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FPCC Final Exam Review Questions and answers/Complete Solutions
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FPCC Final Exam Review Questions andanswers/Complete Solutions
-D5NS,
-D51/2NS,
-D5LR, 3% AND 5% NaCl,
-D10W, and
-D20W - ✔client has diffuse edema, to pull fluid from the interstitial space to the
intravascular space, what are 4 IV fluids that the nurse can administer?
-Then you must prioritize: Maslow's hierarchy of needs
-Which needs come first according to Maslow?
-ABC's-Which needs come first according to Maslow?- ABC's- Airway, breathing, circulation
must occur or other problems do not matter Safety risk?
-Acute problem or chronic problem? Urgent need or non-urgent need? Stable or unstable?-
- Physical needs: air, water, food, shelter, sleep, clothing, reproduction.
-BOTTOM- Safety needs: personal security, employment, resources, health, property- Love and
belonging friendship, intimacy, family, sense of connection- Esteem: respect, self-esteem,
status, recognition, strength, and freedom- Self-actualization: desire to become the most that
one can be. - ✔Maslow's Hierarchy of Needs
,Client: usually the BEST source - ✔Primary sources
Family members, Medical records, Laboratory reports - ✔Secondary sources
-Transfer's responsibility while remaining accountable for outcomes
- Requires knowing which skills are transferable - ✔Delegation to an UAP "rules"
DOFF: gloves, gown, face shield/googles and mask - ✔doffing PPE
- DON: gown, mask, shield/goggles, and gloves- - ✔donning PPE
- Droplet precautions: Private or cohort room Wear a mask if within 3 feet Mask on client when
transporting Use when the pathogen can spread via large droplets (sneezing, coughing, talking)
- Contact: Private room or cohort patient Gloves and gown and maybe...?- Cough etiquette:
Cover Mask Hand hygiene 3 feet
- Airborne: Private room Negative airflow pressure Door closed except entering and exiting
Ultraviolet irradiation or air filter Mask (N95) Mask on patient when transporting Patient
leaves the room only if necessary - ✔Types of isolation & the PPE required for each
Can't use hand sanitizer must wash hands with water and soap- spores -
✔Special considerations for C.diff infection
promote positive nitrogen balance
- Protein 2 g/kg//day
- Ensure adequate hydration
- Adequate zinc, copper, and vitamins A and C - ✔Nutritional needs to promote
adequate wound healing
, -turning in bed, promote getting out of bed to go to the bathroom, -Do not: Friction, Shear,
Moisture, Ability to redistribute pressure - ✔Interventions to implement for low Braden
Scale score
Perform hand hygiene, removed soiled dressing, perform hand hygiene, irrigate the wound,
obtain an aerobic culturette tube, don nonsterile gloves, take out swab from culture tube
and swab in a z stroke technique, make sure you do not swab where slough or eschar is
present, insert the swab back in tube, crush the ampule culture medium at the bottom, label
culture, apply clean dressing to wound, and send to lab - ✔Steps to obtain a wound culture
-Never reach across a sterile field- -Never turn your back on sterile field
- Sterile field should remain above waist level
- Your clothing or lab coats should never touch any part of sterile field
- Never dangle anything over sterile field ex hair and jewerly
-Avoid splash any kind of fluid onto sterile field - ✔Sterile technique "rules"
-assess patients daily for those who no longer need catheters,
-consider appropriate alternatives to an indwelling catheter, select a small size catheter (14-
18french),
-do not inject more than 10mL into balloon,
-avoid routine catheter irrigation,
-use strict sterile technique to insert catheter.
-Keep urine collection bags below the level of the bladder at all times;
-elevating the bag above the bladder causes reflux of pathogens from the bag to the
urinary tract,
-secure catheter to patient;
-movement can cause urethral friction and irritation, and
-perform daily catheter care to remove pathogens - ✔Foley care and maintenance
- Magnesium lab values: hypomagnesemia <1.6 hypermagnesemia >2.6
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