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ASU MEPN NUR 514 Complete Study Guide for Final Exam |Pass Guaranteed
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ASU MEPN NUR 514 Complete Study Guide for Final Exam |Pass Guaranteed
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ASU MEPN NUR 514 Complete Study Guidefor Final Exam |Pass Guaranteed
Nursing Process & Clinical Judgement Measurement model
Assessment: (recognize cues) subjective & objective
Nursing Diagnosis: (analyze and prioritize)
Planning: (generate solutions)
Implementation: (take action) nursing interventions
Evaluate Outcomes (evaluate outcomes)
How do you know Patient Pain is getting better?
Answer outloud
Hospital acquired infection (HAI)
An infection that is acquired in the hospital or other health care facility and was not present or
incubating at the time of the patient's admission.
Local infections
pathogens are limited to a small area of the body
Exudate
drainage
systemic infection
an infection throughout the body FEVER
Asepsis
The creation of an environment free of pathogens
Medical asepsis (clean technique)
perform hand hygiene frequently; use PPE as indicated; don't place items on the floor of
client's room; don't shake linen; clean least soiled area first; place moist items in plastic bags;
reinforce education with client and caregivers
Surgical asepsis (sterile technique)
,procedures to completely eliminate the presence of pathogens from objects and areas
contact precautions
gown and gloves
Emphysema
barrel chest
pursed lip breathing
dyspnea on exertion
cyanosis
wheezing/decreased breath sounds
Standard Precautions
hand hygiene and gloves
Droplet precautions
gown, gloves, mask
airborne precautions
N95 mask, negative pressure room
protective environment precautions
-positive airflow
-HEPA filter
-no flowers/plants
RBC normal range
4.7-6.1 million (men)
4.2-5.4 million (female)
WBC range
5,000-10,000
BUN
10-20 mg/dL
Potassium normal range
3.5-5.0 mEq/L
,Platelets normal range
150,000-400,000
Serum Creatine normal range
0.6-1.2
hematrocrit (HCT)
42-52% (male), 37-47% (female)
Hemoglobin normal range
female: 12-16
male: 14-18
Sodium normal range
135-145 mEq/L
12 lead ECG
An ECG that uses 12 leads attached to the patient's skin; these include the limb leads and chest
leads
CXR
chest x-ray
CT scan
NONINVASIVE
x-ray photographs taken from different angles and combined by computer into a composite
representation of a slice through the body
MRI scan
uses radio waves and a very strong magnetic field to produce images of the soft tissue
MRI (magnetic resonance imaging)
a technique that uses magnetic fields and radio waves to produce computer-generated images
of soft tissue. MRI scans show brain anatomy.
NO METAL
MRI precautions
, -Metallic stents
-Penile implants
-Artificial limbs -artifacts make it difficult to interpret
-Medication Patches with metal
-Claustrophobia
Ultrasound (US)
noninvasive
quick
no radiation or contrast
Nursing Neurological Assessment- Subjective
Headache
dizziness/vertigo
weakness
conffusion
numbness or tingling
difficulty/slurred speech
Nursing Neurological Assessment- Objective
Inspection:symmetry of skull,face
ROM in neck
Palpation
Pupil inspection
checking the different cranial nerves
Cranial Nerve 1: Olfactory
sense of smell (sensory)
Cranial Nerve 2: Optic Nerve
vision (sensory)
Cranial Nerve 3: Oculomotor
up, down, medial eye muscle movements and papillary constriction
Motor
Cranial Nerve 4: Trochlear Nerve
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