PASSEXAM

Tanner's Model of Clinical Judgement - CORRECT ANSWERS A model based on how a nurse THINKS, it explains the 4 steps in the critical thinking process that nurses use to solve any problem: Noticing Interpereting Responding Reflecting Nursing Process - CORRECT ANSWERS Uses the Scientific Method to complete a Step by step approach to PROVIDE PATIENT centered care: ADPIE Assessment Diagnosis -RN only Planning/Outcomes Implementation Evaluation Why study Critical Thinking? - CORRECT ...

what are similar in hospital and long term care national patient safety goals? - CORRECT ANSWERS patient identification proper procedure for fecal impactation removal? - CORRECT ANSWERS Lube first two gloved fingers, insert into pt one at a time, in a scissor movement break down the stool and remove little by little. **Watch for fatigue, dispnea, heart palpitations What is the proper sequence to give medication/feeds vi NG tube? - CORRECT ANSWERS Check placement, pull residual, flush 3...

1. Stage 13: Assest management/end of life: The procurement professional should evaluate whether the need is still current. If it is and unchanged, the pro- curement cycle process commences again but from a different stage as the need is already known and understood. If the need is not required the buyer should manage the end of life by reducing stock levels and informing the supplier 2. Anti-bribery procedures: -Proportionate procedures: should be in line with the ype of bribery risk and scale...

You have a patient that just gave birth. What is your priority assessment? - CORRECT ANSWERS Assess the fundus at the umbilicus and make sure it is firm. Where do you palpate the uterus the day of birth? - CORRECT ANSWERS Midline at the umbilicus Where should the fundus be 2 days after birth? - CORRECT ANSWERS 2 finger breaths (widths) below the umbilicus If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the side - CORRECT ANSWERS This means patient has a ...

Wound stage 1 - CORRECT ANSWERS no broken skin, redness Wound stage 2 - CORRECT ANSWERS blister or open wound, partial thickness loss Wound stage 3 - CORRECT ANSWERS in both dermis and epidermis, tunneling, unmining, slough, Wound stage 4 - CORRECT ANSWERS to the bone, slough, tunneling and unmining What puts a patient at risk for pressure sores? (7) - CORRECT ANSWERS immobility, chronic illness, poor nutrition, poor circulation, continence, same position What do you document with...

Stage 1 pressure ulcer - CORRECT ANSWERS Intact skin with nonblanchable redness Stage 2 pressure ulcer - CORRECT ANSWERS Partial loss of dermis. Shallow open ulcer, usually shiny, or dry. Red-pink wound bed without sloughing or bruising. Stage 3 pressure ulcer - CORRECT ANSWERS Full thickness tissue loss, subcutaneous fat may be visible. Possible undermining and tunneling. Stage 4 pressure ulcer - CORRECT ANSWERS Full thickness tissue loss with exposed bone, tendon,or muscle. Slough o...

Hand Washing - CORRECT ANSWERS First prevention to infection 20-30 seconds - CORRECT ANSWERS How long should you wash your hands? Post partum Incontinent Post rectum surgery - CORRECT ANSWERS What three groups are at an increased risk of infection from lack of perineal care? 110-115 - CORRECT ANSWERS What should bath temperature be? Reduce inflammation in perineal/anal areas - CORRECT ANSWERS What is a sitz bath 98.6 degree water used to reduce fever by placing cloths on the gro...

patient centered care - CORRECT ANSWERS providing care that is respectful of individual patient needs patient care for someone from a different culture - CORRECT ANSWERS ask the patient about culture practices and to what extent they practice them can you delegate repositioning of a patient to an STNA? - CORRECT ANSWERS YES functional mobility - CORRECT ANSWERS ADL's and IDL's theraputic communication - CORRECT ANSWERS restate the question patient: "nurse I have severe back p...

Oral Care for the place patient in lateral position with head to the side Unconscious* 2. PPE contact pre- cautions 3. PPE Droplet pre- cautions 4. PPE airborn pre- cautions 5. Highest Risk for Infection Gloves Gown and goggles (as-needed) Gown, Gloves, Mask and Goggles (as needed) Gown, Gloves, Mask (N95 respirator for known or sus- pected TB) Negative pressure room Private room Infant, Elderly, Immunocompromised 6. chain of infection Infectious agent, res...

allows blood to flow directly from the right atrium into the left atrium to bypass pulmonary circulation - CORRECT ANSWERS foramen ovale carries blood from the umbilical vein to inferior vena cava; allows some blood to bypass the liver - CORRECT ANSWERS ductus venosus atrial contraction; systole; p wave - CORRECT ANSWERS atrial depolarization max volume of air that can be exhaled following maximal inhalation - CORRECT ANSWERS vital capacity allows blood in pulmonary artery to flow di...