma Hypovolemia Causes - Vomiting, DM, fever, heat exposur...