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Hondros Nursing 160 Exam 1 Latest Updates 2024/2025
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Hondros Nursing 160 Exam 1 Latest Updates 2024/2025
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Hondros Nursing 160 Exam 1 LatestUpdates 2024/2025
just culture ANS✔✔ workers are protected from disciplinary action when they
report injuries, errors, or near misses
close-ended question ANS✔✔ What is your name?
false reassurance ANS✔✔ Everything will be fine
Why Assess? ANS✔✔ To identify changes in pt condition, to help foresee
areas of concern
RN ANS✔✔ who does the initial assessment?
Within 24 hours ANS✔✔ When should an initial assessment be done?
discharge planning ANS✔✔ What should we pay attention to when a pt is
post op knee replacement and they live on 2nd floor
Steps of an assessment ANS✔✔ 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
, Correct, then continue ANS✔✔ If a concern arises during assessment (Ex: pt
c/o SOB. Sit up, apply O2 or check tubing, teach inhale through nose, exhale
through mouth)
Order of assessmet ANS✔✔ Subjective then Objective (helps to identify ares
of focus)
Inspect airway, auscultate lungs ANS✔✔ If pt c/o sore throat or recent cold
Serous Drainage ANS✔✔ Clear(Good or indifferent)
Sanginous Drainage ANS✔✔ Blood-red(a little is ok, alot is bad)
Serosanginous Drainage ANS✔✔ Pink-mix of blood and serous(This is ok)
Purulent Drainage ANS✔✔ Puss (assess for infection and notify MD)
Absent Bowel Sounds ANS✔✔ Auscultate 5 mins per quadrant (Silence
means NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction ANS✔✔ Burning at site, itching at site, bruising
Abnormal IM injection Reaction ANS✔✔ vomiting, constipation, dry mouth,
rash (systemic)
TB testing ANS✔✔ 1. Must be read 48-72 hrs (assessed)
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