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NUR 160 Hondros Exam 1 with complete Solutions |Latest 2024/2025
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NUR 160 Hondros Exam 1 with complete Solutions |Latest 2024/2025
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Voorbeeld van de inhoud
NUR 160 Hondros Exam 1 __., __., __., __., __.,with complete Solutions. __., __.,
When should an initial assessment be done?
__., __., __., __., __., __., __.,__., __., Within 24 hours __., __.,
For severe pain, schedule II, binds to opiate pain receptors, BBB
__., __., __., __., __., __., __., __., __., __., __.,__., __.,
Morphine
moderate to high pain, acetaminophen with oxycodone, BBB
__., __., __., __., __., __., __., __.,__., __.,
Percocet
moderate pain, acetaminophen with hydrocodone
__., __., __., __., __.,__., __., Norco
What should we pay attention to when a pt is post op knee
__., __., __., __., __., __., __., __., __., __., __., __., __
replacement and they live on 2nd floor
., discharge planning
__., __., __., __., __., __., __.,__., __., __.,
workers are protected from disciplinary action when they report injuries,
__., __., __., __., __., __., __., __., __.,
errors, or near misses
__., __.,just culture
__., __., __.,__., __., __.,
What is your name?
__., __., __., __.,__., close-ended question
__., __.,
Everything will be fine __., __., __., __.,__., __., false reassurance __.,
,To identify changes in pt condition, to help foresee areas of concern
__., __., __., __., __., __., __., __., __., __., __., __.,__.,
Why Assess?__., __.,
who does the initial assessment?
__., __., __., __., __.,__., __., RN
1. Introduce self
__., __.,
2. Explain procedure
__., __.,
3. wash hands
__., __.,
4. Identify pt
__., __.,
5. Provide privacy
__., __.,
6. Inspect, auscultate, palpate
__., __., __., __.,__., __., Steps of an assessment __., __., __.,
If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2
__., __., __., __., __., __., __., __., __., __., __., __., __., __.,
or check tubing, teach inhale through nose, exhale through mouth)
__., __., __., __., __., __., __., __., __., __.,__.,
Correct, then continue
__., __., __.,
Subjective then Objective (helps to identify ares of focus)
__., __., __., __., __., __., __., __., __.,__., __.,Order of __., __
assessmet
.,
If pt c/o sore throat or recent cold
__., __., __., __., __., __., __., __.,__., Inspect airway, auscultate lungs
__., __., __., __.,
Clear(Good or indifferent) __., __., __.,__., __., Serous Drainage __.,
, Blood-red(a little is ok, alot is bad) __., __., __., __., __., __., __.,__., Sanginous Drainage
__., __.,
Pink-mix of blood and serous(This is ok)
__., __., __., __., __., __., __.,__., Serosanginous Drainage
__., __.,
Puss (assess for infection and notify MD)
__., __., __., __., __., __., __.,__., __., Purulent Drainage __.,
Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute t
__., __., __., __., __., __., __., __., __., __.,
otal) assess for an obstruction and notify MD
__., Absent Bowel Sound
__., __., __., __., __., __., __.,__., __., __., __.,
s
Burning at site, itching at site, bruising
__., __., __., __., __., __., __.,__., Normal IM injection reactio
__., __., __., __.,
n
vomiting, constipation, dry mouth, rash (systemic)
__., __., __., __., __., __.,__., Abnormal IM inj
__., __., __.,
ection Reaction __.,
1. Must be read 48-72 hrs (assessed)
__., __., __., __., __., __.,
2. Document date, time of injection and reading, as well as result
__., __., __., __., __., __., __., __., __., __., __.,
3. Mild swelling is normal
__., __., __., __., __.,__., TB testing
__., __.,
10mm- healthcare workers are a strict 10
__., __., __., __., __., __., __.,__., __., TB result-negative
__.,
red, raised (induration)
__., __., __.,__., __., TB result-positive
__.,
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