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FPCC Exam 2 Study Guide with Complete Solutions

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FPCC Exam 2 Study Guide with Complete Solutions Documentation - Answer-act of recording patient status & care in written form or electronic form , or in a combination of the 2. Explain the purposes of documentation - Answer-1. communication "continuity of care" 2. legally 3. financially 4. e...

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  • October 15, 2024
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




FPCC Exam 2 Study Guide with
Complete Solutions

Documentation - Answer✔✔-act of recording patient status & care in written form or electronic

form , or in a combination of the 2.


Explain the purposes of documentation - Answer✔✔-1. communication "continuity of care"


2. legally


3. financially


4. education & quality improvement


Explain how, when, & why to complete an incident report. - Answer✔✔--if an event that

happens that isn't consistent with routine care (a never event- pt developing a pressure ulcer,

falling)


-*first assess the pt & the pt's response (vitals, comments, complaints of pain)*


-then inform provider


-provide objective descriptions & subjective comments


-dont include in the chart that you filed an incident report, only write what happened


-if it was a near miss, fill out an incident report to prevent it from happening in the future.



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Discuss the key elements of giving an oral patient report - Answer✔✔-face-to-face: ideal & most

common. keep organized by using SBAR


walking rounds- standard that the handoff should be given at the bedside




taped recording




must include significant info: name, age, diagnosis admitted with


changes in the treatment plan that happened




DO NOT include routine care


What abbreviations can be used in charting? - Answer✔✔-NONE. never accept an order that

has an abbreviation.


Explain the process for verifying or questioning a medical order. - Answer✔✔--If an order is

written illegibly on a paper order sheet or is entered into the EHR missing components, contact

the provider.


-If you still do not feel comfortable after contacting the provider, you may refuse to carry it out.


-Inform the chain of command of your refusal.




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Nursing admission data forms - Answer✔✔-used to establish a baseline to monitor change,

provides information about the clients support system, contains the critical information on why

the client is there.


Flowsheets/graphic records - Answer✔✔-use to document assessments and care that are

performed frequently, on a reoccurring schedule, or as a part of unit routines. (Vital signs)


Integrated plan of care - Answer✔✔-combination of care plan & patient chart.


Summarize the process for receiving & documenting verbal & telephone orders - Answer✔✔--

Carefully identify client.


-Immediately record the order.


-Always repeat the order back & document that too


-Document that you did that/read the order back.


-Question if needed.


-Document TO for telephone order, VO for verbal order.


-If uncomfortable/in a high-risk situation, ask them to repeat order to another nurse.


-The order has to be signed by the person who gave it to you within 24 hours, electronically or

on paper chart.


How much fluid should we encourage our patients to drink daily? - Answer✔✔-2200-2700 mL




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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



How is intake of ice chips measured for a patient's I&O? - Answer✔✔-1 cup of ice =1/2 a cup of

fluid


What are colloids? - Answer✔✔-larger protein molecules


ex: albumin


Albumin & prealbumin are big factors in predicting ____ - Answer✔✔-skin health


What are examples of crystalloids? - Answer✔✔-small proteins


-sodium, chloride, potassium


Monitoring daily weights - Answer✔✔--Measure weights first thing in the morning, same time

everyday.


-Use same scale


-Void before weighing


-Client needs to be wearing the same thing each time


-Can delegate this


-Client can do this at home, if they are gaining more than *2.2 pounds a day*, they need to call

the provider & check in about what's going on


-1 pound increase is about 500mLs of fluid retention.


We lose about how much fluid in our stool per day? - Answer✔✔-100-200 mL/day


How much fluid do we lose through urine a day? - Answer✔✔-1500mL/day
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