Exam (elaborations)
N450 Exam 2 (2)
- Course
- Institution
Exam of 50 pages for the course N450 - Ch. 3 - Principles of Geriatrics at N450 - Ch. 3 - Principles of Geriatrics (N450 Exam 2 (2))
[Show more]
Seller
Follow
modockochieng06
Content preview
N450 Exam 2What is critical care nursing? - ANS-Specialty of nursing that deals specifically with human
responses to life-threatening problems.
Critical care nurse certification - ANS-* application/analysis level
*STRONG critical thinking abilities
*required number of clinical hours is an exam prereq
*renewed every three years
*Extensive on-going edu
*CCRN must have been in critical care for a minimum of two years to be eligible for the
examination
Are critical care nurses vulnerable? - ANS-YUP
AACN Six Standards for establishing and maintaining a healthy work environment are? -
ANS-Skilled communication
true collaboration
effective decision making
appropriate staffing
meaningful recognition
authentic leadership
Roles of the CCRN include? - ANS-bedside clinicians
nurse educators/researchers/managers
clinical nurse specialists
nurse practitioners
PATIENT ADVOCATE!
(AACN defines advocacy as respecting and supporting the basic values, rights and beliefs of
the critically ill patient)
Where do CCRN's practice? - ANS-ICUs
Cardiac cath
bone marrow transplant units
solid organ transplant units
step down units
rapid response team
telemetry units
ER
Recovery rooms
home health
managed care
,What is the definition of a critically ill patient? - ANS-Critically ill patients are defined as those
puts who are at high risk for actual or potential life-threatening health problems
The more critically ill the patient is, the more likely he/she is to be highly vulnerable, unstable
and complex, thereby requiring intense and vigilant nursing care.
What are the six most common nursing diagnosis for critical care patients - ANS-Nutrition
Anxiety
Pain
Impaired Communication
Sensory-perceptual problems
Sleep problems
Six most common nursing diagnosis for critical care patients:
1. Nutrition - ANS-Malnutrition is linked to higher mortality rates
hypermetabolic or catabolic states
malnourished on admit
tests and procedures
Treatments: pt specific, prevent or correct nutritional deficiencies, enteral nutrition, parental
nutrition, monitor I&O's
Healing nutrients: Sufficient Kcals, protein, etc...
Six most common nursing diagnosis for critical care patients:
2. Anxiety - ANS-pts are afraid
fear of death, pain, loss of control, uncertainty
Dignity: may be nude/partially exposed
feel embarrassed/helpless
Treatment: explain all procedures, pay attention to the environment, assess and reassess
Six most common nursing diagnosis for critical care patients:
3. Pain - ANS-Invasive monitoring, ET tubes, immobilization
treatment: continuous IV sedation, pain assessment, intervention, evaluation, advocate
Six most common nursing diagnosis for critical care patients:
4. Impaired Communication - ANS-sedative and paralyzing drugs, ET tube
,Treatment/intervention:
promote alternate forms of communication, timely and appropriate communication of
procedures and interventions, interpreters, touch
Six most common nursing diagnosis for critical care patients:
5. Sensory perception problems - ANS-delusions, memory deficits, lethargy, restlessness, poor
sleep, delirium, physical conditions, medications, sensory overload
Treatment: treat underlying cause, noises can be limited.
Six most common nursing diagnosis for critical care patients:
6. sleep problems - ANS-noise, machines, commotion, anxiety
treatment/interventions: 2 hr sleep periods to include REM, avoid interruptions during key sleep
times, turn down lights at night, earplugs, eyeshades, clocks, calendars, familiar visitors,
sounds, personal items, cluster cares, provide comfort measures.
Teaching learning strategies in vulnerable populations: - ANS-1. decrease stress and promote
comfort (think maslow)
2. identify what the patient/family already knows
3. identify what the pt/family are concerned about
4. repeat information PRN (calmly and patiently) anxiety, patin, fatigue, drugs affect
comprehension
5. FAMILY: consistent info, notification of changes, set ways to obtain info for facilities, VISITS
*one family member is usually appointed as the spokesperson
Family members* of all patients undergoing resuscitation and invasive procedures should be
given the option of presence at the bedside. - ANS-For patients: Almost all children want their
parents present during medical procedures; and adult patients
report that having family members at the bedside comforted and helped them.
o For family members: Their presence at the bedside helped in removing doubt about the
patient's condition by witnessing that everything possible was being done. It decreased their
anxiety and fear about what was happening to their loved one. It facilitated their need to be
together8,10 and the need to help and support their loved one. They experienced a sense of
closure and their presence facilitated the grief process should death occur.
All patient care units should have an approved written practice document (i.e., policy, procedure,
or standard of care) for presenting the option of family presence during resuscitation and
bedside invasive procedures. [Level D] - ANS-
, Ed triage: - ANS-process of quickly sorting patients and assigning right resources in the right
place at the right time.
the process of determining patient acuity- pts with threat to life must be treated first.
five level emergency severity index (ESI)
ESI-1 is unstable
ESI-2 is threatened
ESI-3-5 = Stable
(Page 1675 in the text)
The primary survey of triage INCLUDES? - ANS-Airway
Breathing
Circulation
Disability
Exposure/environment
***ALWAYS CHECK AIRWAY FIRST****
Primary Survey:
Airway - ANS-assess airway with simultaneous cervical spine immobilization
*assess for obstructed airway
*assess for foreign objects/loose teeth
*assess for respiratory distress
Interventions:
Oral suctioning
jaw thrust (Can't move neck till c spine X-rays r/o injury)
nasal or oral airway
cervical spine immobilization
Primary Survey:
Breathing - ANS-Assess ventilation
respiratory rate
assess chest wall movement for paradoxical breathing with inspiration and expiration
color of skin and mucous membranes
auscultate lungs
observe for JVD and trachea position
chest trauma
use of accessory muscles or retractions
AIRFLOW DOES NOT ENSURE ADEQUATE VENTILATION
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now