EXAMS,TESTBANKS & ALL REVISION MATERIALS

Sentinel Event Unexpected event that involves death or serious physical or psychological injury, or risk thereof Never Event shocking medical errors that should NEVER occur RCA root cause analysis Nursing Process Steps Assessment, Diagnosis, Planning, Implementation, Evaluation Interventions blood products checked by two people, weigh risks, time out "Time Out" everyone stops what they are doing and checks identity of patient, consent is looked at ...

introductory phase introduce self, explain purpose of the interview, assure privacy, time frame, build rapport working phase nurse collects data by collaborating with patient to identify problems and set goals. uses skills of listening/thinking/observing summary/closing phase - summarize/restate findings - validates problems/goals - discusses plan to solve problem Facilitation cueing to patient to continue by saying "mm-hmm", or silent gestures like head nod. it...

visceral originates in organs, poorly localized; usually felt near midline; caused by stretching or organ capsule parietal originates in the parietal peritoneum and caused by inflammation; steady, achy, more localized, aggravated by movement or coughing Must See! Eyewitness Captures the Moment a Pair of Male Sea Lions Attack Beach-Goers referred felt at sites that are innervated at the same spinal levels as the original organ and develops as the pain becomes more intense (...

Components of Health History Biographic data, reason for seeking care, history of present illness, past medical history, family history, review of systems, functional assessment or activities of daily living Subjective Data things a person tells you about that you cannot observe through your senses; symptoms Must See! Eyewitness Captures the Moment a Pair of Male Sea Lions Attack Beach-Goers Objective Data information that is seen, heard, felt, or smelled by an observer; s...

Safe Patient handling for immobile patients transfer devices, lift teams Safe Patient handling for patients that can assist •Wide base of support •Lower center of gravity •Equilibrium of an object is maintained as long as the line of gravity passes through the base of its support •Facing the direction of movement prevents abnormal twisting of the spine •Dividing balanced activity between arms & legs reduces the risk of injury •Leverage, rolling turning, or pivoting requ...

list and describe steps of the nursing process 1. Assessment: gathering and analyzing data 2. Diagnosis: determine what is wrong withe the patient 3. Planning: what can we do to help patient meet goals/set goals for patient 4. Implementation: carry out plans 5. Evaluation: have patient meet goals What is the first step in determining priorities to individualize care? assessment what is the purpose of an assessment to establish baseline data about the client -gives you i...

assessment the systematic process of gathering, verifying, and communicating data 4 types of assessment initial comprehensive, ongoing, focused, emergency initial comprehensive assessment occurs when client first presents to health care system, overall picture, subjective and objective data ongoing/partial assessment after comprehensive, reassessment of initial problem of baseline, looking for improvement/deterioration focused/problem assessment occurs in relatio...

The Nursing Process A systemic problem solving approach to identify and treating human response to actual or potential health problems 5 phases of the Nursing Process assessment diagnosis planning implementation evaluation Example of the Nursing process A: reddened area on patients sacral area D:Potentital for impaired skin integrity, could be because of excessive bed rest P:patient will maintain intact skin while in hospital I: Make sure patient is moved frequently E:lo...

Nursing Process Identifying and treating human responses to actual or potential health problems; continual; revise as necessary Nursing Process 5 Steps Assessment, Diagnosis, Planning, Implementation, Evaluation Nursing Diagnosis Clinical judgement about clients, family, community responses to actual or potential health problems Assessment Collecting subjective and objective data; establish data base with client's wellness, health practices, past illnesses, and establ...

A runner has depleted all the oxygen available for muscle energy. Which of the following will facilitate his continued muscle performance? Answer: Anaerobic glycolysis What causes the rapid change in the resting membrane potential that initiates an action potential? Answer: Sodium gates open, and sodium rushes into the cell, changing the membrane potential from negative to positive. A 12-year-old male is diagnosed with Klinefelter syndrome. His karyotype would reveal which of the...