NR224FinalExamStudyGuide.docx - NR224 Final Exam Study...

This preview shows page 1 - 3 out of 9 pages.

NR224 Final Exam Study Guide Critical Thinking Critical Thinking Defined -definition: the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process -recognizing that an issue exists, analyzing information, evaluating information, and drawing conclusions Reflection -turning over a subject in the mind and thinking about it seriously -reflection is not intuitive Levels of Critical Thinking -basic, complex, commitment -Components of critical thinking/critical thinking model: -specific knowledge base -experience -nursing process competencies -attitudes for critical thinking -professional standards Critical Thinking Competencies -general critical thinking -scientific method -problem solving -decision making -specific critical thinking -diagnostic reasoning and interference -clinical decision making Nursing Process: Planning Critical Thinking in Setting Goals & Expected Outcomes -goal: broad statement that describes desired change in patient’s condition -expected outcome: measurable change that must be achieved to reach a goal Infection Prevention and Control Body Temperature Regulation -radiation: transfer of heat through surface of one object to surface of another without direct contact -conduction: transfer of heat from one object to another through direct contact -convection: transfer of heat away by air movement -evaporation: transfer of het energy when a liquid Is changed to a gas (sweating) Standard Precautions -use hand sanitizer only when hands are not visibly soiled -use nonantimicrobial soap if spores are present (ex. with CDIFF) -use masks, eye protection and face shield when care might cause splashing or spraying of bodily fluids -clean gloves are worn when touching anything that has the potential to contaminate the hands of the nurse -place PPE in sturdy bag, tie knot tightly -a client does not need a private room unless he is unable to maintain appropriate hygienic practices Transmission Precautions -airborne; requires private room, N95 masks with tuberculosis, negative pressure airflow room -droplet; requires private room or room with clients who have same disease, masks for providers/visitors -contact; requires private room or room with clients who have same infection, wear gloves & gown
Vitals Temperature Alterations -hyperthermia: 104F or higher -hypothermia: 95F or lower Ranges for BP Normal: <120, <80 Prehypertension: 120-139, 80-89 Stage 1 HT: 140-159, 90-99 Stage 2 HT: >160, >100 Korotkoff Phases -phase 1: a sharp thump – systolic -phase 2: blowing or whooshing sound -phase 3: a softer thump than phase 1 -phase 4: a softer blowing sound that fades -phase 5: silence– diastolic Immobility (Ch. 28) Musculoskeletal Changes -skeletal effects: disuse osteoporosis, joint contracture Implementation: Acute Care -metabolic -high protein, high calorie diet with vit B & C supp.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture