NURS 205 - Medical Surgical Nursing I questions with correct answers
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Course
Nurs 205
Institution
Nurs 205
Nursing Process Correct Answer-an assertive, problem-solving approach to the identification and treatment of patient health problems - provides a framework to organize the knowledge, judgements, and actions that nurses apply in patient care
Phases of Nursing Process Correct Answer-ADPPIE
A - a...
NURS 205 - Medical Surgical Nursing I questions with
correct answers
Nursing Process Correct Answer-an assertive, problem-solving approach
to the identification and treatment of patient health problems - provides a
framework to organize the knowledge, judgements, and actions that
nurses apply in patient care
Phases of Nursing Process Correct Answer-ADPPIE
A - assessment
D - diagnosis
P - plan outcomes
P - plan interventions
I - implementation
E - evaluation
Assessment Correct Answer-data collection (objective and subjective) of
relevant and important aspects of the pt's present health status
Diagnosis Correct Answer-identify and label human responses to actual
and potential health problems
1) problem
2) etiology
3) signs/symptoms
,problem "related to" etiology "as evidenced by" signs and symptoms
Plan Outcomes Correct Answer-desired goals for the patient which are
patient-centered and mutually set, including both short and long-term
goals
SMART goals:
S - specific
M - measurable
A - attainable
R - realistic
T - timely
Plan Interventions Correct Answer-identify nursing interventions to
accomplish the desired pt outcomes considering the rationale (best
evidence) and feasibility
Implementation Correct Answer-doing, delegating and documenting -
communicating the plan of care to other members of the HCT and record
care given as well as client response
Evaluation Correct Answer-assessing the outcome and deciding whether
to continue, discontinue or revise initial care plan - evaluated data
becomes the new assessment data
,Charting by INCLUSION Correct Answer-document all data in
chronological order
Charting by EXCLUSION Correct Answer-document data that deviates
from norms or standards of care
DARP: data, analysis, response, plan
Communicating Concerns Correct Answer-a useful method of framing a
conversation to quickly communicate critical and focused information to
allow HCPs to quickly take action
SBAR:
SITUATION - what is going on?
BACKGROUND - what has happened?
ASSESSMENT - what do you think is wrong?
RECOMMENDATION - what would you suggest should happen?
, Infection Control Correct Answer-guidelines issued by the CDC &
Health Canada to prevent transmission of organisms between clients and
HCPs
when you go into a room, know why it is on isolation (what are you
protecting from or what you are protected for)
Gown Correct Answer-for procedures that are likely to generate splashes
or sprays of bodily fluids
Mask Correct Answer-for procedures that are likely to generate splashes
or sprays of bodily fluids + within 1 m of a coughing pt
Goggles/face shield Correct Answer-for procedures that are likely to
generate splashes or sprays of bodily fluids + within 1 m of a coughing
pt
Contact Precaution Correct Answer-For C-Diff, influenza, meningitis,
MRSA, varicella:
gloves + gown for all activities in room
- mask & goggles for splashes or sprays and coughing pt
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