Nur 155 exam 1 Study guides, Class notes & Summaries

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: documentation goal Answer: to describe facts clearly and concisely to improve communication Question: correct clear and concise documentation Answer: "pt voided 150cc clear yellow urine to urinal @ 1230" Question: used standardized nursing terminology Answer: do not use abbreviations. example: don't use "QD", use daily. Question: charting by exception Answer: documentation that re...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: Physical restraints can be applied only with Answer: a primary care provider (PCP) order and only after all reasonable alternatives failed. Question: Physical restraints can be applied for either or both of two reasons Answer: Medical necessity • Behavioral or mental health issues Question: stepticemia Answer: infection of the blood Question: who's at greater risk of falls Answer: old...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: Normal WBC? Answer: 5,000-10,000 over 10,000 = infection under 5,000 = decreased ability to fight infection (chemo, aids, etc) Question: What is the Helping Relationship and what are the 3 stages? Answer: Nurse-Patient Relationship 1- Orientation/Introductory (establish boundaries, observe, interview, assess pt) 2- Working (dev plan of care and achieve goals pt has set, collab with other teams,...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: How long should you listen when listening to the APICAL? Answer: ONE full minute Question: Where is the aortic area of the chest? Answer: Right of the sternum at the 2nd intercostal space Question: Where is the pulmonic area of the chest? Answer: Left of the sternum at the 2nd intercostal space Question: Where is ERB's point? Answer: Left of the sternum at the 3rd intercostal space

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: Define what protective devices are used for Answer: avoid/prevent purposeful or accidental harm, to provide medically necessary treatment Question: Describe physical restraints Answer: leather or cloth wrist and ankle restraints, soft belts or vests, hand mitts, pelvic ties and geri chairs Question: describe chemical restraints Answer: anxiolytics, sedatives, neuroleptic and psychotropic agen...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Questions Question: In the Nursing process, what is ADPIE? Answer: Assessment, Diagnosis (Nursing), Planning, Implementation and Evaluation Question: In Assessment, what is the main key to remember? Answer: Data collection, objective and subjective Question: What is the difference between objective and subjective? Give examples of both of them Answer: Objective is the things we can measure while Subject...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Review Question: Define Ensuring accurate information. Answer: Verify that the information you collect is accurate. Question: Normal hemoglobin level? Answer: 12-18 g/dL Found on RBC, carries oxygen. Question: Normal BUN (blood, urea, nitrogen) level? Answer: 10-20 mg/dL

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Question: Things not to say in documentation Answer: -seems -appears -adequate -large small Question: How can you be specific in documentation? Answer: give percentages and use measurements Question: What needs to be in every documentation? Answer: -black ink -date -military time -name credentials -no white out or scribbles -no blank spaces -facts only -direct quotes from patient if n...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Study Guide Question: Which action by a patient with a family history of macular degeneration would demonstrate use of a prevention strategy that has been found to help prevent deterioration of the macula? (Select all that apply.) Answer: Wearing sunglasses when outside taking vitamin B6 and B12 supplements Question: Professional autonomy implies Answer: self-sufficiency and independence Question: ...

NUR 155 Foundations of Nursing - Galen College of Nursing Exam 1 Comprehensive Review Question: Number Maslow's levels of human needs from top (least important) to bottom (most important). 1. Safety and security needs 2. Self-actualization 3. Love and belonging needs 4. Physiological needs 5. Self-esteem needs Answer: 2, 5, 3, 1, 4 Question: Protection from elements, security, order, law, stability, and freedom from fear falls under what category of Maslow's levels of h...