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Summary NUR 245 Final EXAM Review
- Course
- NUR 245
This is a comprehensive and detailed final exam review for NUR 245.
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245 FINAL EXAM REVIEWLife span of RBC – 120 days. *Life cycle of the red blood cell and bilirubin metabolism
- RBC produced in bone marrow.
- Steatorrhea: fat in the stool – pancreatitis. Pancreas is not producing enough enzymes to
break down the fat.
INFO FROM SLIDES:
- Primary prevention is referring to WHOLE population.
o Policy, laws
Vaccination
Helmet/seatbelt laws
- Secondary prevention is referring to those who are at risk.
o Different screening populations
50+ higher risk of developing breast cancer.
Newborn screenings
BP measurement
- Tertiary prevention is for those who are experiencing disease. Diagnosis is already there,
providing interventions to help manage diagnosis.
o Diabetes patient taking medication for their blood sugar.
Evidence Based Practice:
- Ask question acquire source of evidence appraise and synthesize evidence apply
relevant evidence in practice assess the outcome.
First level- emergent/life threatening (ABCs)
Second level- requiring prompt intervention to forestall further deterioration (MAA-U-ARS):
Mental status change, Acute pain, Acute urinary elimination problems, Untreated
medical problems, Abnormal labs, Risks of infection, Safety or security.
Third level- (later priorities)- Health problems that do not fit into the first two categories e.g.,
problems with lack of knowledge, activity, rest, family coping, etc.
, CULTURE
• Terminology
• Ethnicity: Social group with shared traits
• Ethnic identity: Self-identification with a particular ethnic group
• Acculturation: process of exchange with encounters between persons of different
cultures resulting in changes of either groups
• Assimilation: One directional, adopting the practices of the culture of the majority
• Biculturalism and integration: Allow for reciprocal change and maintaining
ethnic identity.
• Acculturative stress: Based on input from environment, social/interpersonal and
societal.
COMPLETE HEALTH HISTORY
1. Biographical data
2. Source of history
3. Reason for seeking care.
4. Present health or history of present illness
5. Past health
6. Family history
7. Review of systems
8. Functional assessment including activities of daily living (ADLs)
MENTAL HEALTH ASSESSMENTS
• New Learning: The Four Unrelated Words Test
• Mini-Mental State Exam (MMSE)
• Montreal Cognitive Assessment (MoCA)
• Mini Cog
• Three-word registration, clock drawing, three-word recall
SCREENING FOR ANXIETY DISORDERS
- Generalized anxiety disorder scale (GAD-7)
SCREENING FOR DEPRESSION DISORDERS
- Patient Health Questionnaire-2 (PHQ-2)
- PHQ-9
CLASSIFICATION OF PAIN
• By how the pain is processed
• Nociceptive
• Neuropathic
• By origin of pain
• Visceral
• Somatic
• Cutaneous
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