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COMP EXAM 3 GALEN 280 MAIN EXAM WITH ALL ANSWERS
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COMP EXAM 3 GALEN 280 MAIN EXAM WITH ALL ANSWERS
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COMP EXAM 3 GALEN 280 MAIN EXAMWITH ALL ANSWERS
UAP delegation tasks? Name examples... - correct answer-- vital signs rouitine STABLE
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PT
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- IN & OUT of food and f/c
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- ADL'S shower, grooming, shaving etc.
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- toileting and walking (not post op who has never walked)
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- feeding without aspiration precautions
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- positioning
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Can a UAP measure the drainage of a Hemovac or Jackson-Pratt? - correct answer-yes
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measure the amount of fluid cant assess the drainage system.
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Can a UAP collect specimens? - correct answer-yes!!! stool and urine
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Can a UAP empty a colostomy bag ? - correct answer-yes ! not the wafer.
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end of life care - correct answer-the support and care given during the time surrounding
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death = HOSPICE
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hospice care - correct answer-comfort measures in the last phases of life
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hospice care and family - correct answer-- private room
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- encourage the client and family to express feelings
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- provide support and advocancy
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- provide privacy
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- LET THEM TOUCH THE CLIENT AS MUCH AS THEY WANT !
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PRIORITY QUESTIONS use what formula? - correct answer-SPEC n n n n n nn n
SPEC stands for ? - correct answer-S= stable vs non stable
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, P= potential vs real
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E= expected vs unexpected
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C= chronic vs acute
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priority patients are? - correct answer-- neuro changes ex: GCS LOW 8
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- very low values labs ex: DM with 50 BS
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- client returning form invasive procedures and a comlication happens ex: eviceration
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- ABC's airway problems and there acid base inbalanced
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- client with chest pain and syncope not ecpected
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- pt w/ 2-3 rd degree burns
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- client with new onset of infectious disease = TB
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- any unexpected events= MI, STROKE, HHS, DKA, ADDISONS CRISIS, THYROID
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STORM, MYXEDEMA COMA, HTN CRISIS, PREECLAMPSIA, STROKE...
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Maslow's Hierarchy of Needs - correct answer-physiological, safety, love/belonging,
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esteem, self-actualization
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physiological needs? 1ST NEED - correct answer-AIRWAY n n n n nn n
RESPIRATORY EFFORT n
HR, RHYTHM, CONTRACTIONS STRENGTH
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NUTRITION
ELIMINATION
SAFETY AND SECURITY = 2N NEED - correct answer-- PROTECT FROM INJURY
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- PROMOTE FEELING OF SECURITY
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- TRUST IN NURSE CLIENT RELATIONSHIP
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TRIAGE RED TAG EXAMPLES? CLASS 1 - correct answer-EMERGENT THREAT TO
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LIFE EX:
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CARDIAC TEMPONADE n
STROKE
SHOCK
AIRWAY OBSTRUCITON n
YELLOW TAG CLASS 2 - correct answer-Urgent within 30 min to 2 hours- can wait a little
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- OPEN FRACTURES W DISTAL PULSES
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- LARGE WOUNDS
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GREEN TAG CLASS 3 - correct answer-the walking wounded
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- CLOSED FRACTURES
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- SPRAINS
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- ABRASIONS
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- CONTUSION
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BLACK TAG CLASS 4 - correct answer-EXPECTED TO DIE!
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- MASSIVE HEAD TRAUMA
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- FULL THICK BURNS TO WHOLE BODY
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- HIGH CERVICAL SPINE INJURY REQUIRING MECHANICAL VENTILATION
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ABGS NORMAL VALUES - correct answer-PH = 7.35- 7.45
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