NUR 155

epworth sleepiness scale (ESS) instrument used to measure average daytime sleepiness EPP score 1-6 getting enough sleep EPP score 7-8 average amount of sleep EPP score 9 and up very sleepy and should seek medical help SPICES nursing assessment for older adults what does the S stand for in spices sleep disorders what does the P stand for in spices problems with eating or feeding what does the I stand for in spices incontinence what d...

Macronutrients are required in grams Micronutrient are required in mcg or mL Fatty Acids Butter Vegetable Oil Animal Fats Micronutrients vitamins and minerals Fat soluble vitamins A, D, E, & K - can be stored in the body water soluble vitamins B vitamins and vitamin C Microminerals (trace minerals) iron zinc Lab Values: Triglycerides, Male *Trig 40-160 mg/dL Lab Values: Triglycerides, Female *Trig 35-135 mg/dL Lab Value...

C-Diff specifics - not killed by alcohol - wash hands (soap & water) - contact PPE - endospores -patient in contact isolation -private room septesemia When bacteremia results in a systemic infection Bacteremia presence of bacteria in the blood / reveals microorganisms When transferring/moving a patient, you will need a second person when they are over __________ lbs. 35 What movement/transfer is used for a spinal cord injury patient? log roll Transfer...

Pick the infectious disease process for contact precautions. MRSA C-Diff MRSA Methicillin-Resistant Staphylococcus Aureus; an infectious disease caused by a pathogen that is resistant to many antibiotics C. diff (Clostridium difficile) are passed in feces and spread to food, surfaces and objects when people who are infected don't wash their hands thoroughly Pick the infectious disease process for airborne precautions. Tuberculosis Rubeola Tuberculosis Rubeola mea...

Tanner's Model of Clinical Judgement 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 Uses the Scientific Method to complete a Step by step approach to plan patient centered care: ADPIE Assessment Diagnosis Planning/Outcomes Implementation Evaluation Why study Critical Thinking? Thinking with a purpose, know why you do what you...

A nurse is evaluating a patients understanding of proper treatment of hypoglycemia. Which of the following measures indicates effective teaching? Select all that apply. A. "I will drink 120 mL of orange juice" B. "I could eat 2 soft boiled eggs with 2 saltine crackers" C. "I will take a 4 mg Glucose tablet" D. "I will drink a regular 150 mL of Coca Cola" E. "I should keep Lifesavers or other hard candies with me at all times" A. I will drink 120 mL of orange juice D. I will dr...

What are the 4 stages of Tanner's Model? 1. Noticing 2. Interpreting 3. Responding 4. Reflecting What are the thinking skills for Noticing in Tanner's Model? 1. Identifying signs and symptoms 2. Gathering complete and accurate data 3. Assessing systematically and comprehensively 4. Predicting (and managing) potential complications 5. Identifying assumptions Noticing thinking skill IDENTIFYING SIGNS AND SYMPTOMS The ability to recognize that a situation is different, cha...

Which thinking skill belongs to the responding step in Tanner's? Providing the priority care determined Which thinking skill does the nurse use when determining if pain medication administered was effective? Evaluating data Which factors influence a nurse's ability to predict and manage complications? The nurses experience level The nurses knowledge level Which thinking skill is demonstrated when reviewing the patients chart performing a physical assessment, intervie...

Tanner's Model of Clinical Judgement A "MODEL" based on how a nurse thinks. Explains 4 steps in the "CRITICAL THINKING PROCESS" that nurses use to solve any problem: *Noticing *Interpreting *Responding *Reflecting Nursing Process Uses the Scientific Method to complete a Step-by-step approach to plan patient-centered care: "ADPIE" *Assessment *Diagnosis *Planning/Outcomes *Implementation *Evaluation Why do we study Critical Thinking? To think with a purpose, ...

What is the nursing process? Systematic, rational method of planning and proving individualized care. What do you do in the nursing process? 1. Assessing 2. Nursing Diagnosing 3. Planning 4. Implementing 5. Evaluating What is the Decision-Making Process? -Choosing the best actions to meet a desired goal -Make value decisions -Time management decisions -Scheduling decisions -Priority decisions The Nursing Process: Assessing -Collecting, organizing, validating an...