2431 Unit Four Exam Blueprint
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| Clara Barton | show 🗑
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| show | To promote wellness, To prevent illness, To facilitate coping, To restore health
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| Definition of nursing by theorists | show 🗑
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| show | A role of the practical nurse, work with RN and health care team to provide continuity of care.
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| DRG (Diagnosis-Related Group) | show 🗑
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| show | Role of the nurse to implement interventions to improve, maintain or restore health.
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| show | Role of the nurse to teach health and counseling to promote wellness, and prevent illness.
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| show | Role of the nurse to assign minor tasks to nurse assistant or other ancillary personnel.
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| show | Must be authorized within 72 hours.
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| Routine admissions are | show 🗑
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| show | physician should be notified, transfer requires documentation for reason and condition at time of transfer, Report is given between nurses, Business office notified, label all pts equipment with tape, check drawers!!!
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| Laboratory work and x-ray examinations are usually performed | show 🗑
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| The admitting department is responsible for | show 🗑
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| show | send them home. Notify the physician of any meds the pt is taking home that aren't on admission orders. List all OTCs and herbals.
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| show | at admission
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| When discharge orders are received: | show 🗑
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| Discharge to an extended care or rehabilitation facility | show 🗑
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| Discharge home | show 🗑
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| Discharge AMA | show 🗑
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| show | physician
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| Document the following in the nurses notes: | show 🗑
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| Autopsies are required in most states for certain conditions or | show 🗑
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| Death of a pt, Providing support for significant others: | show 🗑
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| Autopsies are usually performed when the pt has died of | show 🗑
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| show | the pt. Handled by physician or specially trained nurse. When handled sensitively, requests can be an opportunity for the fam to allow something good to come out of a personal tragedy. Health care workers must be culturally aware.
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| Routine admissions | show 🗑
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| show | no planning. sudden illness, injury or abrupt worsening of an existing condition requires immediate treatment. Stressful for the pt, family and friends.
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| Managed care | show 🗑
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| To prepare a teaching plan assess pt for: | show 🗑
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| show | Poor vision or hearing, impaired motor function, illiteracy and impaired cognition. Age may interfere with the strength or dexterity for performing certain tasks.
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| show | provide good lighting, provide printed teaching materials with large type, Encourage glasses, Encourage hearing aide, Use short sentences with pauses, Keep med terms to a min, Ask questions at frequent intervals, have them demonstrate or repeat back
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| Evaluation of learning | show 🗑
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| Implementing of teaching, timing | show 🗑
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| show | one on one or in group setting, pt should be comfortable, keep teaching sesh short, involve pt in the process, You may need to incorporate teaching into daily care.
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| show | promoting wellness
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| Nurses teach pts about their: | show 🗑
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| Prior to discharge, the pt must be taught how to | show 🗑
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| Pt Teaching begins at | show 🗑
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| show | prepare a plan, assess learning needs.
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| Factors affecting learning: | show 🗑
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| Form a teaching plan: | show 🗑
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| Visual learners learn through | show 🗑
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| show | what they hear
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| Kinesthetic learners learn through | show 🗑
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| Which mode is best to teach your pt with? | show 🗑
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| show | scope of standards of practice
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| show | the client is unresponsive except to superficial, relatively mild painful stimuli to which the client makes some purposeful motor response to evade stimulation. Spontaneous motion is uncommon, but the client may moan or mutter.
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| show | pushing the palm or sole against the examiners palms, picking small and large objects between thumb and forefinger, grasping objects firmly, resisting removal of an object from the fists or forefingers, observe gait/balance. walk heel-toe.
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| show | client stands with feet close together and eyes closed. if client sways and tends to fall it is considered a positive romberg test, indicating a problem with equilibrium.
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| Evaluating motor/cerebral function: | show 🗑
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| Evaluating motor response in the comatoes or unconscious client: | show 🗑
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| Glascow coma scale is a measure of the LOC it contains three parts: | show 🗑
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| Glascow Eye opening response | show 🗑
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| show | Evaluated by a verbal response to questions
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| show | The ability of the client to follow commands such as "wiggle your toes" or "move your hand"
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| Glascow coma scale results | show 🗑
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| show | the client is drowsy or sleepy at inappropriate times but can be aroused, only to fall asleep again. Responses to questions are delayed or inappropriate. Speech is incoherent. Responds to painful stimulus.
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| show | Olfactory. Test ability to identify familiar odors one naris at a time with eyes closed.
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| Cranial nerve 2 | show 🗑
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| show | Oculomotor. Drooping eyelids. Perrl.
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| show | Trochlear. Same as CN 3.
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| show | Trigeminal. Inspect face for muscle atrophy and tremors, palpate jaw muscles for tone and strength. Test superficial pain and touch. Test corneal reflex.
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| Cranial Nerve 6 | show 🗑
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| show | Facial Nerve. Inspect symmetry of facial features with various expressions (puff, smile, squint eyes)
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| Cranial Nerve 8 | show 🗑
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| Cranial nerve 9 | show 🗑
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| show | Vagus. Inspect palate and uvual for symmetry with speech sounds and gag reflex. Observe for swallowing difficulty. Evaluate quality of guttural speech sounds.
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| Cranial nerve 11 | show 🗑
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| show | Hypoglossal. Inspect tongue movement toward nose and chin. Test tongue strength with index finger when tongue is pressed against cheek. Evaluate lingual speech sounds.
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