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NR 226 FINAL REVIEW Questions And Answers
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  • NR 226
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  • NR 226

allows for normal muscle function- heart, lungs, muscle tissue Hyperkalemia *cardiac arrest* ~ greater than 5 mEq *addison's disease increased intake, decreased output Muscle cramps Urinary retention Respiratory distress Decreased cardiac contractility Ekg changes Reflexes Hypokalem...

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  • August 8, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nr 226 final review questions and answers

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  • NR 226
  • NR 226

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NR 226 FINAL REVIEW
Questions And Answers

ADPIE


✓~ assessment, diagnosis, plan, implementation, evaluation




SMART goals


✓~ specific, measurable, achievable, relevant, time bound




2017 National Patient Safety Goals


✓~ improve accuracy of patient identification, improve staff communication, use

medications safely, prevent infection, identify patient safety risks, prevent surgery

mistakes




Prioritizing Client Care


✓~ airway, breathing, circulation

,Actual vs At Risk diagnosis


✓~ actual has current diagnosis, at risk doesn't




Chain of infection


✓~ pathogen, reservoir, portal of exit, transmission, portal of entry, host




High risk for infection


✓~ sick, immunocompromised, young and elderly




Adult Vital Sign Ranges: T, P, R, BP, SpO2


✓~ 96.8-100.4, 60-100, 12-20, 120/80, 95%




Surface temp


✓~ oral, axillary




Location for apical HR

, ✓~ 5th intercoastal mid clavicular line




Stage 1 pressure ulcer


✓~ skin in tact, Nonblanchable erythema




stage 2 pressure ulcer


✓~ partial thickness skin loss, wound bed pink




stage 3 pressure ulcer


✓~ full thickness, tunneling, undermining




stage 4 pressure ulcer


✓~ full thickness, exposed bone, ligament




unstageable pressure ulcer


✓~ would bed covered in slough or eschar




Deep tissue injury

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