NURS 251 EXAM 1 QUESTIONS WITH CORRECT DETAILED ANSWERS 2024.
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Course
NURS 251
Institution
NURS 251
NURS 251 EXAM 1 QUESTIONS WITH CORRECT
DETAILED ANSWERS 2024.
documentation is... - ANSWER- a written or typed communication/ permenant record
of pt care
reporting happens when... - ANSWER- 2 or more ppl share info about a pt
the patient medical record is... - ANSWER- clear up 2 date documen...
NURS 251 EXAM 1 QUESTIONS WITH CORRECT
DETAILED ANSWERS 2024.
documentation is... - ANSWER- a written or typed communication/ permenant record
of pt care
reporting happens when... - ANSWER- 2 or more ppl share info about a pt
the patient medical record is... - ANSWER- clear up 2 date documentation forms the
basis of interdisciplinary communication pt progress care provided
the purposes of the pt medical record... - ANSWER- legal document communication
assessment care planning
quality assurance reimbursment research education
the electronic health record... - ANSWER- interfaces w/ eMAR medication
administration record
streamlines nurses work
allows large org to have common interface
the principles of documentation include... - ANSWER- confidentiality completeness
organization accuracy conciseness legible timely objectivity
POC documentation - ANSWER- point of care documentation takes place as it occurs
Nursing entries in the pt record include... - ANSWER- admission entry
pt care summary or kardex
flow sheet (routine assessment, vital, I&O) narrative
SOAP
FOCUS-data-action-response
PIE-problem-intervention-evaluation plan of care
clinical pathways-care maps written handoff summary nursing discharge summary
medication administration record incident report
verbal communication includes... - ANSWER- hand-offs SBAR (ISBARR)
reporting to primary provider consults
rounding
voice communication badges
TeamSTEPPS (team strategies and tools to enhance performance and pt safety) Two
challenge rule (CUS- concerned uncomfortable and safety issue)
,The joint commission
An audit is... - ANSWER- a review of records
the brain segments involved in coordination and balance are... - ANSWER-
cerebellum cerebral cortex
basal ganglia
the principles of body mechanics include... - ANSWER- assessing the situation using
large muscle groups
work area height
use of mechanical assistive devices aerobic... - ANSWER- oxygen required
anaerobic... - ANSWER- Process that does not require oxygen
exercise is... - ANSWER- a source of energy
the types of muscle tension are... - ANSWER- isotonic - run isometric - plank
factors affecting mobility include... - ANSWER- lifestyle/ habits intact musculoskeletal
system
nervous system control (paraplegia, tetraplegia, hemiplegia) circulation/ oxygenation
energy
congenital problems affective disorders therapeutic modalities
alterations in mobility... - ANSWER- temporary - broken bone progressive - MS, ALS
permanent - amputee/ paralized
altered mobility manifestations... - ANSWER- decreased muscle strength and tone
(flaccidity/ spasticity)
falls
activity intolerance pain
decreased joint flexibility
ataxic gait... - ANSWER- staggering & unsteady
spastic gait... - ANSWER- stiff and toes catch and drag
waddling gait... - ANSWER- feet wide apart
hemiplegic gait... - ANSWER- one leg is paralyzed and drags festinating gait... -
ANSWER- walking on toes as if being pushed
ataxia... - ANSWER- Impaired muscle
, coordination tremor... - ANSWER- rhythmic, repetitive movement
dystonia... - ANSWER- similar to athetosis, but involves larger areas of the body
immobility on the musculoskeletal system causes... - ANSWER- muscle atrophy
contractures/ joint pain
calcium decrease decreased muscle strength increased falls
immobility on the circulatory system causes... - ANSWER- increased HR DVT
decreased orthostatic compensation decreased plasma volume
immobility on the genitourinary system causes... - ANSWER- incomplete bladder
emptying
calculi in kidney UTI
immobility on the gastrointestinal system causes... - ANSWER- increased aspiration
loss of appetite
decreased peristalsis constipation
immobility on the respiratory system causes... - ANSWER- decreased lung volume
pooling of mucous
decreased cilia effectiveness decreased oxygen saturation aspiration atelectasis
immobility on the psychological system causes... - ANSWER- anxiety depression
sensory deprivation learned helplessness delirium
sexuality changes
mobility assessment... - ANSWER- proper body alignment joint structure/ function
balance coordination gait
risk of falls BP
muscle strength, tone, mass activity intolerance
radiographic studies... - ANSWER- x-rays arthrograms
myelograms
bone mineral density
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