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RNSG EXAM 3 BLUEPRINT (8 concepts of 1128 + 2 dosage calc.
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RNSG EXAM 3 BLUEPRINT (8 concepts of 1128 + 2 dosage calc.
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RNSG 1128/1430 EXAM 3 BLUEPRINT (8 concepts of 1128 + 2 dosage calc)Coping
Objective 3: 3 questions
Objective 4: 1 question
1)Identify when ineffective/maladaptive Coping (negative consequence) is developing or has
developed.
Anxiety, ineffective or defensive coping, ineffective denial.
Selye’s General Adaptation Syndrome: Alarm, Resistance, Exhaustion.
Impaired cognition
Inability to accurately assess the stressor
Denial or avoidance of the stressor (negative defense mechanisms)
An actual or perceived lack of control over the situation
An actual or perceived lack of support/resources
No experience or poor past experiences handling stressful situations
Age
Deterioration in Health or Chronic Health Conditions
Consequences of poor coping:
Decline in physical health- Peptic ulcer disease, Hypertension
Decline in mental health- Isolation, Depression
Alteration in functional ability: Job loss, Poor hygiene
Alteration in family dynamics: Separation/divorce, Poor communication
2)Apply the nursing process for individuals experiencing ineffective/maladaptive Coping and to
promote effective/adaptive Coping.
Primary appraisal - Is the stressor a threat?
Secondary appraisal - Can the individual overcome the stressor?
Effective coping results in resolution of stressor(s) if possible, acceptance of stressor(s),
requires full cognitive capacity, culturally sensitive and diverse. For a healthy person, stress can
be a positive motivator.
Trying to be optimistic about the outcome
Using social support
Using spiritual resources
Trying to maintain control either over the situation or over feelings
Trying to accept the situation
Tissue Integrity
Objective 1: 1 question
,Objective 2: 2 questions
Objective 3: 1 question
1) Explain the concept of tissue integrity (including definition, antecedents, and attributes).
2) Analyze conditions which place a patient at risk for impaired tissue integrity:
Prolonged pressure (immobility, bed rest)
Poor hygiene
Poor nutrition (dehydration or malnutrition, fluid protein and Vit C are important)
Incontinence
Breaks in the skin (body piercings)
Excessive sun exposure
Risky lifestyle choices (sexual behaviors, HIV/AIDS, drug users)
Age/ mental status
Neuropathy/Diminished pain awareness
History of corticosteroid therapy
Illness (II DM)
Therapeutic measures (casts, radiation, medications)
Fractures
Immunosuppression
, Multisystem trauma
Poor circulation
Previous pressure ulcers
Significant obesity or thinness
Changes occur as a person ages: Skin becomes more fragile, delayed wound healing, decrease in
vitamin D production, susceptible to dry skin, decrease in sensory perception, greater risk of
hypothermia or hyperthermia, elasticity decreases, decreased perspiration.
3) Identify when Tissue Integrity imbalance (negative consequence) is developing or has
developed.
Braden scale, overall skin and health assessment, and comprehensive history.
Acid-Base Imbalance- Process of regulating blood pH. Governed by the
regulation of hydrogen ion (H+) concentration in the body.
Objective 2: 1 question
Objective 3: 1 question
Objective 5: 3 questions
Objective 8: 1 question
1)Identify the normal adult values for arterial and mixed venous blood gases at sea
level.
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