Exam (elaborations)
NFDN 2003 Midterm Review test exam with verified solutions
- Course
- Institution
NFDN 2003 Midterm Review test exam with verified solutions
[Show more]
Content preview
NFDN 2003 Midterm Review testexam with verified solutions
What does SBAR stand for? - answer Situation
Background
Assessment
Recommendation
Concept Map - answer -another method of recording a nursing care plan
-the nursing process is recorded in a visual diagram of patient problems
and interventions that illustrates the relationships among clinical data
Clinical (critical) pathways - answer -directs the entire health care team
in the daily care goals for select health care problems
-includes: nursing care plan, specific interventions, and a documentation
tool
-it describes the patient care required at specific times in the treatment
-multidisciplinary approach
Purpose of clinical pathway - answer Critical to meet expected outcomes
Standardize care
Reduce delays in care
Reduce costs
What is the purpose of SBAR? - answer -All events are critical to meet
outcomes
-Standardization of Care
-Can be individualized
-Reduces duplication and delays in care
-Reduces cost of care
,What does SBAR do? - answer -Communication Framework
-Clear & Direct communication with Care Providers
-Clinical Pathways
-Care maps
-Effective & Efficient Processes
-Care mapped from entry to exit
What is the purpose of dressing? pg. 1318 - answer -Like a second skin to
something that has been broken
-to control bleeding, to prevent infection, to absorb blood
-aids in homeostasis
-provides a moist environment
What type of wounds need dressing? - answer wounds with extensive
tissue loss
What is gauze? - answer -Absorbent and WICK away any drainage.
-Does not irritate the wound.
Why would we use gauze? - answer It gathers lots of secretions, for
something that is draining lots
Telfa - answer -Non-adherent gauze
-Telfa can be used over clean wounds with little or no drainage.
-Does not stick and drainage can pass through to the gauze.
When would we use occlusive dressing? - answer -Anytime we do not
want something to go in/out of the wound because it is impermeable to
external bacteria and other contaminants
-eg. chest tube
, Occlusive (Hydrocolloid) - answer -Adhesive and occlusive.
-Interacts with wound fluid to provide a moist environment
-Surface touching the wound forms a gel and maintains a moist
environment.
-Can be used on clean, granulating wounds as well as for wounds that
need debriding.
-They slowly liquify necrotic tissue.
-Can be left in place until seal is broken, allowing for enhanced healing.
-Use on ulcer type wounds.
-WATCH CAREFULLY AS SOME HYDROCOLLOIDS CAN LEAVE RESIDUE IN
WOUND THAT LOOKS LIKE PUS
-minimal absorption, maintains wound med moisture
-impermeable to external bacteria and other contaminants
-must be left in place for 5-7 days
-should NOT be used in heavily draining, or full thickness infected wounds
What assessment do you do pre/post dressing change? - answer -When
you go in, what do you see? Is there drainage on the top, moist, what type
of drainage and how much?
-If the were medicated, and how they tolerated the procedure
Complex wound irrigation - answer -we irrigate from CLEAN to DIRTY
-use a single squeeze 100mL saline bottle this delivers saline at the
proper pressure to avoid trauma to the wound bed
-used to flush the area with a constant low-pressure flow
-cleans wounds of exudate and debris
-do not leave irrigant pooled in wound bed, allow gravity to assist in
drainage
complex wound packing - answer -first you must assess size, depth,
shape, tunnelling, and undermining
-wound should not be packed too tightly, use a light touch
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 BRAINBOOSTERS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now