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NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions) - Document preview page 1

NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions) - Page 1

Document preview content for NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions)

NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions)

NR224 NR226 Final Exam Key Concepts with Answers provides key insights into previous exams to help you prepare better.

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NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions) - Page 1 preview imageNR 224NR 226 Final Exam Key ConceptsNOTE:The intent of this study tool is to outline the major concepts covered in NR 224 and NR 226.NR 224 Concepts:Critical ThinkingBe prepared to prioritize and to consider thebestoption when answering exam questions.-- ABC-- Maslow’s Hierarchy-- 1stLevel-- 2ndLevel-- 3rdLevelWhat considerations are important whendetermining thebestoption?--When should the nurse delegate vs notdelegate?--What are essential steps the nurse should doprior to performing any skill on a patient?-- Two Pt Identifiers-- Allergies-- Pain levelsWhat are principles related to HIPAA?Nursing ProcessReview the steps in the nursing process. Beprepared to interpret a scenario/situation todetermine the corresponding step in thenursing process.-- Assessment-- Diagnosis-- Planning/Outcome Identification-- Implementing-- EvaluatingConsider nursing diagnoses that areapplicable to a given situation/scenario.-- Risk for infection-- Impaired skin integrity-- Impaired tissue perfusion-- impaired physical mobility-- ineffective airway clearance-- social isolation-- impaired urinary eliminationInfection Prevention and ControlWhat is the difference between clean andsterile technique?-- Sterile:-- Clean:What are examples of skills and proceduresthat should be performed using cleantechnique? Sterile technique?-- Sterile: NG tube, Foley Cath, dressingchange, suctioning-- Clean:List strategies/interventions that mayprevent infection transmission.-- maintaining the chain or infection-- not breaking sterile field-- HAND WASHING-- proper disposal of waste-- a proper diet-- proper hygiene-- immunizations-- adequate rest and exercise-- wearing ppe-- coughing etiquetteWhat are principles associated with creatingand maintaining a sterile field?-- avoid sudden movements of body parts-- refrain from touching sterile supplies-- avoid coughing, sneezingWhat is PPE?-- Personal Protective EquipmentWhat are the different types of isolation andwhat items are worn with each type?-- Standard: used with all pt, bodily fluids,Gloves-- Contact: VRE, MRSA,C-Diff, shigella,herpes, scabies, varicella, RSV, private roomor similar pt & Gloves and Gowns-- Droplet: > 5 micron w/3 ft, diphtheria,rubella, strep, pharyngitis, pneumonia,scarlet fever, pertussis, mumps, sepsis,private room or similar pt & surgical mask
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NR224 NR226 Final Exam Key Concepts with Answers (42 Solved Questions) - Page 3 preview imageNR 224NR 226 Final Exam Key Concepts-- Airborne: < 5 micron, measles,chickenpox, varicella, TB, negative pressureroom & N95-- Protective: stem cell transplant, positivepressure room, pt wear mask outside roomWhat item should be removed first? Why?-- Remove gloves first, to prevent spreadingmicrobes.Vital SignsWhat are the normal ranges associated witheach vital sign?-- Temp:96.8-100.F-- Pulse: 60-100 Beats/Min-- Resp: 12-20 Breaths/Min-- BP: 120/80-- O2: 95-100% in room airWhat is the technique for measuring eachvital sign?--Activity and ExerciseWhat should the nurse include in a teachingsession to a client who is using acane/walker/crutches for the first time?Cane-- CWS = Cane, Weak, Strong-- move the cane first, then weak leg, thenstrong leg-- length is = to distance between the greatertrochanter and floor-- 2 types: single straight legged & quad-- single straight leg is more common-- keep cane on stronger side-- place cane 6-10 in forward-- keep body weight on both legs-- 2 point support required on the floor at alltimes.-- quad cane provides the most support--used for partial or complete legparalysis/hemiplegia.Walker-- light weight movable device-- used by pt who is weak or has balanceproblems-- walker with wheels are useful for pt whohave difficulty lifting-- measure by having pt to relax arms andstand straight-- elbows flexed 15-30 degrees whenstanding inside walker--hold hand grips, takes a step, move walkerforward, take another step.-- Step, Walker, StepCrutches-- needed to increase mobility-- 2 types: double adjustable & forearm-- measure crutches for appropriate length-- don’t support weight on crutches-- ensure crutch is 2 to 3 fingers width fromaxilla.-- position tips 2 in lateral and 4-6 inanterior in front of shoe-- support weight by the hand grips-- flex elbows 20-25 degrees-- gait by alternating bearing weight on oneor both legs on the crutches-- four standard gaits: 4-point, alternating, 3-point, 2-point, swing through-- basic stance = tripod--tripodis when crutches are 6 in front and6 in to side of each foot-- provides a wider base of support-- 4-pointgives stability to the patient butrequires weight on both legs-- each leg alternate moves with each crutch,so 3 point are on the floor always--3-pointrequires the patient to bear allweight on one foot-- bears weight on both crutch and theunaffected leg-- affected leg doesn’t touch the groundduring the early phase-- gradually progresses to weight on theaffected leg--2-pointrequires partial weight-- Crutch walk on stairs-- Ascending stair (Unaffected 1st)-- use the 3-point gait-- transfer body weight to crutch, thenadvance unaffected leg to the stair
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