Exam (elaborations)
WGU Casal 1: Questions & Answers (100% Complete)
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WGU Casal 1: Questions & Answers (100% Complete)
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WGU Casal 1: Questions & Answers (100% Complete)________ is to improve coordination of care and reduce the fragmentation of
care Right Ans - the nurse manager
Who has the right to read and make copies of their medical records per
HIPAA? Right Ans - The pt
___________is an interprofessional process, that begins at admission Right
Ans - discharge planning
what are Vital signs, height, weight, allergy status? Right Ans - baseline
data
What consists of substance abuse, caffeine use, history of mental illness,
history of abuse or homelessness, home situation/significant others? Right
Ans - Psychosocial Assessment
What includes current diet, any chewing or swallowing problems , recent
weight gain or loss, use of supplements, and dentures Right Ans - Nutrition
Assessment
D- data
A- Action
R- Response Right Ans - DAR (focus charting)
mandates the use of computerized databases to expedite the accreditation
process. Right Ans - Joint Commission
shows trends in vital signs, blood glucose levels, pain level, and other frequent
assessments Right Ans - Flow charts
Narrative documentation record information in a ___________ manner. Right
Ans - Story-like
uses standardized forms that identify norms and allows selective
documentation of deviations from those norms Right Ans - Charting by
exception
,are organized by problem or diagnosis and consist of a database, problem list,
care plan, and progress notes. Examples include SOAP, PIE, and DAR. Right
Ans - problem-oriented medical records
communication method used by nurses who are completing care for a patient
to transmit patient information to nurses who are about to assume
responsibility for continuing care; may be exchanged face to face, audiotaped,
walking rounds(unless pt has roommate or visitors) Right Ans - Change of
shift report
helps in burns/wound healing Right Ans - aloe
increases physical endurance Right Ans - Ginseng uses
doesn't adhere to the wound Right Ans - Alginate
help establish homeostasis while providing a moist environment for healing
and good absorption of exudate Right Ans - Alginate dressing
suppress the immune system and can delay the healing process of a wound
Right Ans - Corticosteroids
keeps moisture within the wound to reduce pain Right Ans - Hydrogel
dressing
has full thickness, deep crater without exposed muscle or bone it maybe with
or without slough. Right Ans - stage 3 ulcer
barrier cream intended for prevention measures usually used for a stage 1
ulcer and diaper rash Right Ans - zinc oxide
-mechanical debridement
- wet to dry dressing Right Ans - stage 4 ulcer
wounds that have tissue loss and widely separated edges. Right Ans -
Secondary intention healing
In enteral feeding via NG tube, how often should you check gastric residual?
Right Ans - q 4-6 hrs
,When doing a continuous enteral feeding via a ng tube what should you do?
Right Ans - flush the tubing with 30ml of water every 4 hr
for older than 65 or disability for 2 years or diagnosed with ALS or end stage
renal disease and receiving dialysis Right Ans - medicare
covers RX drugs Right Ans - medicare part D
Part A- covers inpatient hospital limited skilled nursing facilities and home
health
Part B-is outpatient care which includes diagnostics services and OT and PT
being receive outside the hospital.
Part C- combine A and C and is provided through private insurance
companies. ppl can purchase part C, its optional Right Ans - 4 parts of
Medicare
PALLOR
LOCAL SWELLING AT SITE
DECREASED SKIN TEMP AROUND THE SITE
DAMP DRESSING
SLOWER RATE OF INFUSION Right Ans - Infiltration and Extravasation
COMPLICATIONS
If you find infiltration and extravastion at an IV what should you do? Right
Ans - APPLY WARM OR COLD COMPRESS DEPENDING ON THE SOLUTION
INFUSING
Begins w/ injury, lasts 3-6d
Control bleeding w/ vasoconstriction and retraction of blood vessels and w/
clot formation.
Deliver O2, WBC, nutrients to area via blood
HEMOSTASIS OCCURS ALONG WITH FIBRIN FORMATION.
, MACROPHAGES ENGULF MICROORGANISM AND CELLULAR
DEBRIS( PHAGOCYTOSIS) Right Ans - Inflammatory stage of wound
healing
SHOULD EAT A SNACK OF 10 TO 15 GRAMS OF CARBS IF BLOOD GLUCOSE IS
LOW
EX: 4OZ OR 120ML OF FRUIT JUICE Right Ans - DIABETES PATIENT
- LAST 3-24d
- replacing lost tissue w/ connective or granulated tissue
- contracting wound's edges
- resurfacing new epithelial cells Right Ans - Proliferative stage of wound
healing
red tinged pus (NEWLY INFECTED WOUND) Right Ans - purosanguineous
exudate
blood tinged, water Right Ans - serosanguineous drainage
- LOSS TISSuE
- WOUND EDGE WIDELY SEPARATED UNAPPROXIMATED ( PRESSURE
ULCERS, OPEN BURN AREAS)
- LONGER HEALING TIME
-INCREASE FOR RISK OF INFECTION
- SCARRING
- HEALING BY GRANULATION (EX: PRESSURE ULCER LEFT OPEN TO HEAL)
Right Ans - secondary intention wound healing
NURSES USE INTRAPERSONAL SKILLS (THERAPEUTIC COMMUNICATION)
AND (PSYCHOMOTOR PERFORMANCE)
THE NURSE MAY DELEGATE TASKS, SUPERVISE OTHERS ,DOCUMENT THE
CARE AND CLIENT RESPONSE.
A NURSE MAY INCLUDE MINIMIZING RISK FACTORS AND WILL MAKE SURE
AND TEACH PT TO WEAR PROTECTIVE EQUIPMENT( EX.CANE) Right Ans
- Implementation
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