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NUR 2090 - FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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NUR 2090 - FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED delegation: nurses cannot delegate to whom and which actions? -LPNs, CNAs, other ancillaries (misc.) -anything that requires an assessment/significant procedure delegation: pt needs ambulating, but if suffering fr...

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  • November 6, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 2090 final exam questions and answers with c

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  • NUR 2090
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NUR 2090 - FINAL EXAM QUESTIONS AND

ANSWERS WITH COMPLETE SOLUTIONS VERIFIED


delegation: nurses cannot delegate to whom and which actions?

-LPNs, CNAs, other ancillaries (misc.)

-anything that requires an assessment/significant procedure

delegation: pt needs ambulating, but if suffering from orthostatic hypotension.

what can the CNA and nurse do?

-CNA can ambulate the pt

-nurse can assess for orthostatic hypotension

prioritizing care: case study: what to prioritize?

-BP 145/92

-RR 24

-Temp. 104.2º

-HR 102

address situation that is most dire at the time

-in this case: temp. (104.2º)

normal/average vital signs

-BP: 120/80

-RR: 12-20

-Temp.: 97-99º F (36.1-37.2º C)

-HR: 60-100 bpm

,components of subjective data assessment

-pt feelings and statements about health

-data that cannot be directly observed



*performed during interview portion of assessment

components of objective data assessment

-observable and measurable data

-can be directly observed through sight/hearing/touch/smell



*performed during physical assessment portion of assessment

components of therapeutic communication (PHETS)

-positive regard: assumption that pt is worth dignity; avoids any unnecessary labeling

-honesty: open, direct, sincere

-empathy: ability to look at things from a different perspective

-trust: demonstrate ability to rely on nurses without doubt/question/judgement

-self-awareness/self-reflection: being aware of one's bias; taking responsibility for one's

actions

examples of non-therapeutic responses

-rescue feelings

-false reassurance: "everything will be okay-"

-giving advice: "i think you should-"

-changing the subject: "well look at this-"

-being moralistic: "you should-"

,-nonprofessional involvement: "check out my business-"

communication: opening remarks

general statements based on observations/assessments

-e.g., "where would you like to begin?", "you seem to be feeling better today"

communication: reflection

identifying main emotional themes and deflecting back to pt

-e.g., "what do you think you should do?", "you do not like the way the medicine

tastes?"

communication: focusing

goal-directed questions to help pt focus on key concerns

-e.g., "tell me a little about your children", "give me an example of what you mean"

communication: giving information

sharing with pt relevant information for their well-being

-e.g., "i'm in here today for-", "we could talk about relevant strategies to-"

communication: silence

allow time for a pause; permits nurse and pt to think/reflect

-e.g., "take your time", [don't speak] (with children)

transmission-based precautions: airborne: equipment

-private AIIR; negative pressure

-respirator for nurse

-mask worn by pt outside of room

transmission-based precautions: airborne: disease examples

via small-particle droplets

, -measles, TB, varicella (chicken pox, herpes zoster, shingles)

*think "MTV"

transmission-based precautions: droplet: equipment

-private room or with pt of same disease

-mask within 3 feet of pt

-mask worn by pt outside of room

transmission-based precautions: droplet: disease examples

via large droplets by sneezing/coughing/talking

-influenza

-diphtheria

-rubella

-pertussis

-common resp. viruses

transmission-based precautions: contact: equipment

-private room or with pt of same disease

-gloves at all times; change when moving from soiled contact to cleaner

-hand hygiene immediately after glove/gown removal

-daily cleaning of area

-pt-dedicated equipment

-terminal disinfection charge at end

transmission-based precautions: contact: disease examples

multi-drug-resistant organisms; infectious diarrhea

-C. difficile

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