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NUR 351 - Acute Med SURG Final Exam Questions and Answers
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NUR 351 - Acute Med SURG FinalWhat is the priority of a professional nurse? - Answer-SAFETY
Step 1 of Nursing Process - Answer-Assessment
Nursing Assessment - Answer-systematic and continuous collection and analysis of information about
the client
• Construct database
o Mental Status Exam
o Psychosocial assessment
o Physical exam
o History
o Interviews - assessment interview requires culturally effective communication skills and encompasses
a large database
o Standardized rating scales
• Verify the data
SBAR communication - Answer-(Situation, Background, Assessment, Recommendation) - framework for
communication between members of the healthcare team about a patient's condition.
,SBAR: Situation - Answer-What is the situation you are calling about?
• Identify self, unit, patient, room number.
• Briefly state the problem, what is happening at the time, when it happened or started, and how
severe.
SBAR: Background - Answer-Pertinent background information related to the situation could include the
following:
• The admitting diagnosis and date of admission
• List of current medications, allergies, IV fluids, and labs
• Most recent vital signs
• Lab results: provide the date and time test was done and results of previous tests
for comparison
• Other clinical information
• Code status
SBAR: Assessment - Answer-What is the nurse's assessment of the situation? Provide an analysis of the
problem or pt. need based on assessment data collected
SBAR: Recommendation - Answer-What is the nurse's recommendation or what does he/she want?
Desired outcome
Examples:
• Notification that patient has been admitted
• Patient needs to be seen now
• Order change
, goal of safety - Answer-the ability to keep the patient and staff free from harm and minimize errors in
care
Errors in health care can lead to: - Answer-- pt injury
- pt death
- increased health care costs
Best safety practices reduce error and harm through: - Answer-- established protocols
- memory checklists
- bar code medication administration
National Patient Safety Goals (NPSGs) - Answer-areas of patient safety concern identified annually by
the Joint Commission that, if rectified, may have the most positive impact on improving patient care and
outcomes
sentinel event - Answer-a serious variation in the standard of care that is caused by huan or system
error and results in an avoidable pt death or major harm.
Failure to rescue - Answer-the inability to recognize a patient's negative change in status in a timely
manner in order to prevent patient complications and to prevent major disability or death
What have most hospitals implemented in order to improve pt. safety and prevent failure to rescue? -
Answer-a Rapid Response Team
Goal of Rapid Response Team - Answer-To save lives and decrease the risk for harm by providing better
care before a medical emergency occurs. They intervene rapidly when needed for pts. who are
beginning to rapidly decline
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