NSG 200 Final Exam Questions And Answers With 100% Correct Answers
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Course
NSG 200
Institution
NSG 200
Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to
achieve comfort
Electronic health record: - Systematic collection of a patient's health care and treatment in a
digital format
Mistakes in documentation that commonly result in malpractice: - - failing to...
NSG 200 Final Exam
Paroxysmal nocturnal dyspnea: - awakening from sleep with SOB and needing to be upright to
achieve comfort
Electronic health record: - Systematic collection of a patient's health care and treatment in a
digital format
Mistakes in documentation that commonly result in malpractice: - - failing to record pertinent
health or drug information
- failing to record nursing actions
- failing to record medication administration
- failing to record drug reactions or changes in patient's conditions
- incomplete or illegible records
- failing to document discontinued medications
Disclosure of medical information is on what type of basis? - need to know
5 characteristics of quality documentation: - Factual
Accurate
Complete
Current
Organized
What activities must be documented at the time of occurence? - - VS
- pain assessment
- administration of meds and tx
- preparation for diagnostic tests
- change in pt status & who was notified
,- admission, transfer, discharge, or death
- tx for sudden change in patient status
- response to tx or intervention
Methods of documentation: - - narrative note
- Problem oriented medical record
- SOAP note
- SOAPIE note
- PIE note
- focus charting (DAR)
Weakness of narrative note: - repetition
length
disorganization
What is the form of documentation that is organized by problem or diagnosis? - problem -
oriented medical record
SBAR: - Situation
Background
Assessment
Recommendation
How long after giving verbal orders does a provider have to sign the prescription? - 24 hours
What are the stages of an interview? - Preparation
Introduction
Working
Termination
, Therapeutic Communication Techniques - 1) ACTIVE LISTENING - Shows clients that they have
your undivided attention
2) OPEN-ENDED QUESTIONS - Used initially to encourage clients to tell their story in their own way. Ask
questions in a language that a client can understand
3) CLARIFYING - Questioning clients about specific details in greater depth or directing them toward
relevant parts of the history.
4) SUMMARIZING - Validates the accuracy of the story.
Assessment techniques: - History
Inspection
Palpation
Percussion
Auscultation
Depth of light palpation: - 1 cm
Depth of deep palpation: - 4 cm
Why is percussion performed? - - evaluate size, borders, and consistency of internal organs
- detect tenderness
- determine extent of fluid in body cavity
Direct percussion: - - strike finger or hand against patient's body
- evaluate adult sinus by tapping finger on sinus
- elicit tenderness over kidney with first
Percussion tones: - tympany
resonance
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