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NFDN 2003 Midterm Review Questions and Answers 100% Pass What does SBAR stand for? - Situation Background Assessment Recommendation Concept Map - -another method of recording a nursing care plan -the nursing process is recorded in a visual diagram of patient problems and interventions that i...

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  • December 5, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nfdn 2003 midterm review questions and answers 100

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NFDN 2003 Midterm Review Questions and
Answers 100% Pass


What does SBAR stand for? - ✔✔Situation


Background


Assessment


Recommendation


Concept Map - ✔✔-another method of recording a nursing care plan


-the nursing process is recorded in a visual diagram of patient problems and interventions that illustrates

the relationships among clinical data


Clinical (critical) pathways - ✔✔-directs the entire health care team in the daily care goals for select health

care problems


-includes: nursing care plan, specific interventions, and a documentation tool


-it describes the patient care required at specific times in the treatment


-multidisciplinary approach


Purpose of clinical pathway - ✔✔Critical to meet expected outcomes


Standardize care


Reduce delays in care


Reduce costs


What is the purpose of SBAR? - ✔✔-All events are critical to meet outcomes


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,-Standardization of Care


-Can be individualized


-Reduces duplication and delays in care


-Reduces cost of care


What does SBAR do? - ✔✔-Communication Framework


-Clear & Direct communication with Care Providers


-Clinical Pathways


-Care maps


-Effective & Efficient Processes


-Care mapped from entry to exit


What is the purpose of dressing? pg. 1318 - ✔✔-Like a second skin to something that has been broken


-to control bleeding, to prevent infection, to absorb blood


-aids in homeostasis


-provides a moist environment


What type of wounds need dressing? - ✔✔wounds with extensive tissue loss


What is gauze? - ✔✔-Absorbent and WICK away any drainage.


-Does not irritate the wound.


Why would we use gauze? - ✔✔It gathers lots of secretions, for something that is draining lots


Telfa - ✔✔-Non-adherent gauze




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, -Telfa can be used over clean wounds with little or no drainage.


-Does not stick and drainage can pass through to the gauze.


When would we use occlusive dressing? - ✔✔-Anytime we do not want something to go in/out of the

wound because it is impermeable to external bacteria and other contaminants


-eg. chest tube


Occlusive (Hydrocolloid) - ✔✔-Adhesive and occlusive.


-Interacts with wound fluid to provide a moist environment


-Surface touching the wound forms a gel and maintains a moist environment.


-Can be used on clean, granulating wounds as well as for wounds that need debriding.


-They slowly liquify necrotic tissue.


-Can be left in place until seal is broken, allowing for enhanced healing.


-Use on ulcer type wounds.


-WATCH CAREFULLY AS SOME HYDROCOLLOIDS CAN LEAVE RESIDUE IN WOUND THAT

LOOKS LIKE PUS


-minimal absorption, maintains wound med moisture


-impermeable to external bacteria and other contaminants


-must be left in place for 5-7 days


-should NOT be used in heavily draining, or full thickness infected wounds


What assessment do you do pre/post dressing change? - ✔✔-When you go in, what do you see? Is there

drainage on the top, moist, what type of drainage and how much?




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