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Foundations Midterm Study Document
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10/19/23, 12:28 PM Foundations Midterm Study DocumentFOUNDATIONS MIDTERM STUDY DOCUMENT
WEEK 1
Upon completion of this lab the student will demonstrate knowledge of:
Policies and keys to success in the Practice Lab.
Course expectations and learning resources available.
Principles of a healing environment including infection control.
Nurse’s roles and responsibilities related to principles of documentation including requirements
for privacy and confidentiality
Basic principles of documentation and nursing informatics
Learner Activities
Examine course outline and examine online resources
Course expectations: attendance, dress code, professionalism, lab rules
Introduce math learning modules
Discuss healing environments
Discuss documentation principles and types of documentation; practice FAIR note writing
CNO Documentation Module
Chap 34
Case Study:
Your patient had an in-dwelling urethral catheter for 1 week. The catheter has now been out for 24
hours. The patient complains of frequency of and pain on urination. The patient suggests that the
catheter be reinserted so that she does not need to get up frequently. What can frequency of or pain on
urination indicate? Should the catheter be reinserted? Why or why not? Describe at least one
appropriate assessment measure and independent nursing action for this patient.
2. You are caring for a patient who has a large, open, draining abdominal wound. You notice another
health care worker changing the patient’s dressing without wearing gloves or using sterile supplies or
sterile technique. When you question the health care worker regarding this practice, the person says,
“Don’t worry, the wound is already infected, and the antibiotics and draining will take care of any
contaminants.” How would you respond to this comment? What would your next steps be in following
up on this incident?
3. Penelope (preferred pronouns: she/her) is 83 years of age and lives alone. She has difficulty walking
and relies on a church volunteer group to deliver lunches during the week. Her fixed income limits her
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ability to buy food. Last week, Penelope’s 79-year-old sister died. The two sisters had been very close.
Explain the factors that might increase Penelope’s risk for infection.
4. A patient (preferred pronouns: he/him) is admitted to your facility with a history of recent weight loss,
a cough that has persisted for 2 months, and hemoptysis. His chest X-ray film shows a cavity in one lung,
and his physician suspects tuberculosis. What type of isolation precautions would you use for this
patient? What protection would you use when providing care? What education would you provide for
the patient and his family?
Your patient had an in-dwelling urethral catheter for 1 week. The catheter has now been out for 24
hours. The patient complains of frequency of and pain on urination. The patient suggests that the
catheter be reinserted so that she does not need to get up frequently. What can frequency of or pain on
urination indicate? Should the catheter be reinserted? Why or why not? Describe at least one
appropriate assessment measure and independent nursing action for this patient.
2. You are caring for a patient who has a large, open, draining abdominal wound. You notice another
health care worker changing the patient’s dressing without wearing gloves or using sterile supplies or
sterile technique. When you question the health care worker regarding this practice, the person says,
“Don’t worry, the wound is already infected, and the antibiotics and draining will take care of any
contaminants.” How would you respond to this comment? What would your next steps be in following
up on this incident?
3. Penelope (preferred pronouns: she/her) is 83 years of age and lives alone. She has difficulty walking
and relies on a church volunteer group to deliver lunches during the week. Her fixed income limits her
ability to buy food. Last week, Penelope’s 79-year-old sister died. The two sisters had been very close.
Explain the factors that might increase Penelope’s risk for infection.
4. A patient (preferred pronouns: he/him) is admitted to your facility with a history of recent weight loss,
a cough that has persisted for 2 months, and hemoptysis. His chest X-ray film shows a cavity in one lung,
and his physician suspects tuberculosis. What type of isolation precautions would you use for this
patient? What protection would you use when providing care? What education would you provide for
the patient and his family?
Your patient had an in-dwelling urethral catheter for 1 week. The catheter has now been out for 24
hours. The patient complains of frequency of and pain on urination. The patient suggests that the
catheter be reinserted so that she does not need to get up frequently. What can frequency of or pain on
urination indicate? Should the catheter be reinserted? Why or why not? Describe at least one
appropriate assessment measure and independent nursing action for this patient.
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2. You are caring for a patient who has a large, open, draining abdominal wound. You notice another
health care worker changing the patient’s dressing without wearing gloves or using sterile supplies or
sterile technique. When you question the health care worker regarding this practice, the person says,
“Don’t worry, the wound is already infected, and the antibiotics and draining will take care of any
contaminants.” How would you respond to this comment? What would your next steps be in following
up on this incident?
3. Penelope (preferred pronouns: she/her) is 83 years of age and lives alone. She has difficulty walking
and relies on a church volunteer group to deliver lunches during the week. Her fixed income limits her
ability to buy food. Last week, Penelope’s 79-year-old sister died. The two sisters had been very close.
Explain the factors that might increase Penelope’s risk for infection.
4. A patient (preferred pronouns: he/him) is admitted to your facility with a history of recent weight loss,
a cough that has persisted for 2 months, and hemoptysis. His chest X-ray film shows a cavity in one lung,
and his physician suspects tuberculosis. What type of isolation precautions would you use for this
patient? What protection would you use when providing care? What education would you provide for
the patient and his family?
WEEK 2
Proper handwashing technique to prevent disease and promote health
2. Bed making and healing environments.
3. Importance of disposal of soiled linens in appropriate receptacle
4. Responsibility of resources: linen
5. Importance of vital sign measurement.
6. Accurate assessment of radial and apical heart rate.
7. Accurate documentation of pulse rate
8. Practice for Infection Prevention and Control
9. Principles of medical asepsis.
10. Donning and doffing of appropriate PPE
Learner Activities
Handwashing
· Practice
Personal Protective Equipment
· Discuss chain of infection and conditions that promote the transmission of infections
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