NSB132 Exam Study guide 2024
Assess - Identify infection risk, subjective data, objective data
Plan - nursing problems and goals (infection risk, altered hydration/nutrition, pain, fever, patient
isolation)
Implement - manage symptoms, reduce infection risk
Evaluate - Nurse's role in managing and controlling the spread of infection
Altered absorption due to decreased gastric pH, delayed emptying of stomach and decreased splanchnic
blood flow.
Altered distribution due to decreased water volume and serum albumin.
Altered metabolism due to decreased liver volume and hepatic blood flow.
Altered elimination due to decreased mass, size and number of nephrons, decreased blood flow and
glomerular filtration.
Altered response. - Special drug considerations for older adults
Six rights, comprehensive assessment (signs and symptoms), cognitive impairment, is the pt NBM -
Nurses role in maintaining safe administration of medications (assessment)
Reduction of symptom and associated problems - Nurses role in maintaining safe administration of
medications (planning, goals)
1. removal of drug from storage/trolley
2. check when dispensing
3. check before administering - 3 Medication checks
did the drug have the desired effect? Any adverse reactions? - Evaluating the efficacy of medications
Preventing falls and harm from falls.
, Screening and assessment of falls risk, prevention of falls and strategies, communication of risks with
patients and carers. - Standard 10
Age (the very young, injury to muscoskeletal/neuro system, acute illness, environment factors -
Temporary altered mobility
Age (old age), chronic illness (pain, medications, neruo deficits, musculoskeletal dysfunction), congenital
disability, sensory loss, mood. - Permanent altered mobility
age, medications, low blood pressure, chronic illness, disability, inconctinence, surgery, cognition,
arthritis - Intrinsic factors that affect mobility
environment, footwear, falls - Extrinsic factors that affect mobility
degenerative disease caused by a loss of cartilage that normally cushions bone ending. Causes pain,
swelling and decreased range of movement. - Osteoarthritis/arthritis
Identify risk, understand the impact of intrinsic and extrinsic factors, assessing mobility/ROM/balance,
intervening and assisting to ensure a safe environment, helping a pt to mobiles, monitor progress and
assess, collaborate with health team (physio, etc.) - Nurse's role in patient mobility
consider medical condition, weight, mobility hx, physical characteristics, mental status and cognition,
communication ability, musculosketal and falls risk assessment, - Nurses's role in mobility (assessment)
unstable gait, poor body alignment, poor range of motion - Examples of mobility actual problems
Identify: impaired movement, altered activity tolerance, risk of injury/immobility. - Nurses's role in
mobility (identify problems/goals)
Maintain existing function, avoid imposing disability, thorough assessments. - Nurses's role in mobility
(planning)
